A voice is heard in Ramah. Rachel is wailing for her children, and refuses to be consoled. [1]
Hospital chaplains mediate difficult situations. These see the world through the eyes of people and medical staff who are undergoing trauma and journey with them, offering resources and hope. In the fall of 1983 I entered into a year-long, full-time, and on-site chaplaincy internship at a level one trauma centre in one of the largest cities in the world. And after three weeks of supervised training I was scheduled for my first solo on-call. I was in my mid-twenties. And I was immediately paged.
Phoning the ER I was told that an ambulance was arriving. Walking down the last corridor before I entered the reception area I could hear a woman wailing...high, out-of-her-mind wailing. Rounding the corner it was a place of focused chaos. A nurse whom I had gotten to know saw me and pulled me aside and said,
Look, we have a child who has just been mauled by a dog. Do what you can for her (pointing to the woman)
- get her into a private waiting room - then come and see us. And she turned and literally ran into a room designated as an ER operating theatre. And I thought,
This can't be good.
The woman was by herself. A male receptionist had gone over and was sitting next to her. She kept trying to get up, wanting to join her child. Each time she arose he gently invited her to sit back down. I had never before seen anyone so distraught – hysterical. I walked over and sat down next to her and introduced myself. But she could not hear me. I felt as if I was breaking into something very private. My words bounced back to me each time I spoke. I gently persisted. And at last it was as if in coming up for air she was able to focus enough to hear me. And she focused outside of herself enough, and I invited her into a private reception area. But when she went to stand her knees buckled. The receptionist and I caught her and helped her walk down the hall. But then, just before we went into the room, she turned and said,
But I want my baby!, and went to return back down the hall. And I calmly replied,
We have to let the doctors do what they can do, and that momentarily satisfied her, and we went into the room and sat on the couch.
Once again she became hysterical. And now her head was down between her knees. A seated fetal position. And she wailed for a very long time. An hour had passed since the
ambulance had first arrived. And her tears found resonance in my own heart, even though I did not know the cause of her weeping. And I wanted to speak with her, but I felt it was intrusive. And I wanted to hold her, but she was submerged inside of herself. And after a long time a nurse came to the door and asked if this woman was okay, or did I think that a doctor needed to see her? And out of my guts I said that I thought that she was okay, and that I would stay with her. I was informed that if she became worse that she would be medicated…all I had to do was say the word. And suddenly here I was, a twenty-something with no life experience drawn into a decision-making process over someone
else's life.. And people were still running everywhere. So I gently went back and sat down next to her and said very softly,
I need to talk with you. And to my surprise she lifted her head and looked at me. I reintroduced myself and softly said,
I want to help you. Do you want me to help you? And she nodded.
Okay, then I think that I can start to help you best if you will tell me what happened? Tell me the story. It was hard at first for her to find words. Choking back the tears, pulling at her clothing, she sputtered, and started sentences again and again. And slowly it came out. Single mom. Went to visit her father. Father had a watch dog. Something in the child triggered the dog, and as she watched the animal had broken through a fence and attacked her daughter, who was two. The two adults had fought the dog, which had never before done anything like this…previously friendly to the point that her father had joked about getting rid of him as worthless. And on two occasions the man was not strong enough to keep the dog off the child once extracted, and it had attacked again. And then I took her hand and she began to wail all over. And
I could not stop it!, she repeated again and again, and then,
How’s my baby? Would you like me to go and find out?, I asked. And she nodded affirmatively. I stepped to the door and motioned to the receptionist to come and told him I’d be right back, and he stood at the door, not knowing what to say to her.
I am originally an Aggie – animal husbandry to be exact. And it sounds crude to say it, but if I had not had several years experience dealing with carcasses and meat I would not have been prepared for what I saw next. I walked into the triage theatre and nobody looked up. Staff was still running – coming and going. And here is what I saw on the table in front of me. A child…a little girl…a toddler – slight in build and perhaps two feet tall. Her face was peeled back from just above her teeth on the left, folded up and over her head well beyond her hairline. Her left eyeball lay completely exposed, staring straight ahead. Her cheekbone was caved in, crushed by the dog’s jaws. Puncture wounds covered her head. The child’s left arm was lacerated to the point that only bone held it onto her shoulder…her muscle was totally skinned down to nothing. And her body was totally covered with bite marks, and bruises, and cuts. And my heart went out to this young one.
I looked at the medical staff and wondered how they were doing? One of the doctors caught my eye, and then the intern who was assisting. The look that they gave me was of standing on a beach and having a tidal wave coming down on you with nowhere to run. And they were focused. And I watched their hands. And there was not a wasted movement, and not a wasted moment. And the nurses, too. Directed. Patient. Purposeful. Fighting. And I stood there in silence and out of the way for a very long time.
Thomas Merton once wrote how angry he got when people would make statements about the worthlessness of religion when they themselves had never taken any significant time out of their lives to seriously explore the presence of God. And at that point, standing there, I began to pray in the silence of my heart, for each person. And I did not know that I even did this until I reflected on the whole thing the next day. See, when you are involuntarily soiling your pants, any argument for or against God is nothing but
intellectualization from inexperienced and self-absorbed brains. And then the intern turned and stepped out of the room. I followed. And he was leaning on a desk in a private area. And then he took his fist and drove it into it. And then he launched out into a vindictive against what kind of woman would allow something like this to happen to her child? And now I had two people for whom to care. And then I realized that I had all of them to care for. And we spoke briefly. And then he went back in. And for hours afterward I was back and forth between family, and child, and doctors and nurses. A giant juggling act at the gates of hell.
And then at midnight the baby died.
By then it was not a surprise. And by then I was holding this woman. And we walked together from the
waiting room into the the room where her baby lay, where they had mopped up the blood and cleaned and covered the body appropriately with sheets out of respect and discretion. And she hugged her baby, and kissed the exposed face…and apologized. And it broke all of our hearts. And staff had to leave the room. And then the police investigation began and I saw this mother no more. And I talked with staff throughout the rest of the night as they each worked out in their own words what they had done and what they had experienced. And then dawn came. And people slipped off to their own homes as a new staff came on, and I began my own walk home – a mile down a busy boulevard in a city that was just waking up. I was exhausted, awake for twenty four hours. And then I was home. And then I ate breakfast. And then I sat down. And then I began to weep uncontrollably – the first since this all had begun. And I wept for an hour, and finally fell asleep on the couch, weeping and exhausted. And a week later one of the doctors gave me a compliment in a staff meeting and asked if whenever they had such an emergency if they could call me up and ask me to come in? That they had appreciated my presence so much...even the atheists. And at the time I accepted his compliment, but was still crying inside in spite of a calm exterior.
I recently read an interview with a woman who had lost her son. Someone asked her if she felt a sense of loss for the potential of his life
un-lived? And she said no, that she was simply grateful for the time that she had had with him. And when I read it I thought,
What kind of f****d up thinking is this? What is wrong with us...with each generation that we just don't get it? Everything has become relative these days, and we are supposed to affirm the craziest, life-denying, selfish, and ignorant sentiments. Her words are a cop-out…an
intellectualization…a psychological insurance-protection policy. See, when I get done with this post, I am going to go onto my front porch with a cup of coffee, and I will look out over the remote valley in which I now live, and play a bit of guitar, listen to some Joni Mitchell, and watch the antics of our kittens, and there is nothing, absolutely nothing, that I would prefer, than to have that child sitting on my lap, and bouncing on my knee, and drinking
Kool-Aid from a
tippy cup. Nothing. And I still carry her in my heart. And I still pray for her. And any more, with my life running out, I just don’t have time or energy for screwed-up philosophies that are not capable of a depth of feelings, because as painful as these desires and passions may be, all on their own they invite us even deeper into life itself. And I would not miss that ride for anything.
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[1] Jeremiah 31:15
Painting: Starry Night, by Vincent Van Gogh - my favourite painting of all time...hands down.