Wednesday, July 27, 2005

Hospital tales 8: Gee, but it’s good to be alive

When life sends you into a tailspin, tell the tales.

After the procedure, I encouraged Sarah to go home and get some rest because she would have had to sit up all night in ICU with me. I thought she needed sleep.

By 3:30 a.m. I had a headache and nausea and felt so alone. I lay there thinking, when somebody from Plow Creek is in the hospital we ought to always have someone with them.

Sarah called the ICU nurses on Tuesday morning and in my infinitesimal wisdom I told the nurses to tell her to come at noon. Poor Sarah. When she showed up at noon I kept weeping because I had been feeling so alone in my misery for the last eight hours. Also, apparently the medicine they gave me for nausea made me weepy.

I went back to interventional radiology where they took the catheter out, peered around inside the vein, and saw that the clot was gone from the knee to groin. Thank you, Lord. They sent me back to ICU for four hours because I guess I was still a high risk for dying.

“I just want to get out of here,” I said to Sarah.

When I got to a regular hospital room Tuesday evening I was exhausted. At one point I woke up and Sarah was on the phone with Heidi and Jon. She asked if I wanted to say hi to them. I greeted them cheerfully and then woke up a bit later. “Did I fall asleep talking with Jon and Heidi?” I asked, feeling very embarrassed.

“Yes, they laughed when you started snoring.”

Uffda. Later, to Sarah’s utter amazement, I slept through getting my blood drawn.

The next morning a young doctor sauntered in and began spelling out their plans for putting me on a blood thinner and regulating it over the next few days.

“Ah, what about Lovenox? I understand that if I went home on Lovenox I could get home sooner.”

He looked a bit taken aback and said, “I’ll go check on that.” He left.

“You can go home,” he said when he returned. My head was spinning. Fourteen hours before I was in ICU because I might die at any moment and then he casually announces I can go home.

When Sarah and I questioned him about what kinds of activities I could do once I was out of the hospital he said, “Use your common sense.”

Sarah, who teaches a lot of non-medical people at her job to provide basic medical care for people with developmental disabilities, knows you never tell people to use their common sense. You never know what people think is common sense.

“He should write that in the chart and then have to go to court and explain that he told the patient to ‘use common sense’”, Sarah snorted to me.

Hopefully he was a first year resident and will learn to move beyond “use common sense” before he’s unleashed on patients on his own.

At home I took a shower. Ah the simple pleasures of life.

But during the shower I noticed my back was itching. “Oh, know,” Sarah exclaimed when she looked at my back. “You have a bright red rash.”

Then she explained that a rash can be the first sign of an allergic reaction to a medicine. The second stage is anxiety because our system realizes something is amiss before we do. The third stage is difficulty breathing. The fourth stage is shock and you need immediate medical attention (or you die).

Great. I lay in bed checking to see if I was anxious.

Of course, I was anxious.

But was my anxiety the normal “I might die at any moment” anxiety or was it the second stage of an allergic reaction to a medicine?

Fortunately, I have an amazing ability to fall asleep at night. I kept waking up and I was always alive.

Gee, but it’s good to be alive.

Tuesday, July 19, 2005

Hospital tales 7: Way out in the forefront of medicine

When life sends you into a tailspin, tell the tales.

After the lysing procedure they wheeled me into surgical ICU with four tubes and wires coming out of my leg, an I-V in each arm, and two monitors. I must have looked like a float in a parade.

As soon as we entered, an ICU nurse looked at one of the monitors and said, “What’s this? We’ve never had one of these before.”

“It’s an ultrasound that pushes the clot buster into the clot,” said a radiology nurse who was part of the parade. “This is only the second patient we’ve used it on.”

“We don’t know anything about it? What if the alarm goes off?”

“Call the tech. If the something goes wrong call the tech. We have a power point I can show you about it.”

There’s nothing like being on the forefront of medicine, so far out front that the ICU nurses are scared.

Bravely, and later I thought, foolishly, I encouraged Sarah to go home and get some rest since she couldn’t stay with me in ICU and spending the night in the waiting room would be very uncomfortable.

At about 11:00 p.m. the alarm went off on the ultrasound monitor. The nurse came in and pushed a button that turned it off. Then she didn’t now what to do next. I reminded her that interventional radiology had said to call the tech.

She went and got another nurse and they both studied the monitor. Neither one of them knew what to do. “Should we call Angio?” one of them asked the other. Assuming that Angio was the tech I voted for calling Angio.

The nurse pushed a button turning the machine back on but she wasn’t sure if the monitor reading was correct. Again I voted for calling Angio.

Later the nurse came back and told me that she had called the number for the tech. The tech, she discovered, lived in Seattle and was flying out the next day to teach staff at St. Francis, She described what the monitor was displaying and he reassured her that everything was fine.

It’s good to be out in the forefront of medicine, I guess.

The next day as I was being wheeled back to interventional radiology we passed a door with a department sign on it: Angio. Oops, I realized, Angio was not the tech.

Sunday, July 17, 2005

Hospital tales 6: Face down in empathy

When life sends you into a tailspin, tell the tales.

At 12:30 on Monday afternoon they wheeled me through halls, an elevator, and more halls to interventional radiology.

“We’ll take him to holding until they are ready for him,” they explained to Sarah. “You can stay with him in holding until they are ready for him. Then you can wait in the waiting room and when they are finished the doctor will come out and tell you how it went.”

I started laughing. Lest they think I was going nuts,I explained. “I grew up on a farm,” I said, “Holding sounds like the place we put critters in before we shipped them.”

Earlier a nurse practitioner from interventional radiology had visited me in my room. She had explained the lysing procedure and had explained I would be awake during the procedure but that they would give me drugs that would put me in “la-la land.”

I asked about the drugs. One would relax me and the other would reduce my memory of the procedure.

La-la land. That was the best medical term I heard during my stay.

When I was wheeled on a gurney into an interventional radiology room the radiology staff told me that I would be lying on my stomach for the procedure.

I had a mild moment of panic. “My rheumatoid arthritis makes lying on my stomach hard to do and I can’t turn my neck to breathe,” I said. They may be experts in interventional radiology but I’m an expert on what my body will and will not do.

They listened to me and we worked together to figure out how to get me from the gurney onto the table. Soon I was lying face down with a pillow under my chest and a rolled up towel under my head that allowed me to breathe.

Once I was in position on the table the sweet nurse whose job it was to medicate me into “la-la land” (the best medical term I heard in the hospital) leaned over and said, “You don’t look very comfortable at all. I sure wouldn’t be comfortable in that position.”

I about cried.

“Thanks for the empathy,” I said. “Empathy is a great gift even when you can’t change the situation.”

Hospital tales 5: Nurse blame residents, resident blames nurses

When life sends you into a tailspin, tell the tales.

At midnight on Saturday night I went NPO--an abbreviation for “nothing per oral” or maybe it’s an abbreviation for a Latin phrase. What ever it means, after midnight I could not eat or drink because I was going to have the lysing procedure on Sunday.

Medical people love Latin. In the early 70’s I began to lose small patches of pigment on my chest, arms, etc. Once a doctor and medical student were examining me when the student asked what caused the loss of pigment. “It’s idiopathic,” the doctor said.

“Does that mean ‘I don’t know’?” I asked.

“Yes,” said the doctor.

I woke up Sunday full of gratitude: “I’m alive.” Sarah was still sleeping on a cot beside me.

I pressed my call light and asked the nurse for a Bible. Eventually she came back and said they had searched the whole floor for a Bible and couldn’t find one. “I’ll call pastoral care.”
A sister showed up with a Good News Bible. “I’m sorry,” she said. “We used to keep Bible’s in the room but they kept disappearing on us.” She handed me the Bible.

Now there’s a ministry opportunity, I thought. Keep hospitals supplied with Good News Bibles so that people can steal them.

After a good quiet time I asked the nurse when the lysing procedure was going to be done. She hadn’t been informed yet.

At 1:00 p.m. my nurse came in and said she had called my doctor to ask when the lysing procedure was scheduled for. That’s when she discovered that none of the five doctors I had seen the night before called interventional radiology and scheduled the procedure.

The doctor said it would be fine to do the procedure to morrow.

“Can he eat then?” asked the nurse. Kind nurse.

The next day a resident said that nursing should have arranged the lysing procedure. Hmmmm.

I didn’t get upset by the mix-up. My hope is not in medicine but in the Lord of the universe and I figured he’d make sure I got the lying procedure in the fullness of time.

That evening Rick and Lynn Reha, Heather Munn and Jim Fitz came from Plow Creek to visit Sarah and me. As they were about to leave, Jim said, “How about we pray?” I was so thankful. I was lying in the need of prayer.

At midnight I went NPO again.

Hospital tales 5: Nurses blame residents, resident blames nurses

When life sends you into a tailspin, tell the tales.

At midnight on Saturday night I went NPO--an abbreviation for “nothing per oral” or maybe it’s an abbreviation for a Latin phrase. What ever it means, after midnight I could not eat or drink because I was going to have the lysing procedure on Sunday.

Medical people love Latin. In the early 70’s I began to lose small patches of pigment on my chest, arms, etc. Once a doctor and medical student were examining me when the student asked what caused the loss of pigment. “It’s idiopathic,” the doctor said.

“Does that mean ‘I don’t know’?” I asked.

“Yes,” said the doctor.

I woke up Sunday full of gratitude: “I’m alive.” Sarah was still sleeping on a cot beside me.

I pressed my call light and asked the nurse for a Bible. Eventually she came back and said they had searched the whole floor for a Bible and couldn’t find one. “I’ll call pastoral care.”
A sister showed up with a Good News Bible. “I’m sorry,” she said. “We used to keep Bible’s in the room but they kept disappearing on us.” She handed me the Bible.

Now there’s a ministry opportunity, I thought. Keep hospitals supplied with Good News Bibles so that people can steal them.

After a good quiet time I asked the nurse when the lysing procedure was going to be done. She hadn’t been informed yet.

At 1:00 p.m. my nurse came in and said she had called my doctor to ask when the lysing procedure was scheduled for. That’s when she discovered that none of the five doctors I had seen the night before called interventional radiology and scheduled the procedure.

The doctor said it would be fine to do the procedure to morrow.

“Can he eat then?” asked the nurse. Kind nurse.

The next day a resident said that nursing should have arranged the lysing procedure. Hmmmm.

I didn’t get upset by the mix-up. My hope is not in medicine but in the Lord of the universe and I figured he’d make sure I got the lying procedure in the fullness of time.

That evening Rick and Lynn Reha, Heather Munn and Jim Fitz came from Plow Creek to visit Sarah and me. As they were about to leave, Jim said, “How about we pray?” I was so thankful. I was lying in the need of prayer.

At midnight I went NPO again.

Hospital tales 4: The patient is in charge

When life sends you into a tailspin, tell the tales.

I remember vividly my moment of enlightenment in the early 1970s.

Between the ages of 17 and 23, 1968-1973, I spent many months in the hospital for eight orthopedic surgeries and much rehab for my rheumatoid arthritis.

After one of the surgeries I was transferred from an acute care hospital to the rehab. Sitting in a wheelchair physically and emotionally depleted from the surgery, an aide announced they were going to transfer me from the acute care hospital wheelchair to a rehab wheelchair. Dimly, as a couple of aides grabbed a hold of me, I thought they were going about it wrong. But they were medical people so I assumed they must know best.

They proceeded to inflict great pain on me while transferring me.

I didn’t blame the aides. Instead, I paid attention to the light bulb that went on in my brain. Medical people may be the experts but the patient is in charge. It’s his or her body. The patient always decides what gets done and what doesn’t. And when the patient is dimly aware of something amiss he’s responsible.

This pain-earned bit of wisdom helped me when I arrived at St. Francis on Saturday evening by ambulance. I saw five doctors, singly or in pairs. I think they were all residents and interns, none of whom was Dr. Debord.

I didn’t mind. I always consider it an honor to have medical people learn their trade by practicing on me. After all, we have three generations of nurses in our family and they all had to learn on patients.

I’ve heard that July is a poor time to be a patient in a teaching hospital because residents all rotate in, up, or out on July 1. But my blood clot didn’t ask me about timing.

One after another I answered the residents’ questions and watched while they took my pulse in both legs.

About the third or fourth resident began happily rattling on about how the they were going to do several blood tests and order a hematology work up to see why I had gotten the clot. I didn’t understand all he said but I did catch that he didn’t mention lysing.

A warning light went off in that part of my brain that fully embraces that I am in charge of my medical care.

I waited until he was finished and said, “Have you talked to Dr. Debord? I was transferred here because he said I was a candidate for lysing.”

The resident was kind of taken aback. “We’ll talk to Dr. Debord,” he said. Later I wondered if he was a hematology resident since he seemed to be so interested in a blood work up. I don’t recall seeing him again but they did wake me up at 5:00 Sunday morning to take five vials of blood. No one talked to me about the blood work but hopefully they had good practice.

Saturday, July 16, 2005

Hospital tales 3: The ambulance ride

When life sends you into a tailspin, tell the tales.

I’m worried as they wheel me into the ambulance for the hour and fifteen minute ride to St. Francis in Peoria.. What if part of the blood clot breaks lose and makes a mad dash for my heart, lungs, or brain? I’ll be a goner.

“Can I use my cell phone?” I ask the EMTs.

“Sure,” they said. “We don’t have anything on board that it’ll interfere with.” I felt like a free man because I could use my cell phone without sneaking.

I called my parents first. I thought of starting off cheerily, “Hey, I’m calling from the back of an ambulance.” But that didn’t seem like a good idea. At 81 and 77 they’ve had enough shocks in life. I reminded Dad that I had told him about my sore leg the day before and then told them about the blood clot. We were several minutes into the call before I communicated that I was calling from the back of an ambulance.

“It’s a good thing you are strong, Richard,” Mom said. Wow. Mom thinks I’m strong. I never knew that.

The head of the stretcher could be tilted up. Good thing or my back would have been screaming by the time we got to Peoria. The tilt also helped me look out the back window. Once stopped at a red light a young man pulled up right behind us. I wondered if he could see me. I thought of waving to him to see if he would wave back.

After talking to my parents I called my daughters Hannah and Heidi and my son Jon. Once in awhile my anxiety would begin to rise like a muddy creek in a rain storm. To keep at bay the worries that the rough ride was going to shake lose a blood clot and kill me, I concentrated on the conversation of the moment,

When I talked with Heidi she was in a motel in Atlanta writing an outline for her master thesis study. Her Ethiopian husband was a mile away enjoying watching a soccer match between two Ethiopian teams.

A nurse practitioner student, she would like to do a study on why pregnant women at risk of acquiring AIDS refuse to get AIDS testing. I knew she’d eventually like to work with AIDS patients in Ethiopia.

“Design the study for Ethiopia,” I said. “It’ll be a challenge to find someone to collect the data for you but that’s where your heart is so go for it. It’ll be a challenge but if you work your connections I bet you can pull it off.”

She’s done the literature search and she knows of a similar study in Los Angeles and one other county but none in Ethiopia.

I had one other suggestion. Design the study to uncover the reasons pregnant women in Ethiopia choose to be tested or to not be.
Heidi immediately recognized the value. Such a study could teach health workers how to encourage more at risk pregnant women in Ethiopia to be tested for AIDS.

After talking with my kids I called Lynn Reha at Plow Creek to make the final arrangements for hosting another Mennonite church the next day. “Don’t worry,” she said. “We’ll pull it off.” It was like she was singing to my soul.

Talking with Lynn and each of my family was much more fun than thinking about a bit of my blood clot breaking loose and making a mad dash for my heart, lungs, or brain.

I am a blessed man.

Hospital tales 2: And denial comes tumbling down

When life sends you into a tailspin, tell the tales.

A week ago today I laid in the hospital bed with a blood clot in my left leg and read my patient rights in a classy folder handed to me by the nurse. That brought back memories of the last time I had been in the hospital and the first time I had tried to exercise my rights as a patient.

In the mid 1970s Congress passed a law on patients’ rights. As I understood it I could now see my chart. Having spent lots of time in a rehab hospital starting in 1968, I was eager to read my chart. I asked to see it.

The next thing I know I get a visit in my room from the assistant administrator. He was as smooth as a knife cutting through butter as he chatted me up. After a bit he gently let it slip that I had a good relationship with the medical director and that he was sure I didn’t want to do anything to jeopardize that relationship by asking to see my chart.

Needless to say my patient rights melted like butter on a hot griddle.

Thirty years later, early in the afternoon I met Dr. Norris, the young on-call doctor, who had ordered the ultrasound that revealed the blood clot and who had put me in the hospital.

She did a great job of keeping my denial in place, saying that if my insurance approved Lovenox, a new blood thinner, for home use, then Sarah could inject the Lovenox at home and I could probably go home the next day. In the hospital one day and out the next. Piece of cake, I thought.

I called the insurance company and left a message (they were closed for the weekend) asking for approval of Lovenox at home.

A bit later Dr. Norris returned and said she’d like to consult with a vascular surgeon from Peoria. Wow, what a conscientious doctor I have, I thought.

Next thing I know she’s back explaining that she and the Peoria doc think that I’m a good candidate for lysing, a procedure where they inject a chemical directly into the vein to break up the clot in hopes of saving the valves in the vein which work very poorly if the clot stays in there too long.

Then sweet Dr. Norris took two swings at my denial with a sledge hammer. “IVCH doesn’t do lysing except in the emergency room when people are having a heart attack,” she said, “so if you decide to have the lysing we’ll transfer you to St. Francis in Peoria by ambulance or by air.” Then she let it slip that Dr. Debord said that I’m a “high morbidity risk.”

Uffda.

Around here patients who are about to die get shipped off to Peoria. And high morbidity risk? Fancy way of telling me I could die at any moment.

Dr. Norris left the room to allow Sarah and me time alone to decide about being transferred to St. Francis.

My denial tumbles down like a ragged old pair of pajamas. I’m tearing up. I’m choking up. “I’m not ready to die,” I tell Sarah. “I mean, I’m ready to see Jesus but I don’t want to leave you all alone. I don’t want to disappear on you. I’m sorry, Sarah, for putting you through this. I know it’s crazy to say I’m sorry--I didn’t choose this--but I’m sorry to put you through this misery.”

Sarah, the love of my life, lost her father before she was born and a step-father when she was 18-months old. I don’t want to be another loss in her life.

Sarah lowered the bed railing and sat on the bed. We hugged. We kept looking in each others eyes, Sarah looked away, trying to control her emotions. We held each other and when we parted she had tears in her eyes. “I’m trying to keep my emotions from taking over,” she said. If she went down her trail of losses she’d be too sad to think straight.

Poor Hannah, our eldest daughter, calls then and I choke up on the phone with her.

Sarah and I decided--lysing in Peoria it is. Staff tells us that the transfer will be by ambulance within an hour. Sarah heads out to bring a few things home and pack in order to stay the night with me at St. Francis.

Hospital tales 1: I’ll just keep on working

When life sends you into a tailspin, tell the tales.

“What can I do for my leg?” I questioned the Lord in my journal on July 9.

Admittedly, asking the Lord a direct question is a dangerous practice because I might hear wrong, but that doesn’t keep me from trying.

“Swim and sit in the Jacuzzi and let healing time pass," I thought I heard.

“Okay.”

“Baby it with hot packs and cold packs. Ask Sarah.”

A few days later Sarah, my beloved, read my journal while I was lying in the hospital. “You sure didn’t do a very good job of hearing the Lord,” she said with a laugh.

“That’s true,” I said, “the only thing I got right was asking you.”

When I asked Sarah, a nurse, if I should use hot pack or cold packs under my sore knee she asked to look at it. “There’s a reddened area above your knee and it’s hot to touch,” she reported. “That could be a blood clot above the back of your knee. You better call your doctor.”

Now denial is a wonderful thing. It keeps us from spending too much time thinking about the fact that we can die at any moment.

I vaguely knew that blood clots in the leg can break off and be deadly but I didn’t spend time worrying about that. I called the doctor who ordered an ultrasound. “If it is a clot,” she said, “I’ll have to put you in the hospital.” I felt my denial slip a bit but I quickly pulled it back up.

In radiology at the local hospital I watched beautiful, color, abstract patterns on a screen while the tech pressed the ultrasound by my groin. “What’s that?” asked Sarah.

“That’s a clot,” the tech said. My denial was very good. I wondered how she could see the clot beneath my knee from by my groin. Only later did I realize the clot went from below my knee to my groin.

True to her word the doctor put me in the hospital.

I wasn’t supposed to use my cell phone because it would mess up the telemetry, the nurse said. I sneaked and used my cell phone a few times to complete arrangements for hosting a sister church the next day at Plow Creek.

My denial firmly in place, I kept working in the hospital, making phone calls and studying The Top Ten Mistakes Leaders Make by Hans Finzel.

Monday, July 04, 2005

Trusting a man who makes no secret of his brokennness

On this last day of my vacation I continue to ponder trust. The people of Plow Creek are used to me pairing "trust and openness" as if they were a couple of nesting mallards.

Coca Cola and KFC are two companies who are famous for guarding their secret recipes for soft drinks and fried chicken respectively.

They clearly believe that a well-kept secret is the path to power. Not trust and openness.

I wasn't always "the world's most open man", a comment by my wife. I grew up in a tough Scandinavian clan who knew how to suffer in silence. When my body began to fall apart at age 17 with the onset of rheumatoid arthritis I kicked suffering in silence into high gear.

When hit with humiliation after humiliation I toughed it out.

By the time I was 21, after my seventh surgery in four years, I was so depressed that I thought I might end up on the psych ward. Being a strong, silent Scandinavian didn't seem to be working very well.

I sought out a Christian professor on campus and poured out about 15% of my woes. That proved to be helpful. Especially when I managed to put into words that I was quite sure God didn't want me to get married. After all, he didn't seem to mind me becoming disabled; he probably wanted me to see me suffer more by dashing my dream of being married.

When you suffer in silence long enough it's amazing the thoughts your brain comes up with.

The professor didn't try to correct my thinking. He simply asked if I had asked God about marriage. I hadn't. Although I continued to cling to a belief in God like a man clinging to the debris of a sinking ship, I wasn't too sure that at any moment he might step on the fingers.

Since he hadn't answered my desperate pleas to be healed...

But the professor seemed to think it was okay to ask God about getting married. To me his suggestion was as hopeful as dew forming during a night in the desert. I asked.

Sure enough one morning a few months later I woke and while lying in bed praying I sensed God telling me that it was okay to get married.

That answer gave me the confidence I needed to do my part in the summer of '73--Rich and Sarah fall in love. Maybe there was a better way than suffering in silence.

That wild idea was confirmed for me in 1981, three and a half years into my sojourn at Plow Creek. I found myself telling my sharing group my story of becoming disabled. I'd shared it all with Sarah during our courtship but this was the first time I ventured to trust a group of people, a bunch of God's people, no less.

The first time I shared I shared maybe 20% of the humiliations and I thought I was all done. When I was done someone in the group said they'd be glad to hear me share more. Hmmm, I thought, maybe there is more.

A few weeks later I went deeper into the story. They listened so kindly--Margaret even cried with me. For the first time I began to discover some meaning to the humiliations. For instance, I grew up in a Pentecostal church and I answered many altar calls, asking for healing. At first, I fully expected to be healed. I would head to the front of the church, eager for the laying on of hands, eager to be healed. But after answering repeated altar calls and not being healed, I found myself limping back to my pew in utter desolation.

"You were the scape goat," said one of the men in my sharing group. When I didn't know what he was talking about he pointed me to the Old Testament where I discovered my story. The people of Israel had a ritual of laying their hands on a goat to place their sins on the goat, and then the goat was drivien into the wilderness.

My dear Pentecostal people laid hands on me in faith at first. But eventually as I was not healed they kept laying hands on me in, what I suspect, was anxiety.

No one in my church talked to me about me not being healed. I answered altar calls, they laid hands on me and prayed fervently, and then, like the scapegoat of old, I wandered off into the wilderness.

Eventually I stopped answering altar calls. God can heal me, I declared to myself, but he obviously isn't doing it through altar calls. Then a few years later I drifted away from the Pentecostal church.

I could have kept guarding myself, not exposing my humiliations, keeping my shame a secret and climbed to the top of some organization on talent and endurance, making sure that I would never be weak and humiliated again.

But suffering in silence would have kept me wandering the desert. In a deep sense, in that Plow Creek sharing group, I came home. After losing my Pentecostal people I found a new people.

A few weeks later Plow Creek asked me to become a pastoral elder, in part, I suspect because on some level they knew needed an elder who was comfortable with his own weakness. They could trust a man with power who makes no secret of his brokenness.

Trust and openness is a path that leads home.

What Sarah thinks about my musing on sex and trust

Note before I wander back to thinking about trust: This is my 100th post. For those of you reading this at Thriving Groups you can see the complete archives at Rich Remarks, a dulicate of Thriving Groups.

You may wonder what Sarah, my beloved, thinks of my recent posts on sex and trust. When I wrote the line at the end of my last post--"Now here's a man I can trust"--I kind of gulped and wondered the same thing.

As Sarah has been known to say, "I am the most open person in the world she knows."

Earlier in our vacation I had told her I was blogging about sex and trust but she hadn't read them. She's not the writer in the family and finds other parts of life more enjoyable than spending much time on the internet.

After the last post I printed out the last five entries. When I gave them to her I assured her that I could go back and edit them if need be.

"You mean the whole world hasn't seen them already."

"Not the whole world. A few people probably have but I can make any changes you deem necessary and that's how they'll be from now on."

Ah, what a relief. She deemed them good. I still have her trust even as I wander along thinking about sex and trust.

Saturday, July 02, 2005

Now here's a man I can trust

One day when I was in my early teens I came across a magazine ad featuring a nightlight that said, "Tonight's the night."

I had never thought about that before. How do couples know when to do it?

Sex was such a mystery. I could hardly wait to get married and solve the mystery.

When Sarah and I married in our early twenties, we had a great time laughing and exploring the mysteries.

But one part of the mystery completely escaped me. I was following in the footsteps of a violent step father-in-law.

"The leading cause of injury among American women is being beaten at home--by a husband, boyfriend, ex-husband or ex-boyfriend," says Colman McCarthy, author of I'd Rather Teach Peace.

Sarah told me the stories but it completely escaped me that meant that on some deep level she could not trust me. After all I was a man. The first man in her life had disappeared before she was born when he was shot and killed. The second man in her life died of polio three weeks after her mother married him when Sarah was eighteen months old. The third man in her life stayed around but he was an alcoholic prone to bouts of violence.

If I would have been smart when I we married I would have cried out, "Lord, help me earn this woman's trust."

But I was young and in love and an eternal optimist. As could have been predicted, a few years into our marriage her ardor waned and mine did not.

Being disabled I was finely tuned to rejection. "She's cutting me off," I wrote angrily in my journal, feeling every bit as hurt and powerless as a dandelion run over by a mower. "I need..." I would write in my journal.

What I thought I needed was sex. A wiser, older friend suggested that I needed love and that God might be a good source of love.

I thought God was a poor substitute for sex. Sarah wasn't too keen on being close to this angry man she had married. She didn't like my demands.

One summer vacation I sat in the car by myself, agonizing in my journal about my misery. ''Make a commitment to Sarah to stop making demands'' I thought I heard the God of the universe say.

"How can I do that?"

"Look to me for the love you need."

I wrote out my commitment in my journal and told Sarah. She didn't believe me. But my commitment wasn't dependent on her believing me. I stopped making demands and each time I was tempted to be demanding I asked God to love me.

I know it sounds kind of nuts but it worked. Slowly my frustration was replaced with a sense of being loved by the God of the universe.

Slowly Sarah began to trust me. About a year later she said she'd like me to take some initiation. At first I wondered how I could do that without making demands but I soon discovered that I could.

Now I look back on it and I realize how smart God is. I was a young, clueless husband who did not know he had to build trust with this most beautiful woman. She needed more than my eyes lighting up like a nightlight saying, "Tonight's the night."

By making the commitment to stop making demands and keeping that commitment, I became the first man in Sarah's life that she could depend on.

I still shake my head in amazement. By God's utter grace I became like a nightlight that says, "Now here's a man I can trust."