Seeking wholeness…determined to soar

Editor’s Note: In recognition of May as National Mental Health Awareness Month, Rebecca Swift, LCSW, shares a story about her work as a behavioral health consultant to Siloam’s medical staff as they seek to provide whole-person care for our patients.  Rebecca writes…

I wish I could introduce you to “Samir,” a refugee I met recently. He is a newly arrived refugee to the U.S. – alone – without any family. When I entered the exam room, Samir looked at me with tearful eyes and softly said, “I have no hope to live anymore.” I sat down as he continued saying that he was not sleeping well, was crying every day, and that he didn’t think he would ever amount to anything. We talked for quite a while about his experiences and the normal process of adjustment. By allowing him the chance to share his story and feel heard, I believe we made progress that day.

I attempted to offer some hope for him by arranging for on-going counseling services at one of our local mental health partner agencies. Knowing that he would be coming back to Siloam for another visit in two days, I gave him an assignment which I hoped would be therapeutic for his mind and his heart.

Samir is an artist, so I said to him, “I want you to paint a picture that answers the question, ‘Who am I?’” He stared strangely at me for a moment and then suddenly looked me straight in the eye and said, “I can do that. I can definitely do that!” He left the clinic with a smile on his face and determination to complete his “assignment.”

Two days later, Samir returned to Siloam glowing and sounding like a different person. He brought his sketch pad and a huge bag of other art projects. He sat for thirty minutes with me going over all of his art, showing me all the drawings he had completed from his memory, and then he pulled out the “assignment.”Dove in cage by refugee - 5-2013

I was amazed – what a beautiful picture he had painted! Samir had painted himself as a dove in a cage in his former homeland with evil, danger, and fear surrounding the cage. Then, when he stayed in another country for a brief time, he again felt like a dove in a cage but with less danger, although still imprisoned. Finally, he pointed at the top of the painting. There was a third dove, standing a little taller, with light coming from behind him, and with much more beautiful surroundings. Smiling at me he said, “This is me in the U.S. – I am still in a cage, but I know that good things are coming.”

Samir has been to Siloam a few times since our meeting and each time he is smiling and brings more of his paintings to show us. He is participating in counseling services that were arranged for him after his first visit, and I believe that with time, he will make a new life for himself that is full of hope and wholeness.

He will have many barriers to overcome in order to find wholeness, but the first step is being willing to acknowledge there is a problem and then accept help. One day I expect to see him paint a soaring dove free from any cage.

Manzella joins the CHI

We are excited to announce a recent addition to this  summer’s Community Health Immersion 2013 (click to watch a 3-minute CHI video)! This team of 6 pre-medical students will live in and serve a local refugee community along with shadow providers at Siloam and reflect on God’s call to them to pursue a career in medicine.

Siloam community, meet:

Name:  Elias ManzellaManzella, Elias - 2013

Age: 21

Hometown:  Westfield, NY

Undergraduate School:  Rising senior at Houghton College in Houghton, NY.

Vocational Aspiration:  Elias is majoring in biology with a public health minor.  He is on a pre-medical track and plans to become a physician assistant.  His long-term goal is to not only meet the physical needs of patients, but also to minister to their spiritual wellness. “I want to show my passion for other people through what I love doing – humbling myself to serve others.”  He sees pursuing medicine as a way to touch lives and share the love of Christ.

In case you missed the announcement of the other participants, click here for their profiles as well. Interested in receiving automatic updates about their immersion? Enter your  e-mail address to receive blog updates  right to your inbox.

Consider financially supporting this ministry as we plant seeds to share the love of Christ by serving those in need through health care.

 

Our CHI 2013 team is growing!

We are excited to announce that we have a recent addition to the student group joining us in Nashville this summer for our Community Health Immersion 2013 (click and scroll down to watch the CHI video)! This team of 5 pre- medical students will will live in and serve a local refugee community along with shadow providers at Siloam and reflect on God’s call to them to pursue a career in medicine.

Siloam community, meet James Dolezal!

Name:  James DolezalDoezal, James- CHI 2013

Age: 22

Hometown:  Peru, IN

Undergraduate School:  Graduating in May 2013 from Taylor University in Upland, IN.

Vocational Aspiration:  James will begin Trinity Graduate School’s Master of Arts in Bioethics program this fall and then plans to begin Indiana University’s School of Medicine afterward. James looks forward to his time in Nashville for the CHI program to continue his cross-cultural experiences, in which he hopes to further define his passion for service through medicine. His individual pursuits are fostered by following his calling “to bring justice, healing, and good news to this broken world.”

In case you missed the announcement of the other participants, click here for their profiles as well. Interested in receiving automatic updates about their immersion? Enter your  e-mail address to receive blog updates  right to your inbox.

Consider financially supporting this ministry as we plant seeds to share the love of Christ by serving those in need through health care.

Summer CHI students announced…

We are excited to announce four pre-medical students who will join us in Nashville this summer for a community health immersion experience – CHI (click and scroll down to watch the CHI video).  They will live in and serve a local refugee community along with shadow providers at Siloam and reflect on God’s call to them to pursue a career in medicine.  Read their profiles below.  Sign-up with your e-mail address to receive automatic blog updates about their immersion – right to your inbox.  Consider financially supporting this ministry as we plant seeds to share the love of Christ by serving those in need through health care.

Name:  Madison BrownMadison Brown - CHI 2013 participant

Age: 21

Hometown:  Nottingham, PA

Undergraduate School:  Rising senior at Elizabethtown College in Elizabethtown, PA.

Vocational Aspiration:  Madison is a Biology major concentrating in pre-medicine with a minor in cognitive neuroscience and plans to become a family doctor.  She fell in love with medicine through an internship with her family doctor where she observed firsthand special doctor-patient relationships that were built on honesty.   When facing fears, Madison states, “Trust in God, and fear nothing.” This allows her to refocus and know that God is always with her as comforter, provider, and giver of strength.

Caleb Huber - CHI 2013 participant

Name:  Caleb Huber

Age: 22

Hometown:  Indianapolis, IN

Undergraduate School:  Graduating in May 2013 from Vanderbilt University in Nashville, TN.

Vocational Aspiration:  Caleb will attend Indiana University School of Medicine this fall. He reports that his earlier experience as a volunteer at Siloam during his undergraduate training was full of blessings and encouragement. He shares a life-changing family value that has prepared him for discipleship, “Jesus Christ died for me even though He knew that I would sometimes fail Him.” It is through this lens he hopes to care for patients by offering powerfully encouraging words in the most vulnerable of situations.

Name:  Claire JohnsonClaire Johnson - CHI 2013 participant

Age: 20

Hometown:  Eaton Rapids, MI

Undergraduate School:  Rising senior at Hope College in Holland, MI.

Vocational Aspiration:  Claire is pursuing dual studies as an English major and a pre-medical student. Following graduation, she plans to attend medical school focusing on Geriatrics. Claire gains personal motivation from the statement, “Love Does!” She says this leads her to spend her life trying to love people with the same reckless abandon that Jesus did. She hopes one day to practice medicine with a world focus – one that allows her to partner with overseas ministries to care for impoverished people at home and abroad.

Name:  Jane PuntkattaleeMelissa Puntkattalee - CHI 2013 participant

Age: 20

Hometown:  Snellville,GA

Undergraduate School:  Rising junior at Georgia Institute of Technology in Atlanta, GA.

Vocational Aspiration:  Jane brings a unique cross-cultural perspective to the team, with familial roots in Thailand. In her travels to her parents’ homeland, she has experienced communities lacking adequate access to quality healthcare that gives her insight into what Siloam’s patients face. She feels God calling her to health care by realizing that, “There is no simple solution that can help cure poverty, but that doesn’t mean that there isn’t something we can do to help the people living in poverty.”

Whole-Person Health Care Event: Cases and Discussion at VUSM in February

Have you been intrigued by the issues presented on our blog this year?  Still trying to figure out what “whole- person health care” really looks like?  Would you welcome an opportunity to hear and discuss actual cases in person?

On Mondays in the month of February, The Siloam Institute will be partnering with two medical student organizations at Vanderbilt University in a series of case presentations and discussions about the realities of Whole-Person Health Care.  Below is a description provided by the student leaders of Medical Christian Fellowship:footwashing

Striving to see and care for one’s patients as the complicated human beings they are is a difficult thing in the hectic, busy environment of health care. The following series will explore the joys and challenges of practicing medicine in a way that acknowledges and addresses patients and their health problems from a holistic perspective, seeing patients as physical, emotional, and spiritual beings.

Doctors from the Nashville area will share their experiences and lessons learned and engage in discussion on this topic in the format of case presentations. The final session will consist of a primarily discussion-style forum in which participants will discuss the presented cases along with the issues and challenges they raised regarding Whole- Person Health Care, in order to glean further insight into the practical expression of caring for patients as complete human beings in the context of everyday medical practice.

The Siloam Institute of Faith, Health and Culture will be co-sponsoring this series along with the student organizations Medical Christian Fellowship (MCF) and the Society of Saints Cosmos and Damian (SSCD).

These presentations will be held for four consecutive Monday’s at 12 pm, noon in Light Hall (room 202) on the Vanderbilt Medical Campus (Nashville, TN, USA) and will last for one hour. Lunch will be provided.

February 4th–Dr. Morgan Wills, Siloam Family Health Center

February 11th–Dr. Anderson Spickard, III, Vanderbilt School of Medicine

February 25th–Dr. Morgan McDonald, Vanderbilt School of Medicine

Please direct any questions you may have to Ian McGuinness at ian.m.mcguinness@vanderbilt.edu

Discernment – a sorting process

Guest blogger, Debbie Smith, MA, Director for the Center for Women in Medicine, is a life coach and leader with Medical Christian Fellowship at Vanderbilt.  She serves on the Siloam Institute’s oversight committee. Today, she writes about discernment and announces a Nashville-area discernment retreat.

Debbie writes…

Sorting Hat - Harry Potter

House affiliation is discerned using the “Sorting Hat” in Harry Potter’s adventures.

As I meet with medical trainees and professionals, one of the most common questions that comes up is how to know which option to choose when they are confronted with a fork in the road.  Whether it is something as large as vocational calling and direction or as ordinary as how to handle a relational interaction with a classmate or colleague, there is a longing to know how to make good choices.

Recently, I have met with many trainees who are contemplating choices such as choosing a residency program; whether they should take a year away from medical school to participate in personal or professional growth opportunities; how to navigate difficult family relationships, or whether to make a significant financial expenditure.  One of the things I have learned from my own spiritual journey is that God cares about every facet of our lives and that He longs for us to turn to Him for guidance and companionship as we sort out the options before us.

The discernment process is just that – a sorting process.  In her book, Pursuing God’s Will Together, Ruth Haley Barton says:  “Discernment literally means to separate, to discriminate, to determine, to decide or to distinguish between two things.  Spiritual discernment is the ability to distinguish or discriminate between good (that which is of God and draws us closer to God) and evil (that which is not of God and draws us away from God).”  She also quotes Ignatius of Loyola, founder of the Jesuits, in defining the goal of discernment as “finding God in all things in order that we might love and serve God in all.”

One of my goals for the work of spiritual formation that I am engaged in within the medical community is to provide contexts for individuals to slow down and engage with the questions that are swirling in their mind and heart.  Our culture, and particularly the culture of medicine, doesn’t always encourage this sort of thoughtful reflection and prayerful consideration, but Jesus invites us: Come to me. Get away with me and you’ll recover your life. I’ll show you how to take a real rest. Walk with me and work with me—watch how I do it. Learn the unforced rhythms of grace. I won’t lay anything heavy or ill-fitting on you. Keep company with me and you’ll learn to live freely and lightly.” (Matthew 11:28-30, The Message)

Medical Christian Fellowship will host a Day of Discernment retreat on Saturday, February 9th from 9 am – 4 pm at St. Barthlomew’s Church (Nashville, Tennessee, USA).  To register, click here to download the registration form.

CHI applications due Jan. 28th

Please pass this message to networks of pre-clinical students to alert them that applications to Siloam’s Community Health Immersion are due this Monday, January 28, 2013.

Watch a 3-minute video about the experience of our students last summer.

Why would a doctor ask about spiritual practices? (Part 5 of 5)

Guest blogger, Laurie A. Tone LMFT, LPC, MHSP, served six years as Siloam Family Health Center’s behavioral health consultant. Today, she continues a five-part series of blogs on the body-mind-spirit connectedness.

Laurie writes…

Welcome back to the series exploring the connection between spirituality and health. We know through research that spiritualityBible - Stethoscope - Siloam Coffee and health share a definitive connection. We can even extrapolate that in Sam’s case (see blog in part 2 of this series) that his guilt, pain, insomnia, and depression are all interconnected. But what does biblical scripture say about this? Are there any references in scripture about the connection between spirituality and health?

While scripture was never intended to be a medical manual, it has some pretty clear references to the connection between spirituality and health. The Creator God has provided through His Word some key principles about His creation and healthful living. While references from scripture should be considered in context, let’s look at the following verses in light of our patient Sam who is suffering from guilt, depression, insomnia and bone pain.

Psalm 32:3 “When I kept silent [about sin] my bones wasted away through my groaning all day long.” Psalm 32:5 continues, “Then I acknowledged my sin to you and did not cover up my iniquity. I said, ‘I will confess my sin to the Lord’ and you forgave me the guilt of my sin.”

Psalm 6:2 “Be merciful to me, Lord, for I am faint; O Lord, heal me, for my bones are in agony.”

Proverbs 17:22 “A cheerful heart is good medicine but a crushed spirit dries up the bones.”

Proverbs 3 also tells us that following the Lord fully will bring health to the body and nourishment to the bones, sweet sleep, prolong life and bring prosperity.

Scripture shares a multitude of references about the connection between spirituality and health and adds to our understanding of the complexity of our integrated beings.

The connection between spirituality and health raises some practical questions regarding patient care. If you were the medical provider for Sam what would you do? Would you prescribe an antidepressant or pain medication? Would you refer him to a religious or mental health provider? Would you even address the underlying guilt as a possible precipitating factor?

While there are no easy answers, patients like Sam make us consider the need for whole-person care.  Healing and wholeness can occur in the various and sundry realms of our being – physically, emotionally, socially and spiritually. In fact, in the New Testament’s list of spiritual gifts, healing is in the plural form -“gifts” of healing (1 Co. 12:4-11).

Although this is the last of this particular series the topic remains on the forefront of the ministry at Siloam Family Health Center and the Institute of Faith, Health and Culture. Patients, like Sam, are a regular occurrence at the clinic and systems are in place through medical providers, pastoral care, social workers and behavioral health consultants to address the myriad of needs patients present.

Please feel free to share your thoughts and stay tuned for future blogs exploring the bio-psychosocial-spiritual connection.

All scripture quoted from the NIV.

Why would a doctor ask about spiritual practices? (Part 4 of 5)

Guest blogger, Laurie A. Tone LMFT, LPC, MHSP, served six years as Siloam Family Health Center’s behavioral health consultant. Today, she continues a five-part series of blogs on the body-mind-spirit connectedness.

Laurie writes…

In our last post we covered the first 4 reasons why spirituality and/or religion should be incorporated into health systems (see prior blog – Part 3). Helping Hands too croppedThese reasons are based on the summary of research on the connection between spirituality and health presented by Dr Harold Koenig, Director of the Duke Center for Spirituality, Theology and Health (see Koenig, 2012).

Let’s continue the dialogue with reasons five through eight.

*Fifth, religion and/or spirituality are associated with both mental and physical health and likely affect medical outcomes. Health professionals need to know about these influences, just as they need to know if a person smokes cigarettes or uses alcohol or drugs.

Sixth, the kind of support and care that a patient receives once they return home is influenced by religion and or spirituality. A supportive faith community may ensure that patients receive medical follow up. Support may include providing rides to doctors’ offices or in ensuring compliance with medications. Health care professionals need to know whether patients live alone or have access to social interaction and support, which can influence health care decisions, as well as outcomes.

Seventh, research shows that the failure to address patients’ spiritual needs increases health care costs, especially toward the end of life. During end-of-life care, patients and families may request medical care that is often very expensive and may even be futile. Patients or families may be praying for a miracle. They may view withdrawing life support or agreeing to hospice care as giving up or as a lack of faith and belief in the healing power of God. Taking a full spiritual history can allow for meaningful dialogue on end-of-life care thus avoiding prolonged suffering and unnecessary financial burdens.

Finally, standards set by the Joint Commission for the Accreditation of Hospital Organizations (JCAHO) and by Medicare (in the U.S.) require that providers of health care show respect for patients’ cultural and personal values, beliefs, and preferences, including religious or spiritual beliefs. Being aware of these beliefs allows health care providers to both respect their patient’s perspectives and adjust their care accordingly.

Please stay tuned for the final blog entry in this series addressing the connection between spirituality and health.

Reference:

Koenig, H.G. (2012). Religion, Spirituality, and Health: The Research and Clinical Implications. International Scholarly Research Network (ISRN) Psychiatry. Volume 2012, Article ID 278730, doi:10.5402/2012/278730

(* Please see Koenig, 2012 for secondary sources cited)