Hopelessness in the ER
As many readers of this blog probably know, I am a full time practicing emergency physician, as well as a passionate Christian apologist. For years now, I’ve enjoyed reading the columns of emergency physician, Dr. Edwin Leap, in the monthly publication, Emergency Medicine News. As a result of my interest in his latest column, I’ve stumbled across his blog and a reproduction of that column, Hopelessness in the ER.
In the emergency department, we are continually taking care of patients who refuse to take care of themselves. They continue to abuse tobacco, alchohol, and illicit drugs despite multiple warnings about the ill effects of their behavior. Leap asks:
Why do they continue to do it? Why do they shoot up? Why does that young man with asthma keep smoking? Why does that young girl keep returning to her abusive boyfriend?
Why do they have multiple sexual partners, knowing as they do the risks of HIV? Why do they ride motorcycles without helmets? Why do they divorce, when science has clearly documented the negative effects of divorce, on both the adults and children of divorce?
Why do our patients cut, brand and pierce? Why do they attempt suicide, and often succeed?
Dr. Leap suggests that perhaps science and medicine do not have the answers to such questions.
What happens is the emergency department, where they come with broken hearts and maligned bodies, seeking physical answers to non-physical questions. The modern emergency department is a catalog of the failures of man to cope with humanity’s deeper questions.
They don’t come back over and over because we fail. They come back because they have nothing else to do, and because they idea of their own worth is so distant that any and all self-loathing, self-destruction, self-abuse is simply…something to do, with no ultimate meaning, either good or bad. But they still value themselves just enough to seek our assistance when the symptoms get bad enough.
That’s not a politically correct assessment. But it’s true. Humans are told, in schools and colleges, in movies and music, in books and magazines that the old forms of meaning they relied on are no longer valid. That earth is the end, that morality is quaint but pointless, that ethics are relative and heroes are failures. They are told that faith is irrational. And they do the math. There is no hope.
When there is no hope, why wouldn’t we abuse our bodies for brief pleasure? When there is no hope, drugs are as good as being drug free, infidelity is the same as fidelity, drunk the same as sober, risk the same as safety, death the same as health.
So the next time you ask yourself ‘why is he back again?’ ask yourself if he has any hope. And if you do that, without saying ‘whatever,’ without wishing him dead, without anger, you’ll take one step closer to being a physician who sees into the heart of humanity.
And maybe, knowing the disease, you can help suggest a cure.
I need to be reminded of this during every shift and pray that I can help with the cure.








