Tuesday, March 17, 2015

Estoy llevando la cruz.



I had an argument with one of my classmates back in medical school. We were arguing over the subject of the “broken heart.” His argument: to take the risk and fall frequent into love, that the resultant broken heart is part of life/a right of passage. My argument: to guard the heart, nonsensical to dive into something going no where and destined to end in a broken heart.  That argument has stayed very vividly in my memory as I thought I was going to live this life and prove my argument right! Foolishness! “What a fool I was, what an addlepated fool. What a mutton-headed dote was I”

I just spent some time googling “heart break, broken heart, etc” in an effort to find some inspiring words to lead into not so inspiring of a topic. It didn’t take long and I realized that, other than Eliza Doolittle’s, no words but my own would suffice. 

It’s that time of year again. Match time. No match to report this year. I’m really beginning to develop a strong dislike for the month of March. Thankfully I knew that I wasn’t going to match this year, and therefore when the email came at 12:00 on Monday I was not surprised. I’ve had some time to prepare; started many months ago when I started asking those involved in my own residency for advice. The very first Attending I talked to about it immediately laughed in my face. The idea of me continuing in surgery was comical to him. I stared him down, waited for him to regain his composure, and we continued on with the conversation. Thankful to say all subsequent conversations have not been a repeat of the first, but hard to forget something like that. But if nothing else it first prompted me to prepare for this reality.  Reality that this path will most likely not end with surgery.  Another fork in the road is approaching in the next couple of years and this time I fear the direction marked “Surgery” will be closed off.  A line of people in suits and long white lab coats standing shoulder to shoulder.  With the love and passion invested in this work and these people, the idea of their absence… it’s breaking. my. heart. 

I think back to my naïve argument that somehow we can prevent heart break. I’m almost embarrassed to think of it now, and must concede to my classmate that a broken heart is part of life and in its own way, yes, a right of passage.  I look to Jesus as my example of love...

Isaiah 53:3-4  “He is despised and rejected of men; a man of sorrows, and acquainted with grief: and we hid as it were our faces from him; he was despised, and we esteemed him not.  Surely he hath borne our griefs, and carried our sorrows: yet we did esteem him stricken, smitten of God, and afflicted.”

Mark 15:12-14 “And Pilate answered and said again unto them, What will ye then that I shall do unto him whom ye call the King of the Jews?  And they cried out again, Crucify him.  Then Pilate said unto them, Why, what evil hath he done? And they cried out the more exceedingly, Crucify him.”

Mathew 27:31 “And after that they had mocked him, they took the robe off from him, and put his own raiment on him, and led him away to crucify him.”

Luke 9:23 “And he said to them all, If any man will come after me, let him deny himself, and take up his cross daily, and follow me.”

Despised, rejected, mocked and crucified by the very ones He loved.  He carried my sins to the cross for me even before I loved Him back. Who better to understand a broken heart than Jesus? Perhaps this is now my cross to carry for a while. 

There is a fourth year medical student completing a sub-internship with us in the TICU this month. Monday did not bring happy news for him. I wanted to reassure him, hug him and tell him everything would be fine.  But I recognized the look on his face, and instead I told him to go home. And as the day progressed he wasn’t the only other with unfortunate news. My heart breaks anew for each one of my friends. I wish I had residencies to give them. I wish I could take that look from their faces and trade it for a smile.  I wish I could make it better for them. 

This is merely the next step. I love you. Jesus loves you.

Psalm 113:3 “From the rising of the sun unto the going down of the same the Lord’s name is to be praised.”

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