Sunday, December 7, 2025

Divine ache

 

“Dokta – inap mi ken stori liklik?”

 

As I conclude encounters in my clinic, I sometimes shudder when the patient or their family want to stay and visit.  With a long line of the sick and needy waiting just outside, it’s hard to create space for anything beyond the essentials.

 

In this case, I had examined an elderly lady with classic signs and symptoms of congestive heart failure – something for which we have some effective medicines.  Though it seemed a straight-forward case, there were three generations of their family in the room.  I felt grateful that I could write a quick prescription and move on to the next person.  But her son had other ideas and wanted to “stori” or to talk a while.

 

On this day I had already completed rounds – in which we lost two babies I had been caring for in our nursery.  I just didn’t feel like I could keep up with any extra “hevis.”  Mercifully, down the years I have grown into that need to pause and allow for divine interruptions.  So, I braced myself for what might come next.

 

“Hear the trees, hear them whispering,

They tell stories of a King.”

-Sarah Sparks

 

 


 

 

The burden of illness and injury in the highlands of Papua New Guinea can quickly feel overwhelming.  When patients die, the grieving family members often mourn loudly and sometimes painfully – throwing themselves to the ground or tearing at their clothes.  More painful though, by far, are the somber but silent tears of mothers who lose their babies.  Tragically, they are accustomed enough to children dying that the response feels almost muted.  Part of me finds it tragic that these little lives receive comparably less attention than those of village leaders or “bikmen.”  But another piece of me finds that quiet grief more sincere and thus more compelling.  At times I put my arms around the shoulders of a crying mother while at others I touch the small and lifeless form on the bed.  In the best ones I manage to bring a prayer for peace into those moments, sometimes half-choked.  And it still happens that I start to wonder – what is the point of this work if innocent babies will still lose their earthly fights despite our best efforts?  What am I really doing or changing?  Is it worth it?

 

 


 

 

 

Jesus and some of his disciples visit a wedding feast.  During processions the party guests exhaust their supply of wine.  Mary, Jesus’ mother, approaches him about it.  To this point in the Gospel, Jesus has not openly performed a miracle and it seems He realizes the importance of timing in His ministry.  Despite telling His mother that His time is not yet come, she addresses the servants nearby and says, “Do whatever He tells you.”

 

Did they have any idea what would happen next?  Did they look expectantly at Jesus or chase their own anxious ideas about the very real problem of the finished wine?  Whatever their attitude, Jesus’ instructions must have seemed simple to the point of foolishness.  “Fill these water-pots with water.”  Thus begins the public ministry of the Son of God.

 

There is no shortage of work for medical missionaries.  Sickness, injury, and need overwhelm many parts of our world – to the point that the staggering level of it can numb those who approach.  A certain level of resilience is needed to encounter and perhaps even embrace those hardships.  Yet while the hurts of a lost world cannot break my heart all the time, they must break my heart sometimes.  When that happens, I’m tempted to question – especially the why and the how of God’s patient, but ultimately redeeming, work.  Naturally, my next question is, “what should I do about it?”

 

 

 




 

In my clinic room, I resume my seat to hear what the four people in front of me want to say.  The son spoke up.  “Doctor, eight years ago my wife and I sat in this room with you.  At the time we weren’t ready to have a baby.  In fact, we thought we would end the pregnancy.  But you told us that a child’s life is a blessing and that this one would be a blessing as well.  I want to say thank you because this is our son, and he has been a blessing to us.”  He pointed to the boy just in front of me and smiles broke out on all their faces.  That casing around my heart melted and I knew this was a time for a joyous heartbreak.

 

“And the forest waits

with a divine ache

for His returning”

 

 


 

 

 

I confess I’d forgotten about that encounter all those years ago.  The challenges facing parents in this place create a situation like that with some regularity.  Perhaps once a week in my clinic I need to counsel a woman (sometimes her partner) through the anxieties of an unwanted pregnancy.  Sometimes they return to our emergency department where I need to stabilize and then support them through decisions they’ve made in the face of very difficult circumstances.  In those moments of counsel or encouragement, I don’t necessarily feel anything miraculous taking place.

 

But as I reflect on Jesus’ ministry and nearly twelve years of tending broken lives and souls in Papua New Guinea, I appreciate something new about my role as a missionary.  Though I’ve seen God perform miracles in and through this place, my role is not to chase that kind of work.  When I do, the disappointment that accompanies some of the “losses” overwhelms me.  So perhaps I am the servant doing whatever He tells me.  But when I’m asked to do the same things over and over it feels tedious sometimes, especially if don’t see the fruits of my labour.

 

So I choose to be a water pot.

 

Not ornate.  Content to rest off to the side sometimes.  Finding a peace in the process of being filled and emptied daily.  Yet contributing to the very real needs of the Kingdom, even in a way that goes unheeded or even taken for granted. 

 

Because I know that when Jesus participates, that water might become His fine wine to someone around me.

 

“I will forget who I am for who You are

‘cause the truth is all my worth can only be found

In your scars.”

 

 

 

Thursday, April 17, 2025

Standing Room


I could feel the sweat trickling down my back as I sutured a uterus closed, but I couldn't hear the cries of new life I so craved.  Once the baby was out in my arms I knew we were in trouble.  No breathing and only a faint heartbeat.  I quickly handed off to our visiting resident, Dr. Erin, who did an amazing job performing the resuscitation maneuvers she had recently taught to our staff.  After several lifeless minutes, Erin announced, "We have a heartbeat and breathing."  But I worried - too much time had elapsed.  Could this baby have any chance to survive and thrive?  The weight in the silence ...


 "And it's been like that for a long, long time and I heard we've got a longer way to go"

-Gray Havens


 I got the call during my Saturday morning rounds on the pediatric ward.  It felt odd that my twin brother would be making a direct call (when there wasn't a soccer game to watch that I knew of).

"Mom is in the hospital"

The subsequent conversation discolored the rest of the day - and more.  Though there was nothing I could do from afar and I had confidence in the doctors taking care of my mother, I struggled to diligently apply myself to the patients counting on me in the same way.

In the subsequent weeks my family has surrounded my parents in a way that has been impressive.  My mom walks a tough road to recovery from a stroke affecting her orientation and recall.  I can only image the struggle - "Like there's a memory there, except you don't remember anymore."  A longing to be restored.  I continue to hope and pray for them while grappling with the reality of not being physically present.

And all the while, the very real needs and losses of my community in the jungles of Papua New Guinea keep coming.





In the last few years I have heard much about the idea of "lament" - acknowledging and even dwelling in the reality of grief and loss.  My writings have consistently helped me in that area - reflecting on and processing those feelings while receiving the Hope that God can bring through them.  The experiences of fellow missionaries have been a tremendous blessing in those times - knowing that the handful of people in the world that could understand what I feel were walking beside me in those daily realities.

While I need to make space for those needed feelings and emotions, I must also continue to press into the eternal Hope of God's redemption.  That the loss, struggle, and tragedies that threaten to overwhelm me and all of this fallen creation are a temporary thing - a passing winter on the way to a glorious and bright future.  And I need to hold onto the glimpses I get of that just as fiercely as I feel the times of heartache. 

 

"Have you ever wanted so bad to believe in something more?"

 

The truth is that every time I encounter a patient, whether to refill blood pressure medicine or to counsel and answer the questions of grieving parents, neither of us ought to be there.  The need for physical help and healing in this world as an aberration.  I am grateful that God asked me to do it and that He makes it fulfilling - through the joys and the sorrows.  But one day all that I do will be obsolete and that is His original purpose.

"We are so used to death, disease, injustice, and chaos that we forget - they are the intruders in God's good world ... to follow Jesus isn't just to watch him do things like heal the sick and deliver the oppressed; it's to train under him to do those kinds of things too."

-John Mark Comer


The next day I couldn't find that new baby in the nursery.  Knowing what happened, I rounded on the remaining patients and then went to check on my resident covering the twenty or so post-partum mothers.  The first patient pulled me up short.  There she was - holding a newborn who was dead less than twelve hours ago.  She had done so well that the nurses had already taken her out to nurse with her mother.  And a glimpse of that eternal summer sent its ray into our ward, like a foretaste of the great and completed redemption that I long for.




So while I make space to grieve for my own hurts, those of my family, and the hard losses of my patients I cannot lose sight of the Resurrection and the endless days coming, somewhere, without any of those pains or fears.


"So while I find out where this goes,

I'm giving standing-room to the cold for now -

But not a place upon a throne."