Seven to Two

“But I trust in you, O Lord; I say, ‘You are my God.’ My times are in your hand” (Psalm 31:14-15, ESV).

It is always nice to see God’s successes when you’re an oncologist. On his recent evaluation, Rob Fortner demonstrated no trace of myeloma. We had treated him with standard chemotherapy followed by an autologous stem cell transplant. After completing his exam, I asked him, “How long has it been since your transplant, two years?” He smiled, “No, it was 2013 (seven years).” I sat there stunned that time and life had passed so quickly. Nine years with all of the intense moments, all the life stories, all the joy, all the tears. Gone in a blink.

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A Word About Blessed Events

Because October is Down Syndrome Month …

A Word About Blessed Events

Everyone knows that phrase: A Blessed Event.

         A blessed event is what happens when a baby is born.

        A blessed event occurs when that familiar sound splits the air,

                And a neonate cries for the very first time,

And an heir is born who can help carry on the family name and lineage.

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Victims of the Sexual Revolution

Too often, it seems, Christians engaged in culture are fighting yesterday’s battle. Probably, most who are engaged in apologetics still believe the worldview of secular culture is premised upon values of tolerance and moral relativism. We are way beyond that. Having emerged victorious (according to some) in the “culture wars,” tolerance and “rights-speak” are no longer useful to sexual revolutionaries. Their narrative has shifted. Opponents of Christian morality now assert far more than equivalence. They claim moral superiority, along with intolerant disdain for traditionally-minded folk of most religious or conservative persuasions. The prideful often fall by overreaching, as Napoleon did by invading Russia. Opponents of Christian sexuality have badly overreached. It is a battle they cannot win.

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Jars of Clay

“But we have this treasure in jars of clay to show that this all-surpassing power is from God and not from us” (2 Corinthians 4:7, NIV 1984).

He walked into the room with a smell that preceded him. Short, thin, with a scraggly gray beard, he looked like a homeless addict who had neglected his health until it was almost too late. But he was not intimidated by the large tumor on his forehead. He spoke clearly and intelligently as I recorded his medical history. When I began to discuss therapy for his cancer, he said, “I’ll try the treatment, but I’m not afraid of this. I’m a Christian.” I told him I was as well. As he left, I placed my hand on his shoulder and prayed for him. He then said, “Let me pray for you.” He placed his hand on my shoulder and lifted me to the Lord. My nurse sprayed the room for the odor after he had gone.

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Brief Reflections on My Recent Education in American Racism

CMDA’s Board of Trustees recently created the R2ED Team, which is a taskforce focused on racism and reconciliation, equality and diversity. As followers of Christ, we want to see persons of all colors and ethnicities blessed by the gospel of Christ and involved in the work and ministry of CMDA as much as possible.

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Skin Color

“The Samaritan woman said to him, ‘You are a Jew and I am a Samaritan woman. How can you ask me for a drink?’ (For Jews do not associate with Samaritans.)” (John 4:9, NIV 1984).

This was not the first time I’d felt the anger of racial injustice, but it was the most surprising. Lorenzo had been my patient for 20 years. He was doing better and living longer with his myeloma than anyone I had ever treated. He and I are friends.

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The Dealer

She wasn’t sure how it happened, but it happened. The sun had set, the rain had started, and the roads were slick, with cars moving slower than usual and drivers being vigilant. She didn’t see it but felt it as her car was hit. The night was going to be a long one.

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On the Side: October 2020

I once finished the Chicago Marathon. I ran right through the city uninhibited by the two million people who lived there. It was really something. I ran freely through a maze of normally congested streets. There were people pressing in on every side, yet I was unrestrained to work toward my goal. Do you know why? 

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Back to Basics: Laying a Strong Foundation

“We need to get back to the basics of life, a heart that is pure and a love that is blind, a faith that is fervently grounded in Christ, the hope that endures for all times. These are the basics, we need to get back to the basics of life.”

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Multiplied Compassion

“Some men came, bringing to him a paralytic, carried by four of them…” (Mark 2:3, NIV 1984).

I was over working at my computer when my clinical secretary called, “Guess who’s here?” No idea. “Mrs. Kushman. You took care of her husband.” I drug myself away from sterile technology and went to greet her. It had been four years, and now she was in our oncology clinic with her father. She told me her mother had cancer as well. I greeted her with an elbow bump and lowered my mask where she could see me. “How are you doing?” I asked. “Okay,” she said with her words, but not her eyes. “Do you have anyone to support you while you are going through this? Do you have a church?” She stood solidly on her faith in Christ and told me her pastor and church members were standing with her through the struggle.

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A Vaccine Trial is Not a Trial: What Participating Looks Like

I love vaccines. To those of you who have read my other articles on the subject (available here and here), this comes as no surprise. But, you may rightly say, “love” is an awfully strong word. Shouldn’t I only love people, not things?

I love vaccines because I love people. Millions of people are alive today only because they were vaccinated. Who are these people? Nobody knows, because the vaccine kept them from getting sick and dying. One of them could very well be me. Or you.

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Does the Bible Endorse Racism and Slavery?

The topic of slavery and racism couldn’t be more relevant in this age of social justice we are in right now. It goes without saying that racism is evil. Genesis 1:27 makes very clear that all are created in the image of God. The image of God, or Imago Dei in Latin, refers to the fact that humans were made uniquely and separately from all the rest of creation in a way that reflects God’s image in our moral, spiritual and intellectual essence. It means that in certain aspects, and in an imperfect sense, we resemble God. It is because we are image bearers of God that our lives have intrinsic worth, and this of course goes for all humans. It is precisely because we are made in God’s image that racism is evil. Martin Luther King, Jr. talked about this frequently as the basis for civil rights. He argued that the brotherhood of man is dependent upon the fatherhood of God. Reject the latter and you erode the foundation of the former.

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My Momma Was Mean

“If I go up to the heavens, you are there; if I make my bed in the depths, you are there… even there your hand will guide me, your right hand will hold me fast…even the darkness will not be dark to you; the night will shine like the day, for darkness is as light to you” (Psalm 139:8-12, NIV 1984).

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Living in the Household of God

Our family has an unofficial mascot—a little bendable Gumby doll. I have no idea where Gumby came from or how exactly we acquired him. He started out as a little game in which various family members move Gumby to different places around the house. When you find Gumby, you move him somewhere else where he awaits discovery by another family member. Over the years, we have adopted an unofficial motto that goes with our unofficial mascot: “Semper Gumby” (always flexible). As is true of numerous other healthcare professionals, flexibility is not my strong suit. I am really good at focus, goals, determination and persistence. Flexibility, not so much. So “Semper Gumby” is a motto for me as much as anyone else in the house. A reminder that flexibility is a necessary part of doing life with other people.

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Purple Heart

“…There is no difference, for all have sinned and fall short of the glory of God, and are justified freely by his grace through the redemption that came by Christ Jesus” (Romans 3:22-24, NIV 1984).

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The Control Panel of Life

“Control” is a word we use all the time, have you noticed? In science, every researcher insists on the careful documentation of experiments and the importance of control groups for accuracy in successful drug development. Television studios all have some control room, where people sit staring at monitors to determine which camera angle best captures the story that is unfolding. Every large airport in the world has a control tower, rising several stories above the surrounding runways. Men and women sit in those high control towers looking out on the horizon, while simultaneously watching monitors that display the exact location of airplanes wanting to land or waiting for permission to take off. The pilots are certainly flying the planes, but the controllers are in…control.

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A Christian Perspective on Antidepressants

“Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body.” — 1 Corinthians 6:19-20, ESV

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The Power of Suffering

“…that I may know him and the power of his resurrection, and may share his sufferings, becoming like him in his death” (Philippians 3:10, ESV).

Amanda has been a dear friend for many years. She’s been a Christian all the years I have known her, but she had drifted from her devotion to God. Her sister-in-law is a Catholic Christian dedicated to Christ. Not long ago, Amanda watched her sister-in-law carry the staggering weight of her husband’s death with an unwavering trust in God. Amanda has now returned to a close walk with God and has found Him best within the Catholic Church. It is beautiful to see. What is more, Amanda’s son, a recalcitrant drug user, has followed her to faith in Christ, and he has been drug free for four years. Last weekend, we met Amanda and her husband in New Orleans for a short escape and attended the 9 a.m. mass at St. Louis Cathedral. The priest’s prayer for the suffering that morning included, “May they join their suffering with the suffering of Christ.”

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On the Side: September 2020

The meeting with my co-leader was held two weeks before the start of the new Side By Side session. I had my planner, my Bible and the study book. She had the same. But Deb also had a box of organized, color-coded, individually-bagged Scripture reminders for each student, for every week of the semester. On top of all of this, she also had already written meticulous notes on each lesson in her beautiful penmanship.

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Covid Lessons

This new Covid world has taught us things. We’ve learned more about ourselves, our families, our country, and the world as a whole and how connected it really is.  Have you had a chance to be still and reflect on what you have learned during this tumultuous time?  I’ve had a little time, but I’d like to take more and really sit and thank God for what He’s done in the midst of the brokenness.  Once you do get a chance to reflect, write those thoughts down and share them with someone and then ask them to tell you about what they have learned. The more you share and hear, the bigger and more beautiful the picture will be of what God is doing.  I’ll share with y’all a little of what I’ve learned.

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Uber Questions

“There are different kinds of gifts, but the same Spirit. There are different kinds of service, but the same Lord. There are different kinds of working, but the same God works all of them in all men” (1 Corinthians 12:4-6, NIV 1984).

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AJP Issues Correction: No Mental Health Gain from Gender-Affirming Surgery

The American Journal of Psychiatry (AJP) printed a rare and important correction this month. A study claiming to be the “first total population study of transgender individuals with a gender incongruence diagnosis” was published in the October 2019 AJP titled “Reduction in mental health treatment utilization among transgender individuals after gender-affirming surgeries: a total population study.” Seven letters to the editor from 12 authors, myself included, resulted in a data reanalysis and subsequent correction statement that no improvement was demonstrated with surgical treatment. Now for the setting and major points of my team’s published letter.

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Breath into Bones

Many thoughts flashed through my brain and heart with this surprise email from 20 years ago: beautiful memories of a patient I loved, the awesome value of my wife’s act of stuffed-dog love, the tragedy of life, the hope of Christ.

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Was Jesus a Proponent of Critical Theory?

With recent discussions about allocation of scarce resources with the COVID-19 pandemic, concern has been raised about ensuring justice across all ethnic and political lines in caring for our patients. If allocation is determined based on anticipated quality life years based on treatment, then an inherent bias is baked in against the elderly. If likelihood of good outcome is a major criterion, then patients with higher levels of pre-existing disease will lose out. An example of this would be that among certain ethnic/racial populations there is at baseline a higher proportion of people with underlying heart, lung, metabolic or environmental disease. The African American population, in general, has a lower life expectancy, based on these factors, so if one weighs the allocation models to provide support for healthier patients, they will disadvantage people of color in distribution of ventilators, ICU beds and hospital admissions. Similar claims are made regarding people from other minority groups based on religion, gender, socio-economic class, educational attainment, etc.

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There is a Better Way

“For the wisdom of this world is foolishness in God’s sight” (1 Corinthians 3:19a, NIV 1984).

We have seen the devastation, societal decay and moral rot caused by the perpetuation of human wisdom and reasoning. Many in the world call what is “evil, good” and what is “good, evil.” Such reasoning creates a propensity for lawlessness and disintegration. People reject the truth and divine guidance, while also truly casting off restraint (Proverbs 29:18). If such actions lead to decay, what then leads to life?

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Irrational Peace…

“Though he slay me, yet will I hope in him” (Job 13:15a, NIV 1984).

I was blessed to sit with them in their home to discuss a new medical problem. They did not need another problem. Early in their lives their 10-year-old son had died of cancer. More recently another son, suffering from schizophrenia, had blinded his father in a fit of rage. They were now planning the memorial service for a third son. They sat there with great peace, trusting God that His plan was good and that His love was constant. The husband spoke honestly as I commented on their amazing peace, “Of course, we certainly don’t like this.”

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An Old Evangelist and the Password to Dentrix®

“Call unto me, and I will answer thee, and shew thee great and mighty things, which thou knowest not” (Jeremiah 33:3, KJV).

It’s hard to guess how many annual revivals I have taken part in or led in 34 years of ministry. One stands out above all the others.

It’s impossible to count the dentists I’ve worked with in the U.S., United Kingdom and Ireland. God has blessed me to know some of His choicest servants in the course of the ministry of dentistry. One stands out who must remain nameless for reasons we shall see later.

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Part 2: Answering Contemporary Challenges to Christian Sexual Morality

In Part 1 of this series , we looked at two common objections to a traditional Christian view of sexuality: “What about other Old Testament rules we don’t keep?” and “The New Testament teaching on sexuality was socially constructed and not intended for universal application.” In this second part, we will examine two more recent arguments that have become quite popular and, to some, deceptively persuasive.

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Part 1: Is Christian Sexual Morality a Matter of Ancient Cultural Bias?

What is the foundation of your moral principles?

If you consider that a simple question, you’ve never really thought about it much.

The gut reaction of most Protestants would be “Scripture”—certainly a fitting place to begin—but when one drills down into the details, things get complicated rather quickly. For decades, theological liberals have dismissed biblical teaching on sexuality because they dismiss the Bible. In more recent years, a newer contingent rejects traditional Christian teaching on sexuality arguing that “the Bible never taught it in the first place.”

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Fickleness

“There is a time for everything, and a season for every activity under heaven” (Ecclesiastes 3:1, NIV 1984).

Saturday morning I visited one of my favorite patients in her home. She is now under hospice care, and we discussed the difficult path ahead for her and her husband. They are facing the struggle well as followers of Christ. That evening I was on my way to a happy dinner out with friends. As I passed my patient’s house, I marveled that I could drive by so freely with happiness, cut loose from the deep emotions within a house where I had been immersed in the same emotions that very same morning.

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Addressing Race in Healthcare Through the Faith and Through the Law

Christian Medical & Dental Associations (CMDA) has tackled race issues in healthcare proactively, gathering members together for prayer and fasting, webinars, public policy statements, articles, discussions, video presentations and more while pledging to “continue seeking to oppose racism in healthcare and society and pursuing justice in access to healthcare and equitable outcomes.”

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TV Dinner Counsel

I’ve got nothing against money, and often in my life I’ve enjoyed more than I needed, but I have never made a major directional decision in my life based on income outcomes. As followers of Christ, more money should be the goal of our decisions only if Christ says, “Make more money for my kingdom.”

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On the Side: August 2020

I haven’t been able to write for weeks. The peace of mind, which I so typically enjoy, has eluded me recently. Every time I’ve tried to put pen to paper, I have found horrible angry things drying in the ink on the page. I almost despaired of writing this article, but my husband, good man that he is, suggested I write about “peace of mind.” He figured I’d have to walk through some Bible verses and pray a bit to regain my peace of mind, so I could effectively write about it, and he was right…thankfully. I hope you will walk through this exercise with me.

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Could You Repeat That?

Communicating through protective masks is something our culture is trying to get used to. Healthcare professionals, of course, have learned to talk through masks as a part of their everyday lives. But sometimes, the challenge isn’t about just being heard. It’s about measuring the weight and value of the words to begin with.

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The New Subjective Reality of Transgenderism

Is reality subjective or objective?

A new hermeneutic of reality is arising: converting objective physical reality into subjective reality.

The rapid rise of the transgender movement and the denunciation of physical reality inherent in that movement has stunned countless conservatives and especially evangelical Christians. Transgender ideologues are not interested in prioritizing one aspect of physical reality over another. Instead, they want to subvert objective reality to a new subjective reality defined by the individual and the movement.

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He’s Mine

“…‘After me will come one more powerful than I, the thongs of whose sandals I am not worthy to stoop down and untie. I baptize you with water, but he will baptize you with the Holy Spirit’” (Mark 1:7-8, NIV 1984).

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Virtual Doctoring, Virtual Church, Virtual Life

When this pandemic started, I, at least, had heard of Zoom. My husband Don, also a family physician, had no clue. We’re both in our 60s and feel simultaneously confused and outdated whenever a new form of technology emerges. Picture a donkey leaning back on the rope held by someone trying to drag it forward. You get the idea.

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A Salt and Light Revolution

In some ways we are living out the famous words of Charles Dickens: “It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair.”

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Being Refined After the Fire

I love the opportunity to write for CMDA on a regular basis. I always sit down at the computer and words flow out of my heart and out of whatever I am experiencing at that point in time. It has been a new experience to struggle so much with my blog entry this month. I have written four or five entries—and every single one of them is depressing and discouraging, and also very similar to the one I wrote on my last assigned blog date. I keep trying, and I keep coming up pretty empty. It’s only after attempt number four or five that it occurred to me to think about the emptiness itself.

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A Word About…Our Times

CMDA offers its members and friends some great opportunities for educational travel, and I’ve been privileged to be in Greece and retrace the footsteps of Paul and his missionary journeys. On our trip, I vividly remember standing atop Mars Hill, reading aloud Paul’s address to those Stoic philosophers.

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Never Too Late to Learn

Last month, one of my Side By Side sisters, Christon Sawatsky, pushed me out of my comfort zone. Christon asked me to post a statement for Side By Side surrounding racism and the death of George Floyd. I am not proud of my initial response to her. Frankly, I was just not sure what to say. I am thankful, however, for her insistence I write the statement. To begin, Christon urged me to examine my own life by looking in my heart for the presence of racism. She had already done this and had been doing research to more fully educate herself. Christon was gentle but insistent with me, pointing out she did not believe that I, a white woman, understood the real truth about the plight of my black sisters. She also said she had heard that Side By Side was not a welcoming place for our black sisters. I did not know why this was the case, and I truly believed it was not true. I never imagined it because I thought I welcomed and loved everyone. Didn’t everyone else?

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In Jesus’ Name

“But Peter said, ‘I have no silver and gold, but what I do have I give to you. In the name of Jesus Christ of Nazareth, rise up and walk!’” (Acts 3:6, ESV).

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The Possible

“I can do everything through him who gives me strength” (Philippians 4:13, NIV 1984).

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Persevering in the Perilous

“Watch ye, stand fast in the faith, quit you like men, be strong” (1 Corinthians 16:13, KJV).

For most of us on the planet, life has been turned upside down over the last few months. An event that no one (or possibly very few) living today personally remember has taken the world by storm, and many are struggling to adjust to a new way of life. Society appears to be fragmenting, not just across the country but around the globe. Just before all these things began, I moved to Kenya to start a dental clinic in a rural mission hospital. This is something that has been on my heart for many years. I have been here a few months tackling Swahili, and now I am working to acquire materials and doing administrative groundwork for the clinic. There are many days when I feel like I’m running an uphill marathon.

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On the Side: July 2020

The teacher asked to meet with me after school. She told me that the fourth grade would be taking a field trip, but the bus was not accessible. Would I mind driving my son Benjamin and his wheelchair behind the bus? I was heartbroken that his experience would look different than his peers. I was angry that he would miss out on the fun of the bus ride. I was sad I couldn’t fix the injustice of life with cerebral palsy.

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HHS Addresses “Transgender Mandate” in New Rule…but Supreme Court Redefines “Sex Discrimination”

The U.S. Department of Health and Human Services (HHS) announced on June 12 that it had “finalized a rule under Section 1557 of the Affordable Care Act (ACA) that maintains vigorous enforcement of federal civil rights laws on the basis of race, color, national origin, disability, age, and sex, and restores the rule of law by revising certain provisions that go beyond the plain meaning of the law as enacted by Congress.”

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His Fault

Certainly, the cause of self-inflicted harm is God’s business and the business of the one who harms himself. And we have no business judging the one who causes that harm.

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Breathing Prayer

I know it’s not a new concept, but it was new to me and may be new to you as well. It’s a way to get your mind to sit still and focus on the Word of God and hear His voice. You pick a short verse or verse portion and repeat it by saying the first half as you breathe in and finishing it as you breathe out.

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Medical Conscience Rights, Part II: Sexual Minority Conflicts

Conscience rights are constitutional priorities as well as professional and personal necessities for free people, and these enjoy strong and historic support from the legislature, executive branch and judiciary. They are worth defending, especially when misrepresented and misunderstood.

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Conversations of The Inner-man

I recently spent time with a dying man, a wonderful Christian man who was wrestling with end-of-life issues. As a pastor for a long time, I will tell you, this is not the first conversation I’d ever had with an individual facing a terminal illness who seemed perplexed by decisions he never had to think about before.

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Father’s Day

“I will be a Father to you, and you will be my sons and daughters, says the Lord Almighty” (2 Corinthians 6:18, NIV 1984).

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Stand in the Gap: A Summons to Healthcare Professionals

OK. The ad is hypothetical, I’ll admit. But only a little. A just-released report on human sexuality issued a clarion call for Christian apologists to step up and counter the increasingly toxic cultural narrative on human sexuality. That narrative—or perhaps narratives, since some are severely at odds—has led to increasing radicalism and polarization, leaving a tide of refugees in its wake.

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The Song

“To them God has chosen to make known among the Gentiles the glorious riches of this mystery, which is Christ in you, the hope of glory” (Colossians 1:27, NIV 1984).

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Heroes, Wistfulness, Roles and Faithfulness

The viral attack hit especially in the major metropolitan epicenters, and many doctors, nurses, respiratory therapists and other healthcare professionals stayed at work in the trenches, came out of retirement or traveled long distances to volunteer their services to aid those in distress.

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Seed Sprouting

His name was classically Hispanic, and he spoke only a few words of English. He came to be with his daughter as his cancer progressed. We could not speak the words of Christ to him, but we did show him the love of Christ. His daughter is a believer. The day he died, my daughter, his oncology nurse, went to comfort his daughter while awaiting the police. She heard the story of this man’s last days. He had not been a follower of Christ, but three weeks before he died, he saw a vision of Christ, fell on his knees and committed his life to our Lord. He then said, “I am ready to be with Jesus.” On his last day, as his son-in-law was praying with him, he slipped into the arms of the Savior.

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On the Side: June 2020

“Mom, Tatonka is the only chick who wants to be held,” my eldest observes. Yes, the smallest of our chicks is often perched on a shoulder, held in a hand or hiding under someone’s knee as they sit crisscross apple sauce. The chick knows my kids are safe and, of course, she wants to feel safe.

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Responding to Anti-Christian Animus Revealed in the Pandemic

In New York City, pronouncements against the volunteer work of the Christian relief group Samaritan’s Purse revealed venomous anti-Christian attitudes. Because Samaritan’s Purse, led by Franklin Graham, the son of the late evangelist Billy Graham, adheres to a biblical view of marriage, some New Yorkers would have had the group kicked out of the city rather than allowed to help save lives.

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A Son’s Devotion

I was visiting a large church in a state other than my own after fellowshipping with other Christian healthcare professionals. The pastor preached a wonderful message and then opened things up, asking folks to go to one of two microphones and tell the church for what they thanked God or for what they praised God. Many men and women and children voiced beautiful words of thanksgiving and praise, covering family and health and salvation and God’s work in their lives. Then one young boy of 12 or so stepped to the microphone and shared, ” I thank God my mother died, for otherwise I would never have known Him.”

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Do You Actually Have A Soul?

As healthcare professionals, we know our patients have brains, we know they have hearts. We know these exist because we can see them and study them. They are physical, they are material. But is there a part of us that is immaterial, or is this just a lie we’ve bought into? If so, how can we possibly know it?

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Thinking of Ultimate Things

After 10 weeks of avoiding people, I realize how much I miss them. People, that is. I always thought I disliked crowds, but now I find myself missing crowds also. People bring me pleasure. People are precious.

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Purpose in the Pain

He died today after a short bout with cancer. I stopped by to share my sorrow with the family. They were gathered in the den, actually fairly cheerful, sharing stories of their dad and husband, glad to be together as a normally scattered family. The wife said, “You know, we have been talking about whether it would be better to die suddenly, being hit by a bus, than the way he died.” One daughter piped in, “I’ll take the bus.” “But really,” the wife continued, “We had time to be together, time we would not have shared, scattered around like we are. We did things that were important.”

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The Polarizing Pandemic

We are living in a highly polarized society. Disagreeing opinions have very little overlap, making compromise difficult. People talk more than they hear, and they hear more than they listen. People rally and argue and protest, but they rarely build bridges across the divides. Political candidates represent the extreme ends of their party’s platform, and those in the middle are accused of being weak on issues. Opinions on social media are strongly worded and leave no room for useful discussion. Family members have broken fellowship over the Trump v. Clinton election. Friendships are strained over differing definitions of social distancing. The world we live in is broken, and people are afraid. Fear, in fact, is the most insidious form of brokenness. It penetrates the very marrow of our character and changes our motivations. The values and ideals we hold dear are corrupted by fear such that we no longer act based on what we believe, but rather out of avoidance of what we fear.

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Faith in Times of Uncertainty

COVID-19 has upended our routines, but the spirit-filled life remains as accessible as ever. I am, by God’s grace, optimistic. Ask the people who know me best, and they’d all agree I tend to find the sunniest take on nearly everything, sometimes to the point of annoyance.

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Kole

I received an email this week from one I had not communicated with in 24 years. He asked me to call him and I did. His name is Kole Akinboboye, and 24 years ago he was a family medicine resident training at our mission hospital in Eku, Nigeria. I reviewed my diary of those mission years and discovered the very last entry: “I misdiagnosed a man with minimal symptoms and a rigid, non-tender belly. He went into shock the next day and in surgery was found to have infarcted his entire small bowel. There was no way he could live. When the patient awoke from his anesthesia, Dr. Akinboboye sat with him and told him about Christ. Before he died, the man accepted Jesus as his Savior.” This young doctor I had trained so long ago is now practicing in Nigeria in his own hospital and sharing Christ through his ministry.

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Immunizing Conscience

Ethical considerations should have a priority place in science and medicine. Promoting sound bioethics promotes confidence in doctors and scientists and their work, among peers, the public and policymakers. This is certainly seen in the recent ethically-guided decisions around federal funding of research with fetal tissue from elective abortions. Ethical guardrails help focus precious research funds on projects with best chance of success and benefit for all. Even in a crisis such as the current COVID-19 pandemic, illumination of the ethical vs. unethical proposals can educate and serve to focus attention and resources on the paths that will benefit all.

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Mary/Martha/Mission/Me

“There are different kinds of gifts, but the same Spirit. There are different kinds of service, but the same Lord. There are different kinds of working, but the same God works all of them in all men” (1 Corinthians 12:4-6, NIV 1984).

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Downcast: Do Real Christians Get Depressed?

Since the time of Job, people have struggled with depression. Depression isolates, as it causes sufferers to withdraw from others. Unfortunately, the stigma surrounding depression often reinforces the isolation. Not only do others stigmatize those who are depressed, but depressed individuals often believe these misunderstandings about themselves and experience shame. This shame arises from ignorance and misunderstanding about the nature of depression.

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A Touch of Compassion

Emergency appointments are a big part of our duties and schedules at Christ Community Health Center where I work in Memphis, Tennessee. We have a walk-in day once a week at four out of our five clinics, and we also take several walk-ins on other days at each of our clinics. So, transitioning to only emergencies did not feel too weird, it just made our schedules lighter. During this pandemic, I’m thankful we as dentists can provide much-needed emergency services to treat pain, keep people out of the emergency room or give someone a quick-fix to hold them off until they can have more work done.

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A Foolish Hope

He called me on my cell and asked if he could come to see me today. My clinic was light due to the virus and he was welcomed. I’ve known him for a few years as a patient and as a brother in Christ. He had a few symptoms to discuss but mostly wanted to talk. After settling into the chair beside my desk, he placed his cap in his lap and asked how long he might live, given the status of his illness. “I’m not afraid of my own death,” he said. “But I want to be sure to spend my last days well. I have people I need to see. I want to give them hope.”

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Better than Good

We were all tired from the over-work, telehealth, glasses-foggy-from-breathing-through-masks, legitimate-fear and frantic-colleague life. I passed by my partner’s office, concerned for his emotional well-being. I knew he and his wife were having to alternate staying home with their kids because daycare was cancelled. He never showed his fatigue, but I was concerned.

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Medical Conscience Rights, Part 1

Per Alliance Defending Freedom: “Freedom of conscience means you are free to carry out your moral duty without fear of government coercion or punishment.”

Also, it need not be faith-based to count. Conscience is conscience, and these rights protect our atheist colleagues as they do us. Canadian philosopher Edward Tingley explains that conscience rights protect those who object to the norm of what even a majority thinks is right, and they apply when (1) a cogent claim can be made that (2) grave wrong is done. The claim of wrong needs only to be serious and defensible.

Conscience rights exist precisely to protect someone who disagrees with majority consensus. They specifically protect unpopular opinions. The objection needs only to be serious and defensible.

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The Lord is Risen Indeed

“Then their eyes were opened and they knew Him…‘Did not our hearts burn within us while He talked with us…and opened the Scriptures to us?’…‘The Lord is risen indeed…” (Luke 24:31-34, NKJV).

“The Lord is risen indeed.”

On Sunday morning, March 29, after two weeks of “15 Days to Slow the Spread,” I read the 24th chapter of Luke’s Gospel. It all fell into place. Life had changed so much. So much had disappeared—quick trips to the convenience store, meetings with dentists, friends dropping by and dinner out. Life had become both still and different. Busy-ness no longer drowned out worry. There were no distracting deadlines to offer escape from relational struggles. Reflecting back, for two weeks the quiet had given way to a still small voice and the still small voice had been wrongly identified as the insight of an uncluttered mind. Luke’s telling of the walk to Emmaus cleared up that confusion for me.

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A Good Samaritan

Our lead caregiver is Mohammed, a compassionate, wonderful Afghan man who has been serving the poor and sick in the most difficult areas of Afghanistan for more than 20 years. Mohammed is a devout Muslim.

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COVID-19 Ramblings and Reflections

The world is caught up in the COVID-19 pandemic. This virus has changed our lives, and it will continue to change the lives of people all over the world for years to come. Schools, churches, businesses, restaurants, sporting events and entire countries are closed or are placed under lockdown. Shelter-in-place, an old term, unknown to most, is now widely used, and it affects, by some estimates, more than half the country. At any hour of the day or night, one can find the most up-to-date tallies for morbidity and mortality in the U.S. and around the world. This led me to three observations.

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CPR in the Times of COVID-19

Cardiopulmonary resuscitation (CPR) is universally applied in cardiac standstill, unless a physician order is given to Do Not Resuscitate (DNR). CPR is the only procedure that can be performed without a physician order; a nurse cannot give aspirin, start an IV or feed a patient without an order. However, CPR is the automatic default when the heart stops. This universal application has created several ethical issues, and the current pandemic now has us questioning if CPR should be the automatic default.

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Why is Apologetics Important?

When somebody asks me why I am a Christian, I give them two reasons. Reason #1: Because I met Jesus and He radically changed my heart (my personal testimony).
Reason #2: Because there is excellent objective evidence that Christianity is true.

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A Healthy Fear

“The Lord is my light and my salvation—whom shall I fear? The Lord is the stronghold of my life—of whom shall I be afraid?” (Psalm 27:1-2, NIV 1984).

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Coronavirus Response Reveals Character of Governments

American novelist James Lane Allen wrote, “Adversity does not build character; it reveals it.” The response by the governments of countries around the world to the COVID-19 Coronavirus is revealing the fundamental character of those governments.

As the U.S., state and local governments and healthcare professionals labor tirelessly in compassionate and effective efforts to protect American citizens from the spreading COVID-19 Coronavirus, governments in certain countries instead are reportedly exposing persecuted religious groups to the threat.

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In the Midst of Uncertainty

It happened so quickly, it seems. One moment it was business as usual: reviewing lab cases, getting ready for boards, opening our practice doors for patients to arrive, joking with staff and colleagues throughout the day and planning to attend the next mission trip, church service, conference, wedding or other event. It feels as if we all became affected at the same time. In an instant those jokes were replaced by concern as dental boards were put on hold, our office closed to routine dental care, we became unemployed or we put some of our staff on unemployment to keep the practice afloat in the midst of uncertainty. Our plans got cancelled one by one, our normal way of life crumbled. It’s now challenging to find one broadcast, social media post, YouTube video, email or conversation that does not mention “virus,” “pandemic” or “COVID-19”.

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Anxious? Me, Too. How To Lean On God When Feelings Don’t Cooperate

I’ve been a family doctor in the same location for 30 years, so many of my patients have been with me a decade…or two…or three. Following people through their life stages has been a joy. We’ve grown older together. I’ve been acutely aware of this in the last two weeks as I’ve called patients to reschedule them. I’ve wanted to call them myself to make sure they don’t need anything, because I’d rather they avoid any medical facility for the next six months.

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Gentle Nudges

Are we aware of God’s Spirit when He nudges? He nudges us when He wants to act through us for His purposes. When I responded on this occasion, my sweet patient was able to open up his grief and connect it with his faith.

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A Guide in the Middle of COVID-19

My 21-year-old son attends university in Scotland. Scotland is a beautiful country filled with some of the loveliest people I have met in my travels. They are warm, friendly and willing to help a stranger, even if you can’t always understand what they are saying to you. Those thick Scottish brogues can be difficult! Just sayin’.

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The Moment

“Then I saw a new heaven and a new earth, for the first heaven and the first earth had passed away, and the sea was no more” (Revelation 21:1, ESV).

I sat in a chair and watched her daughters and granddaughters lying around her on a king-sized bed as my mom wavered between earth and heaven. They stroked her in love and sang verse after verse of solid Christian songs like “Amazing Grace” and “Precious Lord Take My Hand.” I sat in wonder at the moment and place, like we were on a bridge between this life of touchable-being and the untouchable eternity that now I could reach over and grab. There was not so much the presence of one reality and a wish for the other, but an absolute truth of both, not so much like we were telling Mom goodbye and watching her cross the bridge—but more like we were walking across it with her, kissing her on the other side and handing her off to Jesus.

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Ethics, Science and Ethical Science

Should ethical considerations have a place in science and medicine? Should ethics reviews be a standard part of science proposal reviews? Some scientists have said one reason they don’t consult ethicists or think about the ethical implications of their research is because ethicists usually say “no” to new technologies or because ethics is arbitrary. But what they are really avoiding is the necessity of setting rational limits on science, thinking they can thereby avoid any limits on their work. Limits that protect all human beings—even nascent human life—are neither arbitrary nor irrational. Such limits offer essential protections against abuses that could actually tarnish the image and standing of science, and limits also provide us opportunities to appreciate our shared humanity. These limits are not barriers but rather channels to move the scientific endeavor onto more productive ground. Science and ethics are not diametrically opposed approaches. In fact, in most cases the two walk hand in hand, enjoying each other’s company and benefitting from the shared journey.

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The Watchman

I had come to believe that praying for God to guide me in my witness and waiting on Him to tell me when to speak was God’s best path for Christian witness. I followed these principles intentionally with my friend, and he never heard the gospel from my lips.

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Storms

One of the worship songs this morning at church was “Peace Be Still” (featuring Lauren Daigle). I had never heard it before, but it stirred up various thoughts I’ve had and set them together like puzzle pieces. I have many times been like the disciples or Peter in the midst of “storms.” I’ve been dismayed that, from my perspective, Jesus could be asleep while something so crazy is happening in my life. I have also been in seasons where things are so great and then, all of a sudden, I realize I’m out on the water and freak out and let myself sink. Both times, Jesus has been with me, just like He was with them. Merciful Savior, asking me how I could doubt because He was there the entire time and is more powerful than any storm.

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Culture Clashes Require Courage

Barna research has reported that “Half of Christian pastors say they frequently (11%) or occasionally (39%) feel limited in their ability to speak out on moral and social issues because people will take offense. The other half of pastors say they only rarely (30%) or never (20%) feel limited in this way.”

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Blocking Our Prayers

When you cry out to God in prayer, do you invest your life in that prayer and put legs on your plea, or do your actions interfere with God’s answer to that prayer?

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Mental Health Advocacy for Gender Dysphoric Youth

British general practitioner Sally Howard wondered in The BMJ, “…the significant majority of children do resolve their gender ID in favour of their natal sex by adulthood. Where is the advocacy for the mental health needs of that majority?” Where, indeed.

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Emmaus Driveway

Now, I don’t know if this kind stranger was Jesus in a different form, or an angel, or just a man working in Jesus’ name, but Jesus was certainly present in Spirit on that driveway, lifting Jerry to his feet.

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The Importance of Definitions

Definitions are important for what they say—and for what they do not say. Consider the definition of human trafficking. “Trafficking in persons” (TIP) is defined by the U.S. Department of Defense as “the use of force, fraud, or coercion to compel persons to provide labor or services or commercial sex. TIP involves exploitation of all types. TIP can include elements of recruiting, harboring, transporting, providing, or obtaining a person for the purpose of exploitation.” The U.S. Department of State declares, “Human trafficking deprives millions worldwide of their dignity and freedom. It undermines national security, distorts markets, and enriches transnational criminals and terrorists, and is an affront to our universal values. At-risk populations can face deceitful recruitment practices by those bent on exploiting them for labor or commercial sex….” Interestingly, there is no mention of exchanging human beings for money as a definition of human trafficking, yet it seems that buying and selling humans would qualify as “human trafficking.”

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Letting Go

“Then Jethro rejoiced for all the good which the LORD had done for Israel, whom He had delivered out of the hand of the Egyptians…And so it was, on the next day, that Moses sat to judge the people; and the people stood before Moses from morning until evening…So Moses’ father-in-law said to him, ‘The thing that you do is not good. Both you and these people…will surely wear yourselves out. For this thing is too much for you; you are not able to perform it by yourself’” (Exodus 18:9-18, NKJV).

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Pursuing Joy

Most of us seek joy and peace in our lives. Many of us seek Jesus so that we might find these sometimes-illusive treasures. Sometimes we might even make Jesus a means to an end, using Him for the good He can bring to our lives: good such as eternal life, peace, joy, delivery from troubles, etc. Certainly, Jesus is the way to such treasures.

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Physician-Assisted Suicide and Euthanasia

On October 27, 1997, Oregon became the first state to legalize physician-assisted suicide. Many Americans were shocked and dismayed at this development. Over time, more and more people have accepted physician-assisted suicide, and it continues to gain momentum.

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