Have you had "The Talk"
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Subject:
Early release of column for Aug 1/2
Column:
Quarantine Days Provide Time to Have "The Talk"
Just before the quarantine started, my wife Becky and I sat with a lawyer redoing our Estate Plan.
"I love that word "Estate," I told the lawyer. "It makes me feel like I own the Ponderosa."
"Well, you don't," Becky said, using her no-nonsense teacher tone.
"Right," added the attorney. "It's pretty much just a will."
She paused. "But there's more. You'll need to do an Advance Directive."
As a hospice chaplain, I knew that this was the crucial paperwork that would spell out my healthcare wishes should I ever be unable to state them clearly. I definitely wanted to get this done because I'd seen the heartache caused by several patients who lacked them.
The moment triggered a lot of memories, but in particular, I remembered visiting one patient during my days in 2013 working as a per-diem chaplain at the Sacramento VA Medical Center. Joining me for the visit was our Palliative Care Team consisting of a psychologist, a social worker and a doctor.
Our patient was an 84-year-old farmer and Korean War veteran whom I'll call "Ken."
As we walked into the room, Ken's wife of 51 years stood to shake our hands with a self-assured grip. The woman, likely in her 70s, had the well-heeled look of a senior model. Ken, the victim of multiple strokes, did little to greet us, preferring instead the revolving wheel of a TV game show.
With introductions made, we pushed our chairs into a semicircle around Ken's bed. Our psychologist, a ponytailed man pushing 60, began with screening questions directed toward the Ken's wife. Had her husband been able to dress, feed and bathe himself? Did she think he had much understanding of what was going on with his body?"
"No" to all questions.
The doctor then assumed control of the meeting by picking up her stethoscope. She was an athletic woman who'd had some luck cheating her 50s with youthful blue eyes and a pixie cut.
She bent over Ken, searching his expression for understanding, but she saw little to indicate that he was aware of his surroundings.
"He really needs a feeding tube," the doctor concluded.
"Then let's do that," the wife said.
Actually, there were few options left for the old farmer. He'd had multiple hospitalizations and suffered several recent bouts of pneumonia. Each illness was followed by weeks in a rehabilitation facility in the San Francisco Bay area.
With great sensitivity, the doctor told the woman that even with the feeding tube, Ken would likely choke aspirating his saliva. In addition, he'd have to be restrained or heavily sedated because stroke-induced confusion would cause Ken to pull out the tube.
"Is this the way your husband wanted to live his later years?" the psychologist asked.
"No," she said. "I suppose it really isn't."
"Sounds like he values the quality of his life," I reflected.
She nodded. "He knows that heaven awaits."
The hour-long meeting ended when Ken's wife agreed to let us implement "comfort-care measures."
Comfort care means that every person taking care of Ken would adopt a new goal — one designed not to make Ken get better, but to make him feel better. Our goal shifted to helping him live as well as possible for as long as possible. With the help of social work, psychology and chaplaincy, we would now care for Ken's whole person.
The real reason behind this difficult meeting was that Ken had failed to have "the talk" with his wife. Like many people, he had failed to discuss crucial questions with loved ones prior to arriving on his deathbed.
Those questions are contained in the advance directive, (sometimes called a living will). An advance directive is the document that directs the doctors to follow the wishes of patients who are unable to speak for themselves.
These quarantine days provide you with a crucial time to have "the talk."
If you don't have a written directive, or you haven't appointed someone who can confidently speak for you, then doctors will be obligated to do everything possible to save your life, even if "everything" means a painful delay of your death.
Do you really want to be on a respirator for untold days? Or can you imagine a limit?
Ken was well loved by family and fellow vets, but the truth is that a well-written advance directive could have eased the burden on his family and ensured that he'd have spent his final days with the dignity of his choosing.
If you don't have an advance directive, I urge you to get started today. More information on advance directives, and state-specific advance-directive documents to download are available at www.caringinfo.org.
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Read more at www.thechaplain.net. Contact me at comment@thechaplain.net or 10566 Combie Rd. Suite 6643 Auburn, CA 95602 or via voicemail (843) 608-9715. Twitter @chaplain.
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Subject:
Correction in last week's column
Column:
Editors,
I'm embarrassed to say that my readers have identified an egregious mistake in last week's column,
I said: (Today, approximately 1-3 blacks are incarcerated.)
It should have said (Approximately 1/3 of those incarcerated today are black.)
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Subject:
Column for 24-26 July
Column:
THE SINS OF THE FATHERS
Thirty years ago, I was having some discord in my first pastorate when, worried about job security, I called my dad, a retired pastor.
"Dad, were you ever fired from a church?" I asked.
"Yes, in Louisiana," he said. "I brought a black man to church and the deacons fired me by nightfall."
I thought for a second about the disagreeable church leaders I was currently clashing with when I asked my dad, "Did those deacons have kids?"
My question was a nod to the 24 Bible verses that speak of the generational consequences of sin, "…visiting the iniquity of the fathers upon the sons to the third and fourth generation" (Numbers 14:18).
We both knew that if the racists who'd fired my dad were as influential on their children as my dad was on me, then my generation was in trouble.
The same sin of racism that had seeped from slavery into my father's generation continues to infect us today.
But instead of facing our sin, we attempt to dismiss it by asking such questions as -- "What's wrong with these protesters? The 13th Amendment abolished slavery 155 years ago and freed nearly 4 million slaves."
I want to ask them, "Have you read the 13th Amendment to the United States Constitution?"
Since this is the last of my four columns written for July Freedom Month, let's read the amendment together, shall we?
"Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any place subject to their jurisdiction."
It's that bold print that gave Douglas A. Blackmon direction for his Pulitzer-winning book, "Slavery by Another Name: The Re-Enslavement of Black Americans from the Civil War to World War II" (Doubleday 2009).
That bold print means the 13th Amendment doesn't apply to those convicted of crime. In 1865, all that was needed to re-enslave the free was to change the Southern judicial system.
One such example, says Blackmon, was the exaggerated laws called Pig Laws. The statutes elevated the misdemeanor theft of a pig to a felony. Even stealing an 8-cent fence post brought a felony conviction.
Many states had loitering laws which allowed blacks to be arrested for not working or simply having Sunday off. Blackmon noted that people were arrested even for being "uppity" or "mouthy."
Once convicted, inmates were leased to industry where they were literally worked to death in coal mines and agricultural fields. In some places, Blackmon maintains that leased convicts died at 30-40 percent a year.
Blacks convicted of softer crimes had their fines paid by local employers who detained them to work until the debt was paid. The arrangement was called "peonism," outlawed after the Civil War but practiced until the early 1940s.
Black sharecroppers also were detained on their own farms and charged interest rates of 50-90% for the land. Blackmon says that if they tried to default by leaving, they were subject to arrest.
By the time we get to my father's church in the early 1950s, our generational sin is unfathomable.
The sins of our fathers found more seed in the racial unrest of the 1960s and with the "Law and Order" 80s and 70s that saw mass arrests of blacks in disproportionate numbers. (Today, approximately 1-3 blacks are incarcerated.)
The 1990s began the age of the camera. The beating and killing of black men by authorities came to be "America's Foulest Videos."
Today, because of the sins of our fathers, we are the living evidence of the history that our parents chose for us. However, African Americans are a product of the choices they were denied.
Vietnam veterans have told me that their healing could begin when they hear the words, "Welcome home."
Is it too much to believe that African Americans can heal when they see proof that their lives matter? Because for much too long, history shows that their lives simply haven't.
Sources:
1. Blackmon, Douglas A. 2009 "Slavery by Another Name."
2. PBS special, 2012 "Slavery by Another Name."
3. Netflix, 2016 "13th"
4. YouTube 2020 "Holy Post - Race in America." Phil Vichel, VeggieTales creator
Read past columns at www.thechaplain.net. Email comment@thechaplain.net. Write to 10566 Combie Rd. Suite 6643 Auburn, CA 95602 or leave voicemail at (843) 608-9715. Twitter @chaplain.
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