Friday, October 15, 2010

What should I do?

I wrote an article many years ago about people's attitude toward their minister. It explore the fine line of expectation that ministers must walk. I want to reproduce that article and then give some reflections and thoughts after.

If he is young, he lacks experience; if his hair is gray, he is too old.
If he has five or six children, he has too many; if he has none, he is setting a bad example.
If his wife sings in the choir, she is too forward; if she doesn't, she is not interested in her husband's work.
If he speaks from notes, his sermons are canned and dry; if he speaks extemporaneously, he is not deep.
If he spends too much time in study, he neglects his people; is he visits, he is a gadabout.
If he suggests improvements, he is a dictator; if he makes no suggestions, he is a figurehead.
If he uses too many illustrations, he neglects the Bible; if not enough, he is unclear.
If he condemns sin, he is cranky; if he doesn’t, he is a compromiser.
If he preaches over 30 minutes, he is windy; if less, he is lazy.
If he preaches the truth, he is offensive; if he does not, he is a hypocrite.
If he fails to please everybody, he is hurting the church; if he does try to please everybody, he has no convictions.
If he preaches the tithe, he is a money grubber; if he does not, he is failing to develop his people. If he receives a large salary, he is a mercenary; if a small salary, it proves he isn’t worth much.
If he is the only preacher, the people tire of just one man; if he invites guest preachers, he is shirking his responsibilities.
If he never takes a day off, he is a workaholic; if he plays golf or goes fishing, he is irresponsible.

Now some will say that I'm writing this out of sour grapes. The truth is I am not bitter or soured on the ministry in any way. I wrote this in August of 1997. It was republished soon after moving to Colorado. And now again in 2010.

This is a reflection on the ways that people will view their minister. It can't be helped. The minister cannot control peoples expectations, especially unspoken ones. There is no telling what people, no matter how loving they are, will think of a minister. Nor is there any way to control it. The minister is called of God not of men. Let me give you an example.

The Apostle Paul annoyed the heck out of people. He didn't leave anyone out; he was an equal opportunity annoyer. Gentiles, Jews, Romans, Greeks, slaves, freemen, faithful, hypocrites, mothers, father, friends, enemies, the list could go on. And he did this everywhere he went.

Like this one time he was walking through this one town, minding his own business, and this random soothsayer girl comes up behind his and starts shouting that Paul is "a servant of the most high God and he's here to tell you the way to be saved." She does this for several days. Finally Paul turns around and tells the spirit that is troubling her to "get out!" Well that isn't to irritating but apparently this girl was owned by some guys who were pimping her as a fortune teller and making quite a handsome profit.

Well these guys realized that their cash cow dried up and they were out of business. They grabbed Paul and his friend and hauled them before the hangin' judge saying "these guys have created an uproar in the the whole city." This stirred up a crowd. The mob decided to attack. So the magistrate beat Paul and Silas and threw them in jail. Problem solved, right, wrong. Paul sang all night long. Then God caused a miracle, the jail busted open and Paul was free. But he didn't leave. In fact, he stayed and brought the jailer, and a bunch other, to Christ and baptized them.

Well you'd probably think the story ends there, but you'd be wrong. Some officers came to release Paul, but he still wouldn't go. At that time a Roman citizen could not be publicly humiliated the way Paul had been. Paul could have let it go. But he didn't. He made the magistrate come and apologize in person. They judge begged Paul to leave the city. He didn't.

Something similar happened in the next town Paul visited. And when those people heard Paul was in another town near by, they sent a gang to that town to finish Paul off. This continued with Paul throughout his life.

Paul was the same before God called him into ministry as he was afterward. People constatnly misread, misinterpreted , and misunderstood Paul. He was this short, bald, red-faced, scruffy-looking little man who I've always pictured as looking and sounding just like Groundskeeper Willy.

Could Paul control people's expectations of him? Could he help them process their inner feelings and viewpoints of him? No. And neither can I do that.

People will think what they want to think. My job is to be who God made me to be; to follow Him no matter what obstacles may be in my way. My purpose is to make Him look good, not me. To obey His will, go where He leads, say what He would have me say.

If a minister's life points to anything but God amazing ability to work with anybody, it's wasted. Let the critics say what they will. Who are they really criticizing?

Monday, September 27, 2010

Resume

Here's my resume. Thanks for taking a look.
http://www.facebook.com/notes.php?id=508391046&notes_tab=app_2347471856

Thursday, April 29, 2010

To the Pain: Days 7, 8, 9

The last three days have been good, overall. I was on one pill daily of prednisone. My pain and inflammation have been minimal. The experiment seems to have worked and that's good. At least the first part of the experiment has been a success. The idea of taking down the swelling and inflammation in order to get a level start on the gout medicine was what sold me on taking the allopurinol in the first place.

I had heard the diagnosis before; gout. Immediately I didn't believe. My grandpa had gout. I saw him suffer, what seemed to me to be, a continuous attack of gout from the time I was small. My grandpa ate pork sausage, ham, hamhocks (whatever they are), and bacon every day of his life. He knew it was the pork that gave him gout. He said so and I believed him.

I believed it so well that when my doctor said that I had gout, my first reaction was disbelief. I don't eat pork like my grandpa ate pork. Therefore, how can I have gout? I don't eat rich foods. I don't drink alcohol. I don't have any of the usual suspects for gout in my diet. My conclusion was I don't have gout. And my solution was I'm not going to take the medicine for gout.

A series of doctors and PAs gave me alternating diagnoses; gout, osteoarthritis, carpal tunnel, tendinitis, gout. Along with the varied diagnoses came varied solutions; allopurinol, ibuprofen, ice, heat, lose weight, exercise, bah, blah, blah. Any wonder I was confused? The kicker was; they never did a lot of testing. All this was based largely on clinical diagnoses; you know, "doctor, it hurts when I do this" "so, don't do that anymore". OK so it's an old joke. But I'm telling you that's the way I was treated.

The latest doctor was no different. He listened very politely. Then said, "You have gout."

...It's not that I want to be disrespectful, but good grief. Have some imagination, already.

Then he did something different. He suggested an experiment: run though some predisone and then introduce the allopurinol. Then he spoke condescendingly to my wife. Which we'll cover in a separate blog. It is not a career ending move. But it is a fatal flaw in his care for me, his patient. I'm searching for yet another new doctor at my beloved HMO. I'm not searching because he didn't provide me with the answer I wanted. I'm searching because... I just don't like him.

So, the experiment goes on. And I'm looking forward to the next phase.

Monday, April 26, 2010

To the Pain: Day 4, 5, 6

So, hey, it's been a couple of days. I guess time flies when your not having constant pain. And that's a great thing for me. I have a sense that life is improving because of less pain. Every step doesn't cost me. Every keystroke doesn't make me hesitate. I like it!

It's even possible that this could be a new lease on life. For example, I went for a walk/ run with my son, Andrew, the other day. It was gorgeous outside and I felt terrific. He said, "let's go for a run." I said, "how about a walk." We compromised and off we went. We covered between 4 and 5 miles. And, actually other than being a little soar from not regularly exercising, I don't have the pain I normally would have after such an excursion.

So, things are good on the prednisone trail. No adverse side effects to speak of; at least none that I'm aware of. (Last night's waterworks not withstanding) And, the direct and desired effect of reducing the inflammation and tenderness in my joints is being achieved. As I said, I like it!

The regimen starts with a higher dose and tapers down for 9 days. This is day 6, so starting tomorrow, I will be taking 1 pill a day. I interested to see if the effects will be lasting. Presumably, this is a temporary fix for the purpose of giving the joints time to recuperate. But I don't think the prednisone has any effect on the uric acid crystals that cause the irritation in the joints.

If that's true, then the next step in this process is critical; namely introducing allopurinol. This is the medicine the doctor says will fix what's ailing me. It's a drug I'll have to take for the rest of my life. That in itself is an interesting proposition for me. But we'll save that for another time.

For now, what is Allopurinal and what does it do. For this we turn to that most reliable of sources, wikipedia:

Allopurinol is a drug used primarily to treat hyperuricemia (excess uric acid in blood plasma) and its complications, including chronic gout

Allopurinol is a structural isomer of hypoxanthine (a naturally occurring purine in the body) and is an enzyme inhibitor, inhibiting xanthine oxidase. [it] is responsible for the successive oxidation of hypoxanthine and xanthine resulting in the production of uric acid, the product of human purine metabolism. In addition to blocking uric acid production, [it] causes an increase in hypoxanthine and xanthine... Allopurinol therefore decreases both uric acid formation and purine synthesis.

Allopurinol does not alleviate acute attacks of gout, but is useful in chronic gout to prevent future attacks.

...allopurinol has two important disadvantages: its dosing is complex, and some patients will be hypersensitive to it. Therefore, use of this drug requires careful monitoring.

Side effects of allopurinol are rare, though significant when they occur. A small percentage of people develop a rash and must discontinue this drug. The most serious adverse effect is a hypersensitivity syndrome consisting of fever, skin rash, eosinophilia, hepatitis, worsened renal function and, in some cases, allopurinol hypersensitivity syndrome. Allopurinol is one of the drugs commonly known to cause Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TENS), two life-threatening dermatological conditions.

Allopurinol can cause severe pancytopenia. It can also cause breast enlargement in both males and females.

Allopurinol can lower blood pressure in mild hypertension.

Sounds fun... I guess I give it a whirl.

Thursday, April 22, 2010

To The Pain: Day 2

Well, that went pretty well. Most of the day yesterday I did not have pain in my hands and feet. That is something for me. I haven't been without pain for about 4 or 5 months. It felt great in fact. I walked without a limp and had my normal stride back.

The biggest difference I noticed was that I was able to, for the first time in a month, bend my backwards past 0°. It feels so good to ba able to use that finger after having it out of commission for so long. I had almost come to the conclusion that I would not have the full use of that finger for the rest of my life. I pictured Addison sitting on my lap examining my hands. Then gazing up at me and saying, "Granddad, why's your finger so crooked?"

Yesterday, I moved faster than I have in a while and thought it was near normal speed. Although I must admit that sitting in one position for any length of time is still not a good idea for me anyway. I was glad I could move.

So, as the day progressed, I felt better and better. The better I felt physically, the better I felt in every other way. By the time late afternoon rolled around, I felt GREAT! It was wonderful and I thought when I got home I might go for a walk and Oh, the dogs are there to greet me and aren't they nice dogs and look at the pretty flowers nad gee, I' should make about 10 phone calls, that won't take but about 30 seconds and ....

If I remember the list from yesterday, one of the side effects was euphoria. Yup, definitely euphoria. Yeah, I think I got that one, alright. Around 11:30 last night was when I started to wind down. I may have seen a butterfly net in O's hand at one point earlier in the evening, I'm not quite sure; It's all kind of a blur.

Me likey prednisone.

Wednesday, April 21, 2010

To the Pain

This is day one of a 9 day round of prednisone to treat the pain in my hands and feet. The diagnosis is gout. Even though I have none of the contributing factors to that call other than the pain and swelling. Although a clinical diagnosis seemingly is enough to prescribe this kind of treament, the "gold standard" is to aspirate the joint of the great toe (stick a needle in it and draw out fluid) and see if there's uric acid present. Well, that's not going to happen, I assure you. And for good reason: I'm deathly allergic to needles. I thought this would be a good way to journal the treatment and see what happens.

According to wikipedia (THE most reliable source known to mankind):
Prednisone
is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. It is used to treat certain inflammatory diseases... but has significant adverse effects. It is usually taken orally... Prednisone is a prodrug that is converted by the liver into prednisolone, which is the active drug and also a steroid...

Here is a list of the side effects:

Major

Minor

The idea is to reduce or eliminate the pain in my hands and feet. And then start the drug for gout, allopurinol. Which, over time controls the level of uric acid on the blood. In some ways I'm looking forward to this, but as far as the possible side effects; not so much.

I have had prednisone treatment before. Following both ear surgeries, I took it to reduce inflammation and promote healing. It worked with no adverse effects, at least that I'm aware of. So, hopefully this time will be the same.

If this gets rid of the pain, I'm all for it.

I'll keep you posted.

Monday, April 5, 2010

Well, Ping looks interesting. I'll try this for awhile and see how it feels.

Thursday, February 4, 2010

TV has always been an important part of my life. From the first black and white set that appeared in the family room of my boyhood home to the big Sony sitting in my family room now, I've watched a lot of TV. I know I may catch some flack for that admission alone. It doesn't change the facts. That's what has happened. It isn't meant to be a debating point on the evils of television. It just is.

Now that we have that out of the way, here's the thing. I consider myself to be somewhat of an expert on the subject of television. I have always watched a wide variety of programming. I enjoy many genres of shows: drama, comedy, mini-series, soap opera, talk show, new stuff, classics, variety, western, sci-fi, cops and robbers, game shows, spoof, documentary, and the list goes on. About the only thing I don't care for is some of the reality shows. I think they're too slow in there pacing.

Speaking of too slow of a pace, I'd better get on with it. As an expert, I'd like to think that I have a good sense for what works in a show and what doesn't. You can't beat a good story. Nothing tells a good story better than TV. Nothing tells a good TV story better than good writing. Nothing proves good writing better than good acting. Nothing can help good acting shine better than good production. Nothing can get the most out of good production better than good executive producing. I may have missed a few steps in that litany but I think you get the point.

Sadly, I've seen great stories ruined by bad writing, good writing wrecked by bad acting, etc; you get that point too. But none of these factors can spring forth wells of devastation like the axe of the TV executive.

You or I can recognize the good in a show, enjoy it, and even benefit from it. Shows that have great writing, brilliant acting, and amazing production seem to thrive for but a short time and then they are gone before their time. With few exceptions, this has been the pattern for as long as I can remember. Not so with the TV executive. He blithely goes through life considering his tastes to be representative of the vast majority of us who enjoy good TV programming. He could not be more wrong in his assumptions.

Time, and time again, his ham-handed meanderings into the world of quality television has proved disastrous. "Submitted for your approval" shows like "The Delphi Bureau", "Search (aka "Probe"", "The Adventures of Briscoe County Jr.", "The Greatest American Hero". (You can come up with your own list. And I wouldn't mind if you shared it.) Good writing, acting, and production: check, check, and check. Supportive fan base: check. Silly execs making bad decision: check.

Even some more recent shows have fallen prey to these carpetbaggers TVland (not a registered trademark). "Pushing Daisies", "Journeyman", and (and now, possibly) "Better Off Ted" have felt the edge of the dull(witted) sword of the TV henchman at their necks. It's enough to make you lose your TV dinner.

When it comes to good TV, I've seen 'em come and I've seen 'em go. I guess that's the one good thing about it; there's always next season. Wait. Isn't that the Cubbies motto?

Your feedback welcome.