Luminous
A Catholic Woman and Her Thoughts on Life, the Universe, and Everything
Tuesday, June 24, 2008
The Give and Take of Spirituality in Medicine - Dr. Scott Bateman, MD
Dr. Scott Bateman, MD – Chief of Pediatrics Critical Care, UMass Medical Center
The Give and Take of Spirituality in Medicine:
Tales from the Pediatric ICU

April 30th 2008 - 4th Annual Healthcare Professionals for Divine Mercy Conference - Medicine, Bioethics and Spirituality - Holy Cross College, Worcester, MA

(1 Peter 3:15 – 16) - But sanctify the Lord Christ in your hearts, being ready always to satisfy every one that asketh you a reason of that hope which is in you. But with modesty and fear, having a good conscience: that whereas they speak evil of you, they may be ashamed who falsely accuse your good conversation in Christ.

Always be ready to give an explanation for your hope.

Spirituality – he first found it in nature – the beauty of the mountains, he would look at nature, look at the world, with awe and wonder. He had an innate inner sense of compassion that lead him into medicine.

As a young doctor he entered into a “surreal state of mind” when first asked by a young patient, no more than 11 or 12 years old, “what will it feel like when I die?” His lack of faith, lack of training in religion and in school, hadn’t prepared him for anything like this. He had no idea what to say. He felt completely at sea. In giving her a “medical explanation” he felt he let her down. When he told her that she’d gradually “fall asleep” and “dream forever”, she cried, and then she took a breath, and said, “but I like my dreams!” He felt he’d received grace from his patient. He knew he had to do better. “Medicine’s best intentions had failed.”

Unconditional Love – as taught by the family of a brain-injured child, and the joy in that child’s life and death.

Rebirth – as taught by a child on a ventilator – weaned off – and looked up and said “Hi Mom!” – what a sense of rebirth, so near to death, and then finally rejoining life, and her family again. What joy!

Faith – a family at the beside of a terribly sick infant – holding hands, holding on, praying together. Never letting go, even in the face of their fear and grief.

Every situation is so different. Many questions have no answers – and without a basis in FAITH, it becomes harder and harder to not only cope with the suffering one sees every day, but help others cope with their own suffering, that they must live every day. All one can do is stuff it down, cry, suffer silently. And then pain builds internally.

One day he was asked “Where is God in your life, doctor?” And he was dumbfounded. He realized, finally, that there was “something”, and the lack of an answer to that specific question lead to a specific search.

He was drawn from the vague spirituality of “nature” into Catholic spirituality by suffering. Catholicism had answers for what to do with suffering. Something would be done with that suffering – offer it up join it with Christ – the image of the Pieta was the epitome of this concept. Grace, love, sorrow – all at once. The Pieta was every one of his patients. He was holding them up, suffering, at the foot of the Cross.

Suffering leads to Hope

Salvifici Doloris of Pope John Paul II -
http://tinyurl.com/3acxq

“Declaring the power of salvific suffering, the Apostle Paul says: "In my flesh I complete what is lacking in Christ's afflictions for the sake of his body, that is, the Church"”
  • …what we express by the word "suffering" seems to be particularly essential to the nature of man. It is as deep as man himself, precisely because it manifests in its own way that depth which is proper to man, and in its own way surpasses it. Suffering seems to belong to man's transcendence: it is one of those points in which man is in a certain sense "destined" to go beyond himself, and he is called to this in a mysterious way.

  • ….Man suffers in different ways, ways not always considered by medicine, not even in its most advanced specializations. Suffering is something which is still wider than sickness, more complex and at the same time still more deeply rooted in humanity itself.
    ….Insofar as the words "suffering" and "pain", can, up to a certain degree, be used as synonyms, physical suffering is present when "the body is hurting" in some way, whereas moral suffering is "pain of the soul". In fact, it is a question of pain of a spiritual nature, and not only of the "psychological" dimension of pain which accompanies both moral and physical suffering The vastness and the many forms of moral suffering are certainly no less in number than the forms of physical suffering.

  • .... it has been seen that in suffering there is concealed a particular power that draws a person interiorly close to Christ, a special grace....

  • When this body is gravely ill, totally incapacitated, and the person is almost incapable of living and acting, all the more do interior maturity and spiritual greatness become evident, constituting a touching lesson to those who are healthy and normal.
    This interior maturity and spiritual greatness in suffering are certainly the result of a particular conversion and cooperation with the grace of the Crucified Redeemer. It is he himself who acts at the heart of human sufferings through his Spirit of truth, through the consoling Spirit. It is he who transforms, in a certain sense, the very substance of the spiritual life, indicating for the person who suffers a place close to himself. It is he—as the interior Master and Guide—who reveals to the suffering brother and sister this wonderful interchange, situated at the very heart of the mystery of the Redemption. Suffering is, in itself, an experience of evil. But Christ has made suffering the firmest basis of the definitive good, namely the good of eternal salvation. By his suffering on the Cross, Christ reached the very roots of evil, of sin and death. He conquered the author of evil, Satan, and his permanent rebellion against the Creator. To the suffering brother or sister Christ discloses and gradually reveals the horizons of the Kingdom of God: the horizons of a world converted to the Creator, of a world free from sin, a world being built on the saving power of love. And slowly but effectively, Christ leads into this world, into this Kingdom of the Father, suffering man, in a certain sense through the very heart of his suffering. For suffering cannot be transformed and changed by a grace from outside, but from within. And Christ through his own salvific suffering is very much present in every human suffering, and can act from within that suffering by the powers of his Spirit of truth, his consoling Spirit.....

  • .... people react to suffering in different ways. But in general it can be said that almost always the individual enters suffering with a typically human protest and with the question "why". He asks the meaning of his suffering and seeks an answer to this question on the human level. Certainly he often puts this question to God, and to Christ. Furthermore, he cannot help noticing that the one to whom he puts the question is himself suffering and wishes to answer him from the Cross, from the heart of his own suffering. Nevertheless, it often takes time, even a long time, for this answer to begin to be interiorly perceived. For Christ does not answer directly and he does not answer in the abstract this human questioning about the meaning of suffering. Man hears Christ's saving answer as he himself gradually becomes a sharer in the sufferings of Christ.

  • .... Christ does not explain in the abstract the reasons for suffering, but before all else he says: "Follow me!". Come! Take part through your suffering in this work of saving the world, a salvation achieved through my suffering! Through my Cross. Gradually, as the individual takes up his cross, spiritually uniting himself to the Cross of Christ, the salvific meaning of suffering is revealed before him. He does not discover this meaning at his own human level, but at the level of the suffering of Christ. At the same time, however, from this level of Christ the salvific meaning of suffering descends to man's level and becomes, in a sense, the individual's personal response. It is then that man finds in his suffering interior peace and even spiritual joy.

  • Saint Paul speaks of such joy in the Letter to the Colossians: "I rejoice in my sufferings for your sake"(88). A source of joy is found in the overcoming of the sense of the uselessness of suffering, a feeling that is sometimes very strongly rooted in human suffering. This feeling not only consumes the person interiorly, but seems to make him a burden to others. The person feels condemned to receive help and assistance from others, and at the same time seems useless to himself. The discovery of the salvific meaning of suffering in union with Christ transforms this depressing feeling. Faith in sharing in the suffering of Christ brings with it the interior certainty that the suffering person "completes what is lacking in Christ's afflictions"; the certainty that in the spiritual dimension of the work of Redemption he is serving, like Christ, the salvation of his brothers and sisters. Therefore he is carrying out an irreplaceable service. In the Body of Christ, which is ceaselessly born of the Cross of the Redeemer, it is precisely suffering permeated by the spirit of Christ's sacrifice that is the irreplaceable mediator and author of the good things which are indispensable for the world's salvation. It is suffering, more than anything else, which clears the way for the grace which transforms human souls. Suffering, more than anything else, makes present in the history of humanity the powers of the Redemption. In that "cosmic" struggle between the spiritual powers of good and evil, spoken of in the Letter to the Ephesians(89), human sufferings, united to the redemptive suffering of Christ, constitute a special support for the powers of good, and open the way to the victory of these salvific powers.
    And so the Church sees in all Christ's suffering brothers and sisters as it were a multiple subject of his supernatural power. How often is it precisely to them that the pastors of the Church appeal, and precisely from them that they seek help and support! The Gospel of suffering is being written unceasingly, and it speaks unceasingly with the words of this strange paradox: the springs of divine power gush forth precisely in the midst of human weakness. Those who share in the sufferings of Christ preserve in their own sufferings a very special particle of the infinite treasure of the world's Redemption, and can share this treasure with others. The more a person is threatened by sin, the heavier the structures of sin which today's world brings with it, the greater is the eloquence which human suffering possesses in itself. And the more the Church feels the need to have recourse to the value of human sufferings for the salvation of the world.


Drawn in by the Sacred Heart

Walked into a church – and just happened, randomly, to see a stained glass window of Jesus, depicted as the Sacred Heart. Didn’t really understand. Hit powerfully. Had a “mystical experience” and didn’t understand what was happening. Fear and joy. "A sense of peace entered my vocabulary for the first time."


Value – Not the giver’s ability to give, but the receiver’s ability to receive – what do we DO with the gifts we receive?

Time to Give Back

Taking so much from patients – emotionally, spiritually, etc. Gifts are given for a reason. Took a good hard look at the many blessings he’d been given, and decided he needed to give back. Medical care in Jamaica. Worcester Guild of CMA, faith-based approach in his work as a doctor.

Speaking to parents of very sick/dying children – their priorities of their needs – what was most helpful to them

  1. Prayer
  2. Faith
  3. Access to clergy
  4. Belief in the transcendent quality of the parent/child relationship


We need to:

  • Be present in their suffering
  • Share faith with dignity
  • Honor those we can help
  • Offer ourselves freely - our gift to those we hope to heal


Faith makes us not only better people, but better healers


Worcester Guild of the Catholic Medical Association


Working together, Dr. John Howland, Dr. Paul Carpentier and Father Peter R. Beaulieu, director of Mission Integration and Pastoral Care at St. Vincent Hospital, they met with Bishop McManus in the summer of 2007 to discuss forming a guild in Worcester of the Catholic Medical Association, which first began in Boston in 1912. The Worcester Diocese has never had its own guild before. By January 2008, the new guild was officially formed. http://www.worcestercma.org


The guild’s focuses are education, mutual support and outreach, he said. Members need to learn how Church teachings relate to health care and encourage each other to bring what they learn at Sunday Mass to work on Monday. They can witness in the community by speaking out about medical ethics. He cautioned against too quickly telling others how to live ethically, however, and said, “The first priority is knowing Christ and walking with Christ in our own lives.”

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