Archive for the ‘Medicine’ Category

Our Divine Physician

October 22, 2022

30th Sunday in Ordinary Time
By Fr. Victor Feltes

Jesus tells us a story of two men who go up to the temple to pray. One is a Pharisee, a group with a reputation for holiness. The other is a tax collector, a profession associated with injustice. The Pharisee, entering the temple courtyard, walks to a more prominent place and speaks this prayer to himself: “O God, I thank you that I am not like the rest of humanity — greedy, dishonest, adulterous — or even like this tax collector. I fast twice a week, and I pay tithes on my whole income.” Jesus presents this Pharisee as an example of someone convinced of his own righteousness and despising of everyone else.

The tax collector, in contrast, stands at the distant edge of the temple court, keeps his eyes cast down, and beats his breast (an ancient sign of contrition) praying, “O God, be merciful to me a sinner.” The Pharisee exults himself while the tax collector humbles himself before God. And Jesus tells us the tax collector went home justified, reconciled with God, while the Pharisee did not.

Imagine going to the hospital clinic for your annual check-up. Sitting there in the waiting area, you glance discretely at the other people around the room. Your secret thoughts become filled with observations and guesses at what ailments brought them there. “I’m in much better health than these people,” you think to yourself with pride. Then your name gets called. The doctor greets you, you sit down, and asks if you are having any issues with your health. “No, nothing’s wrong” you say, but that’s not true.

Awhile back, you cut your hip on an exposed piece of jagged metal, and your concealed wound is not healing. It’s been oozing a smelly, yellow fluid and the skin all around the wound is swollen, red, and painful to touch, but you’ve been mostly able to ignore it. Either embarrassed at your injury or oblivious to the danger, you say, “I’m fine,” and leave without presenting this infection to your physician who has the ability to heal you.

In a sermon about Jesus’ story of the Pharisee and the Tax Collector, St. Augustine once preached:

How useful and necessary a medicine is repentance! People who remember that they are only human will readily understand this. It is written, ‘God resists the proud, but gives grace to the humble.’ The Pharisee was not rejoicing so much in his own clean bill of health as in comparing it with the diseases of others. He came to the doctor. It would have been more worthwhile to inform him by confession of the things that were wrong with himself instead of keeping his wounds secret and having the nerve to crow over the scars of others. It is not surprising that the tax collector went away cured, since he had not been ashamed of showing where he felt pain.

Do the sins of others bother you more than your own? Do you know what your sins are? Are you contrite for them? When was the last time you went to Confession? Will you present your infected wounds to our Divine Physician and then follow his prescription for your good health?

Catholics Who Moved Mountains

September 29, 2016

        Jesus said his apostles, “If you have faith the size of a mustard seed, you would say to this mulberry tree, ‘Be uprooted and planted in the sea,’ and it would obey you.” On another occasion, he told his disciples, “Amen, I say to you, if you have faith the size of a mustard seed, you will say to this mountain, ‘Move from here to there,’ and it will move. Nothing will be impossible for you.”

        Though I have yet to come across any historical accounts of saints transplanting foliage or excavating stones by faith-powered miracles, there are many historically-documented incidents of Catholics achieving the seemingly-impossible on earth through their faith.

St. John Paul II and the Soviet Union’s Fall

        Karol Wojtyła barely survived the Nazi’s occupation of Poland, but once that evil was defeated the Soviet Union replaced them. As parish priest and later as an archbishop, Wojtyła championed the Catholic Faith against the atheistic communists’ religious persecution. Upon his election as pope in 1978, John Paul II’s first papal journey abroad was to go back to his homeland.

        While there, he celebrated an outdoor Mass before millions, proclaiming Jesus’ words, “Be not afraid!” The crowd shouted in reply, “We want God! We want God! We want God!” Speaking in defense of human dignity, he encouraged all people to peacefully pursue true freedom. The threat posed by this Polish pope (armed merely with his words, example, and prayers) was so potent that the Soviets may have ordered his nearly successful assassination in 1981.

        On the 1984 Feast of the Annunciation, Pope John Paul consecrated Russia (along with the whole world) to the Immaculate Heart of Mary, just as she had requested in her appearances at Fatima, Portugal in 1917. On Christmas Day, seven years later, a miracle was realized. Mikhail Gorbachev peacefully resigned as the President of the Soviet Union and from atop the Kremlin, the Soviet flag was lowered forever. The ‘Evil Empire‘ ended not by a thousand Sun-bright nuclear blasts, but through the peaceful power of God and the faithfulness of his holy, humble servant.

St. Joan of Arc’s Liberation of France

 joan-of-arc-at-the-coronation-of-charles-vii       In the 15th century, France was delivered from English domination by history’s most-unlikely military commander; a teenage peasant girl. Joan had no military training, but she was compelled by visions and the voices of Sts. Michael, Catherine, and Margaret to lead the French forces, drive out the English, and see prince Charles VII crowned king at Reims. With divine help, she achieved all these feats before her martyrdom at the hand of the English at the age of nineteen. Mark Twain (though not generally a fan of historic Christianity) wrote of her:

Whatever thing men call great, look for it in Joan of Arc, and there you will find it. …It took six thousand years to produce her; her like will not be seen in the earth again in fifty thousand. …  She is easily and by far the most extraordinary person the human race has ever produced.

        St. Joan of Arc was indeed great, but her glory was but the mere reflection of God’s infinite splendor.

Fleming’s Discovery of Penicillin

        History has seen many great Catholic scientists, including Copernicus (Sun-centrism), Bacon (the scientific method), Descartes (modern geometry), Mendel (genetics), Pasteur (microbiology), and Lemaître (the Big Bang Theory) just to name a handful. But one Catholic scientist’s search for effective antibiotics in the early 20th century saved an estimated two hundred million lives. Through insights occasioned by providential occurrences, Alexander Fleming discovered penicillin. In this, he saw himself employed as an instrument by God:

I can only suppose that God wanted penicillin, and that this was his reason for creating Alexander Fleming.”

St. Patrick’s Conversion of Ireland

        In the 5th century, a 16-year-old boy was kidnapped from Britain and sold into slavery on a distant, pagan isle. There he experienced a spiritual awakening. He tells us:

I used to stay out in the forests and on the mountain and I would wake up before daylight to pray in the snow, in icy coldness, in rain, and I used to feel neither ill nor any slothfulness, because, as I now see, the Spirit was burning in me at that time. And it was there of course that one night in my sleep I heard a voice saying to me: ‘You do well to fast: soon you will depart for your home country.’ And again, a very short time later, there was a voice prophesying: ‘Behold, your ship is ready.’ And it was not close by, but, as it happened, two hundred miles away, where I had never been nor knew any person. And shortly thereafter I turned about and fled from the man with whom I had been for six years, and I came, by the power of God who directed my route to advantage (and I was afraid of nothing), until I reached that ship.”

        Lead on by this faith, he went on to become a priest, a bishop, and a missionary to the land of his former bondage. Today we think of Ireland as a very Catholic country, but it only became so through the courageous faith of St. Patrick.

Our Lord’s Redemption of the World

        In the 1st century, by his short three-year ministry in a backwater of the Roman Empire, this poor man from Nazareth transformed the world forever. Jesus Christ is the pattern for all fruitful disciples who have followed him since, achieving the impossible through faith and the power of God. One anonymous author describes Christ in these words:

Greatest man in history, named Jesus.
Had no servants, yet they called Him Master.
Had no degree, yet they called Him Teacher.
Had no medicines, yet they called Him Healer.
He had no army, yet kings feared Him.
He won no military battles, yet He conquered the world.
He committed no crime, yet they crucified Him.
He was buried in a tomb, yet He lives today.


Jesus on the Cross

Heeding Our Earthly Mother & Heavenly Father — 14th Sunday in Ordinary Time—Year A

July 5, 2014

Readings: Zechariah 9:9-10; Romans 8:9,11-13; Matthew 11:25-30

A Wall Across the Road

Imagine an wall built across a road which has stood for as long as anyone can remember. The Catholic writer G.K. Chesterton suggested that when confronted by such a peculiar sight:

The more modern type of reformer goes gaily up to it and says, “I don’t see the use of this; let us clear it away.” To which the more intelligent type of reformer will do well to answer: “If you don’t see the use of it, I certainly won’t let you clear it away. Go away and think. Then, when you can come back and tell me that you do see the use of it, I may allow you to destroy it.”

It is said that human history has been constantly repeating two phases, summed up in two concise phrases:

First, “What could it hurt?
And second, “How were we supposed to know?

All of us are children of the same holy Mother, the Church. And she is united with God, our loving Father. Moms and dads sometimes tell us, “Don’t touch that–it will hurt. I know it glows enticingly, but it will burn you. We’re not saying this in order to control you or to make you miserable, but because we love you. We want you to be safe and happy.

Red_Hot_Coiled_Stove_Burner_3_by_FantasyStockWe then have three options in how we respond: Either we can touch the forbidden thing for ourselves and experience the pain firsthand. Or we can observe others who have touched the thing and learn from them (though they sometimes hide their pain and tears, even from themselves.) Or, and this is the best response, we can trust in the words of our Mother and Father and never get burned.

Sometimes the wise and the learned of this world refuse to see the truth, but to the little ones, to the childlike, the truth is revealed and they welcome it. In our first reading from Zechariah we find a prophesy about the Messiah. The Savior is not coming on a warhorse, but on a donkey—not as a conqueror imposing his will upon the earth by force, but meekly, inviting us to trust in him and freely embrace his will.

“Come to me, all you who labor and are burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am meek and humble of heart; and you will find rest for yourselves. For my yoke is easy, and my burden light.”

This week’s Supreme Court’s verdict in the Hobby Lobby case comes as good news for religious liberty. However, we must keep praying. Though the five-to-four decision is a positive sign, religiously affiliated non-profit groups are not safely out of the legal woods yet. Many people of goodwill support Catholic institutions in their conscientious refusal to facilitate things they consider gravely immoral, but I wonder how many observers understand why Catholics have any objection to contraception and sterilization to begin with?

People fail to realize that contraception is not something new. For thousands of years, people have used various barriers, chemicals, and techniques to prevent the marital embrace from being fruitful. And most have never heard that before 1930 all Protestant denominations agreed with the Catholic Church’s teaching in condemning contraception as sinful. Most people have not realized what could be wrong with putting asunder what God has joined in the marital act; separating love-making from an openness to life. And though few recognize the harmful impact that contraception has on families and society, its consequences were not entirely unforeseen.

Pope Paul VI

In 1968, in the midst of a sexual revolution made possible by the birth control pill, some believed the Catholic Church would “update” its consistent teaching on contraception. (“What could it hurt?”) Instead, Pope Paul VI shocked the world with orthodoxy. His encyclical, Humanae Vitae or “Of Human Life,” was one of the most controversial documents of the twentieth century, yet the pope’s four predictions of what would happen if contraceptives gained widespread use have proven true:

  1. A general lowering of moral standards throughout society.
  2. A rise in infidelity.
  3. A lessening of respect for women by men.
  4. The coercive use of reproductive technologies by governments.

What is more, a contraceptive mentality has so pervaded our culture that healthy fertility is treated like a disease and conceived children are treated like a cancer. Because of procured abortion, in any room of people under 40 years old, there is on average one person missing for every three people you see. This is the fruit of a contraceptive mentality. (“How were we supposed to know?”)

Whether the Catholic Church teaches on indecent images, fornication, cohabitation, same-sex relations, divorce and remarriage without annulment, in-vitro fertilization, abortion, drug use and drunkenness, euthanasia or suicide; for every “no” in her teachings the Church proclaims a greater, more foundational “Yes” to love and life and true happiness. As St. Paul tells us:

“Brothers and sisters, we are not debtors to the flesh, to live according to the flesh. For if you live according to the flesh, you will die, but if by the Spirit you put to death the deeds of the body, you will live.”

Will we be childlike enough to listen to our Father in heaven and our Mother on earth? Learn from Christ and take his yoke upon you, for according to his promise you will receive rest. His ways require sacrifice, yet compared to the yoke of sin and death which comes with the ways of the world, Jesus’ yoke is easy and his burden is light.

Catholic Medical Ethics—30th Sunday in Ordinary Time—Year C

October 27, 2010

In today’s second reading we hear from St. Paul, a prisoner in Rome on account of Christ and the Gospel.  Paul senses that the end of his life on earth is near. He writes:

“I am already being poured out like a libation,
and the time of my departure is at hand.”

The emperor will soon order Paul to be executed by beheading, sending him to Christ’s eternal reward. Yet this is not to the emperor’s glory, for the blood of St. Paul’s murder will be on his hands.

By God’s grace, Paul was not left all alone in this difficult, final season of his life. Elsewhere in this chapter from 2nd Timothy, he writes, “Luke is the only one with me.”  (This is St. Luke the evangelist, whose Gospel we are reading this liturgical year.) In another letter, Paul calls Luke his “beloved physician.”

Now what if Luke, seeing Paul’s burdens and what trials awaited him, were to procure some hemlock with which to end his friend’s life? Would Paul be pleased with him? Would he not rather be angry that Luke would presume to thwart God’s purposes for him on earth?

The Lord, the author of our lives, is the one to decide when someone’s life story is complete. God has joined our souls to our bodies and what God has joined together, no human being must separate; for it is always and everywhere wrong to intentionally kill the innocent. God sent Luke to Paul not to kill him, but to strengthen, console and support him in this last season of his life.

Healthcare and end of life issues touch all our lives, and people of good will have many questions in this area. Like, “What is wrong with euthanasia or assisted suicide?” “What does Christ’s Church teach about living wills, ventilators, feeding tubes, and palliative care?” And, “What kind medical care is morally required, and what sorts of care are optional?”

The Church calls care and treatments which are morally required “ordinary care.” Treatments which are optional called “extraordinary care.” Each of us has an obligation to respect our lives and bodies as precious gifts from God.  This means that we must always receive, and provide to others, “ordinary care.” However, circumstances can arise where various treatments become “extraordinary” and may be omitted. Treatments which involve great pain, or extreme cost, or little likelihood of doing much good can be deemed extraordinary care.  Burden, cost, and futility can make a treatment morally optional.

Yet, every treatment must be put into context. Sometimes the same procedure, which is ordinary in some cases, will be extraordinary in others. Sometimes a ventilator can be an extraordinary treatment, making it acceptable for people to refuse or discontinue its use. However, imagine if an otherwise healthy person should come to the hospital with a routinely curable lung condition which requires surgery and the short-term use of a ventilator.  In this case, the ventilator—which can be costly and burdensome—is not extraordinary because its benefits far outweigh its burdens.

This is a danger with living wills and advance directives.  Making medical decisions about treatments, in the abstract, in advance, and out of context, can easily lead to wrong decisions. Consider the use of feeding tubes. A person can check a box on a living will that says they never want one, but feeding tubes are quite often ordinary care; however, in some cases, they become extraordinary care.

Sometimes, in the process of dying, a person may no longer be able to digest food. In such an instance, use of a feeding tube would be futile, painful, extraordinary, and rightly omitted. But if someone is not dying, to deprive them of food or water is like preventing a diabetic from taking their insulin. That is not allowing nature to take its course—it is homicide. Pope John Paul II taught that ‘a sick person in a vegetative state, awaiting recovery or a natural end to their life, still has the right to basic health care (such as nutrition, hydration, cleanliness, warmth, and the like), and to the prevention of complications related to his or her confinement to bed. … Causing someone’s death by starvation or dehydration, if done knowingly and willingly, is truly euthanasia by omission.’

We condemn euthanasia and assisted suicide because they are about killing the person rather than killing the disease, and we can never intentionally kill the innocent. It is wrong to kill the sick, but it is good to alleviate their pain and discomfort while they live. This kind of treatment, aimed at increasing a person’s comfort, is called palliative care and it is a great good. The work of Hospice and others is to provide palliative care in the final stages of life.

Would it be wrong to overdose a person with morphine to end their life?  Yes, for it is wrong to intentionally kill the innocent. But what about a case where treating someone’s pain with pain-killers (in the normal doses) might have the unintended side-effect of shortening their remaining days? Would it be wrong to request or administer such a treatment?  No because the aim is not to kill the sick person, but to relieve their pains. Sometimes, people with cancer choose to forgo chemotherapy and its burdens even though treatment might help them live longer than they would without it. Are these people choosing death? No, they are choosing a different way to live. The burdens of chemotherapy can make it an extraordinary treatment, and we are free to forego extraordinary treatments, even if it may shorten our lives.

The three principles I have tried to present today are these: first, that it is always and everywhere wrong to intentionally kill the innocent.  Second, that we must receive, and provide to others, ordinary care. And third, that treatment which entails great pain, or extreme cost, or little likelihood of doing much good can be deemed extraordinary care, and is morally optional.

I hope you now have a clearer understanding of some points of Catholic medical ethics, but these can be complicated issues. If you are facing difficult treatment decisions, for yourself or someone you love, seek out counsel of those who know the Church’s teachings on this subject. Holy Mother Church’s wisdom on healthcare issues is the natural and logical extension of her dedication to human dignity. As Roman Catholics in a culture of death, we must we stand for the dignity of every human life, from conception to natural death, and we need to vote for it, too.

  • An article on “ordinary” and “extraordinary” care.