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Being human Medicine Reflections on Life, Being Human, and Medicine Reflections on the Christian Life

Freedom

It was late on a Saturday night in January when the call for our ambulance came in. We were being called to someone injured in a fight. He was outside of a bar several miles away from town. We asked if the sheriff had a car going also and they said, “No.” They did not currently have anyone available. We were to let them know if it was needed.

When we arrived, we saw eyes peeking out of the door of the bar but no one standing outside with him. He was all alone sitting on the icy cold pavement. He was huge – muscular – tall. All he was doing was grunting – loudly. “Grrrr. Grrr. Grrr.” Over and over again. He was dressed in torn jeans and a torn dirty t-shirt. He did not have a jacket or coat on. It was January in Michigan and the temperature was very cold. We pulled up next to him. I could see blood on his head. He didn’t get up. He just sat there grunting. I tried to talk to him. He refused to answer. He continued to grunt, “Grrrr, Grrrr, Grrrr.” 

Eventually a couple of people came outside. We asked what happened. They either didn’t know or didn’t want to tell us. I asked if anyone knew him. They said his name was, “Mike.” 

“Mike. Mike. My name is Mike too. I am here to try and help you. Can you tell me where you hurt?”

“Grrr, Grrr, Grrr.”

We got the stretcher out of the ambulance. Normally with unknown injuries including a possible head injury we would take spinal precautions. In this case “Mike” stood up and sat down and then laid down on our stretcher. We put the blankets and safety belt on him and lifted him into the ambulance.

The next thing I know I was sitting next to Mike alone in the back of the ambulance.  My partner started driving to the hospital. As he drove, he called the sheriff dispatcher and asked the police to meet us at the Emergency Department. I looked for what I could do if Mike got violent with me. I had a big Maglite flashlight, but I was not sure that even with that I could fight him off. It felt like an unsafe situation. 

As Mike warmed up, he stopped grunting.

“Do I look like your brother?” he asked me.

“No,” I said.

“Well you don’t look like my brother either!  But you are just like my brother.” He was getting angry.

I tried to calm him, “What do you mean? How can I be just like your brother? You don’t even know me. I am trying to help you. Can you tell me where you are hurt?”

“You are just like my brother! You are just like my brother because you will never understand me. My brother never understands me, and you are just like my brother so you will never understand me.” He continued on and on.

“How does your brother not understand you?” I asked.

“He doesn’t understand me because he is just like you and you will never understand me. And you will never understand me because you are just like my brother,” his circular reasoning continued. Then he looked at me and said, “For you see – I am free.”

I am free.  That is what he said. It seemed odd to me to hear him say that.

“They can do whatever they want to me but no matter what anyone does I am always going to be free,” he continued.

I was suddenly overcome with a complex mix of pity, compassion and anger. Fear left me as the reality of his world and the lies and deceptions that he believed confronted me.

We did sit in stark contrast to each other.  He was all alone sitting on the ice in a cold dark parking lot in a Michigan winter in January. He had no friends coming to his aid or supporting him. He had blood on his head.  He was cold, injured, alone and friendless.  The world had been unkind to him.  He was angry and trapped and imprisoned by his circumstances and by his anger.

I was at work at a job that I truly enjoyed. I had on a clean uniform that I was proud of. I had on a very warm jacket. I was working with a friend. We enjoyed working together. I knew and benefited from the love of my family and friends. I knew the love of God. And in this I had a much different understanding of the meaning of freedom.

I was free. 

I was not free because I had no ties or obligations. I was not free because I had no limits on what I said or did. I was busy. During the week I was in college with hours of study and classes. On the weekend I worked 14 hours at the ED and another 24 hours on the ambulance every other weekend. Built around me were huge expectations. I also was (and am) committed to my Christian faith and my submission to the Lordship of Christ on my life. My life was and is not my own. And yet, there was no question in my mind at that moment about freedom. 

He was deeply imprisoned in his circumstances. He was a victim of the cruel deception of this world. By trying so hard to be free he was being chained deeper and deeper in misery. It is usually so subtle that we do not see it. We live our lives missing the paradox of what true freedom is. But sometimes the circumstances make it abundantly obvious. Sometimes you end up all alone, sitting in torn and dirty clothes, sitting outside in an icy parking lot in the middle of January evening and all you can do is grunt. 

The deception had overplayed its hand. He was not free. He was horribly empty and imprisoned in his misery.

For you see there is a secret. It is a mystery. It is a paradox. Freedom does not come by breaking free from all the ties and restrictions on you. Freedom comes from being where and who and how you are supposed to be. Freedom does not come from running away. 

I had a patient once who ran away from home. He was in his 60s with a wife, children, grandchildren, a mother, a home, and a business. He felt the pressure of it all and one day when he was driving home, he didn’t go home. He just kept driving and went on and on. He settled somewhere else and started a new life. He was seeking freedom. But he was not free. Eventually he came home. Running away from his obligations didn’t make him free.

Freedom comes from being home or wherever you are supposed to be. Freedom is strong in a room surrounded by your family and friends who love you. Freedom is not found when you are running away from all of them. The things that the world might try to sell you as being free – making your own decisions – driving your own life – actually are deep deceptions. Freedom is understanding who you are – where you are supposed to be and how you are supposed to function. 

On the deepest level freedom is found in submission to the one who knows you and has created you and loves you. Freedom comes from knowing love and forgiveness from God. Freedom comes not from fighting and scrapping to prove yourself to others and to God, but from accepting His forgiveness, and starting new as the person who you are meant to be.

The paradox is this: Freedom is found in submission. What might look like restrictions or rules if they were forced on you, become freedom when you see and chose and accept them.

Freedom does not come from a lack of ties or obligations. Freedom comes within them. Freedom can come with a house with a mortgage, bills, a job and a bunch of expectations. Freedom comes from being where you are supposed to be. Freedom is like finding a set of clothes that fit you perfectly. Without them you are naked and awkward and incomplete. But in them suddenly everything is right. 

We turned a corner toward the hospital.

I was angry. I wasn’t angry at him. I was angry at a mean and cruel world and how it was destroying him. I was angry how it could make him an “object of wrath.” I was angry at how deceived he had been and how empty he was. I no longer cared about my safety or trying to keep him calm.


“You don’t understand. You do not know the first thing about freedom,” I said to him. “Look at you and what has happened to you. You are the one who was sitting injured and all alone in a cold parking lot. Wake up! You have got to see it. You are trapped. By trying to be free you are imprisoned. There is so much more to freedom than what you understand. You need help.”

I didn’t know what he was going to do next. He might get violent. And just then my partner backed up to the doors at the ED. The back doors of the ambulance were opened by two sheriff’s deputies who were waiting for us. I hopped out to safety. We brought him into the emergency department.

I never saw him again. 

Categories
Being human Medicine Reflections on Life, Being Human, and Medicine

The Assignment

If you could be anyone who would you be?

That was the assignment. I was in Mr. Dow’s 5thgrade class and that was the assignment. And it was a very troubling assignment for me.

I had a secret and I wasn’t ready to tell anyone. I wanted to be a doctor. I don’t even really know why I knew this. From adulthood I can remember the assignment and the dilemma, but I cannot remember when or how I had decided that I wanted to be a doctor. I didn’t know of any doctors in my family. I didn’t know of any friends who wanted to be doctors. It wasn’t like I had watched doctor shows and idolized them. I just knew that within my heart that is what I wanted to be.

It seemed bold and maybe prideful to me. I was afraid that people might laugh at me. It meant so much to me that I couldn’t bear to have people laugh at me about it. I was in a dilemma. I was raised to always tell the truth. The truth was I wanted to be a doctor. But I didn’t want to put it on paper. So, I did what a mature 5thgrader might do. I didn’t do the assignment.

Mr. Dow wasn’t happy. There were a couple of us at the table where he sat the “advanced” kids. We were the ones that had the harder assignments. He pushed us to turn in our assignment. I continued to procrastinate, hoping that my dilemma would just “go away.” It didn’t. Mr. Dow wouldn’t accept just letting me not turn it in.

Finally, reluctantly I wrote it and turned it in. I don’t remember what I wrote but I wrote the truth and revealed my deepest secret. It was really scary.

My friends started talking about how they answered the assignment. One told me that he said he wanted to be “Abraham Lincoln.” Another was “George Washington.” The others told similar historic figures. My heart sank as I realized that I had misunderstood the assignment. 

If you could be anyone who would you be? The assignment was not what do you want to be.

Abraham Lincoln would have been a far safer answer. And yet I had revealed my deepest secret. Graciously Mr. Dow did not reveal my secret. I didn’t tell my friends. I was able to continue with my secret dream.

Why did this upset me so much? 

First, I heard the assignment wrong because of my anxiety. It seems that we often worry so much about things that are not real. 

I read a book where every day for a year the author challenged herself to do something that scared her. It brought about tremendous growth for her. One of the things that she did during that year was to go meet with her ex-boyfriends to find out what they really had thought of her.[1]She had huge anxieties. But in doing this she discovered that most of what she had worried about was never realHer anxieties had driven her to assume the worst. She was not able to see, believe, or know the truth until she had been bold enough to ask.

That is a big lesson. It is hard to know the real truth about ourselves. We fly between the extremes of a sort of “Walter Mitty” over glorification to a false self-denigration. Neither are the truth. We all have some pretty cool and pretty average (and some pretty crummy) things about us.

It is important that we try to live in reality and not let our anxieties drive us to neurotic behavior. For me, as a 5thgrader, my anxieties were to the point where I would have let them drive me to a failing grade for not doing the assignment. If I could have seen through the fog of my anxieties I might have actually read and listened and done the assignment. Maybe I would have written a very nice and safe essay on wanting to be Neil Armstrong stepping foot on the moon. 

Is there more to learn from this story? I think so. 

Honestly – I don’t know why I was so anxious for anyone to know. Perhaps it comes from being the youngest of 6 children? Perhaps it came from being afraid to actually dream and tell the truth about who I was and what was important to me? Oddly – I have no idea now what I was so afraid of. My family and friends would have been quite happy to indulge me in my dream. They probably would have been happy for me and proud of me. It seems strange now that I would keep it so private.

This blog has been an odd experience for the introvert that I truly am. 

I have found power in being able to write in secrecy. I write a lot and then store it away. I don’t worry about whether I will ever post it or not. There will be time later to decide that. Writing in this way is immensely liberating. I can be myself. I can be honest. I can say what is on my mind.  

If only the 5thgrade me would have thought of this. I could have written a full essay on my hopes and dreams. I could have worked through my thoughts about someday going to medical school and becoming a doctor. I could have fully explored what I was thinking and why. I could have better understood myself. I could have tested out my thinking secretly at first. I could write it down but keep it private. Having done this I would then have understood enough about myself so that I could then safely explain it to others. I could have been bold enough to know myself and then be open about what was important to me.

It may sound silly but the Disney song, “Let It Go”[2]has a strong appeal. “Let it go, Let it go, Can’t hold it back anymore…” “I don’t care what they’re going to say…”  Even though we may not admit it, I think many of us feel the pull of this song when we hear it. We spend a lot of time hiding. Shielding. Protecting ourselves. Maybe sometimes we should really, “Let it go.”

So, lesson number one: Live in the truth not what you worry people might think about you. For me I know that it is ok, important and good to be honest with myself. I should look objectively. It is ok to be average – excellent in some ways – and not so good in others. I don’t have to be good at everything. And I had better not let anxieties or worries about what people might think about me drive my life. 

Lesson number two then is this: It is good to have dreams and deep thoughts and feelings. I do not have to be afraid of them. I do not have to be afraid to be myself. We all may have thoughts and dreams and ideas inside of us that we keep safely and secretly hidden. I am not saying that you or I have to reveal anything and everything to the world. I have things buried on my computer that I may never post. But there may be real value from time to time to “Let it go.”

It has amazed me how people have responded to this blog. By putting myself out there many have told me that I have helped them. Some tell me I hit points that make them better know who they are or what is going on in their life. That is pretty cool. That makes me really happy.

Who did I want to be? I wanted to be a doctor. And to be honest I wanted that more than I would have wanted to be Abraham Lincoln or George Washington or Neil Armstrong (although it would have been really really cool to be Neil Armstrong!). 

There. I said it. I “Let it Go.” That is who I was as a 5thgrader. I was a nerdy little boy who dreamed of being smart and studying hard and having people come to me for answers as their doctor. 

It still is easy for me to want to hide a lot. But in this blog I have let you see a little bit of who I am now.

Who are you?


[1]https://www.harpercollins.com/9780061875014/my-year-with-eleanor/

[2]https://www.lyricsondemand.com/soundtracks/f/frozenlyrics/letitgolyrics.html