New Year's Day is a crossroad. It is a moment where you look back at the past or look forward to the future. It is easier to choose the path of the future if you are looking at an ugly past. The only rational thing to do is look at the future. Yet, sometimes the ugly past can haunt us and left us stranded in that place. Yet, a glorious past can also be unhelpful. We might tend to dwell to much on the good things that happened in the past and never leave that place. This will leave us again stranded if not keep going back in the past.
The road towards the future might seem to be the only road to choose. Perhaps, but looking forward too much in the road leads us to neglect the present path we are taking.
This New Year, the important thing is to keep on moving. The past may be ugly or glorious but we must keep on moving. The future may seem bright and so we must keep on moving not forgetting the present path we take.
As we stand in the crossroad of January 1, let us keep moving.
Happy New Year.
Monday, December 31, 2012
Tuesday, December 25, 2012
The Gift in Swaddling Clothes
This sermon was preached in the Christmas Day Service at Tuguegarao UMC, December 25, 2012. 8:30 AM.
Text: Luke 2:1-20
The Lord be with you.
I thank the Lord God for the
opportunity to bring to you the good news this Christmas. I always thank the
Lord the opportunity to bring the good news. As a doctor, I often bring bad
news to my patients. But today, let me share with you the good news of
Christmas.
The scripture reading we read
today is from the Gospel according to St. Luke and tells us the good news. I
usually tell the good news at the last part of my sermon, but today, the Gospel
of St. Luke tells the good news right now that the Savior is born. The angels
declared, “for unto you is born this day in the city of David a Saviour, who is
Christ the Lord.” The sign is that it is a baby wrapped in swaddling cloth
lying in a manger. That is the good news and it was told to the shepherds in
the field.
Why were the shepherds the first
one to be told about the messiah and not the priests of the temple or the king
of Rome? As a little boy, I always ask this question. Our school gardener told
me God came to tell the good news to those who needed it the most. That has
always been the character of God – tell the good news to those who need it. The
shepherds were Jews who were in the outskirts of Jerusalem, they were ordinary men
who belonged to the labor group, they were outcast because they violate Jewish
rules of not working during Sabbath, they were the subjects of the colony of
Rome. The shepherds are insignificant by the worlds standard. But they were the
ones who first heard the good news. God gave priority to these blue collar
workers because God gave preference to the humble, ordinary, poor and lowly. The shepherds were Jews who understood what a
messiah meant and so they went hurriedly to see the gift of God to them. The
gift is a baby wrapped in swaddling clothes.
Every Christmas we receive gifts from our friends and family.
I always receive gifts since I was a little boy until now. I appreciate the
gifts big or small. I always say that it doesn’t matter what the gift is, it’s
the thought that counts. Kaya mga kapatid, sabihan mo yung katabi mo “asan na
regalo ko, it’s the thought that counts.” But in reality, the gift does matter
to us. Because we look at the gift wrap and think and guess if the present is
precious or not. It does matter to us if the gift is big or small. And it does
matter to us what exactly is the gift inside.
For example, every year we have a
Christmas part in the office, and gifts and door prizes are always given. This
year we receive an appliance- that is something big and something expensive –
wow, we will definitely be happy with this gift. When we opened the big gift –
it was a washing machine with spin dryer – great. But we still have a 1 year
old turbo washing machine in our house and we don’t need another one, in fact we
still have the old washing machine and it still works. Now, we have three
washing machines in the house and unless we open a laundry shop sometime soon. And
so we don’t really need the gift even if it was something big and expensive. If
I had received the microwave or the 21 inch TV then it would have been more
useful for us because we don’t have those yet. This is also true for the little
gifts that we receive every Christmas.
Another example of how it’s not
the thought that counts, it’s the gift that matters. I always receive, mugs,
and picture frames and clocks and wallets and towels from friends and relatives
and I am grateful and say to myself that it’s the thought that counts. But what
will I do with all the mugs? Will I use one mug for breakfast, another for
snacks, then another one for lunch and another mug for dinner? How about the clocks?
Every corner in our house has a clock? Late pa rin naman kami lagi. And the
wallets. As if I have a lot of money to need all the wallets. And if I do, I
will put them in the bank and not in the wallet. And so what do I do with all
these “useless” gifts that I receive. I give them also as gifts to some of my
friends. And I know you also do that. Kaya tanggap lang tayo ng tanggap ng mga
gifts because we say it’s the thought that counts when it fact the gift really
matters to us. The kind of gift we receive really matters to us.
And so we receive a gift from God
this Christmas. A baby wrapped in
swaddling clothes. The Greek word for swaddling cloth used in the Bible is
“sparganoo” and it means a strip of cloth used to wrap a baby to constrain it.
It is an ordinary piece of cloth and is unappealing. The gift we receive from God is wrapped in an
unappealing piece of cloth.
And as we often do, we look at
the outer side first and consider it. We often bias ourselves if the gift wrap
is pretty or not and we choose the one that looks nice. In one of our exchange
gifts among Pastor’s Kids, we had all the gifts in front and when your name is
called you get to choose the gift you want. Of course you want the best gift
and the only basis which one is the best is the size of the gift and the
wrapper that was used. That is what we often do, we don’t want an ordinary
looking wrapper for our gift, kaya nga nauso yung mga gift wrapping shoppes. And
then we are disappointed if the gift does not match the beauty of the wrapper. Because
again, the gift itself matters to us.
The gift should be something
important and useful for us. God gives us a gift this Christmas. A baby wrapped
in swaddling clothes. The gift is Jesus Christ. This is the good news told to
us. But the question for us my dear brothers and sisters, “does that gift
matter to us?” Do we need the good news we heard today? Will we receive the
good news with joy in our hearts? Will we receive the gift of God? Will we receive
the swaddling cloth or reject it because the swaddling cloth is not appealing
to us? Does Jesus still matter to us in this time? If we do receive the gift of
God, is the gift going to matter to us? Does the baby wrapped in swaddling
clothes going to matter to us?
We live in a highly technologically
advanced world where technology matters. We live in a world that having gadgets
like iPad, cellphones, netbooks are things that matter. We live in a world
where cars, houses, good jobs and career are the priorities that matter to us. And
so these are the gifts that we expect and hope to receive this Christmas. If
you don’t believe me, take a look at your prayers in the last days – what did
you pray for? We want to have a good career or a successful business. We pray
for a new car or a new house. We want to receive new gadgets or any material
things. We want to receive a gift from God and that is why we pray – but we
want the material things that the world dictates as important matters to us.
But God gives us a gift that
shows God’s great love to us by giving his only Son –a baby wrapped in
swaddling clothes. Do we not live in a world that tells us to be greedy and
accumulate great wealth? Do we not find ourselves cursing somebody that we hate?
Do we not find ourselves indifferent to the needs of strangers? Do we not live
in a world that doesn’t care for others? Do we not find ourselves committing
sin everyday to someone and to our God? Is God satisfied to the kind of love we
show to our neighbours? Have we understood what it meant to love your enemies? Unless
we answered yes to all of these questions, we still need the gift of God. Unless
all of us here have done what are expected of us Christians, we still need the
baby wrapped in swaddling cloth. We still need Jesus Christ.
John Wesley reminded us that our
faith is not a onetime event when we received Christ as our Lord and Saviour. Our
faith is a journey towards Christian perfection. And as long as we live and
continue in that journey, the baby wrapped in swaddling cloth will continue to
matter and be of importance to us. And so my dear brothers and sisters, receive
the good news. Receive the gift of God this Christmas. Welcome the baby wrapped
in swaddling cloth.
Open your gifts and remove the
swaddling cloth that covers the most precious gift you will receive today. Marvel
and give glory to God for the baby Jesus is born today. It’s not just the
thought that counts. The gift we receive from God - the baby wrapped in
swaddling cloth still matters to us today.
In the name of the Father, of the Son and of the Holy
Spirit. Amen.
Monday, December 24, 2012
God became flesh and dwelt among us
A sermon preached in the Last Morning Watch (Simbang Gabi) in Tuguegarao Central United Methodist Church last December 24, 2012.
Text: John 1: 1-14
The Lord be with you.
Today is the
last day of our nine day Simbang Gabi. Who completed the 9-day morning watch?
May I ask you to stand and be recognized. Look
at their faces.. look at their eye bags. Let us give God our clap for
those who finished the 9 days morning watch.
The Gospel
reading is appropriate for this last day of waiting for the coming of God. Our
text tells us the message of Christmas – that God has arrived. The Gospel of John
tells us the Christmas story in a different way and it is direct to the point –
that God who loves the world so much that God choose to become human like us.
John is a very
important Gospel because it tells about the divinity of Christ. It starts with
the words “In the beginning.” Does that sound familiar? It is the words of
Genesis 1:1. The words “in the beginning” in the Bible means time eternal –
that the Word was there even before time.
And “The word” was
God. This was the God who spoke the words “let there be light” and there was
light. This God created the heaven and the earth and every living creatures
within it. This is the almighty, all powerful and all knowing God. That God is
also Word.
“And the Word
became flesh.” That is the story of Christmas. The almighty, all powerful and
all-knowing God became flesh; and the Word that became flesh is that baby born
Jesus Christ. The Eternal, almighty, all powerful and all knowing God became
human like us on that first Christmas Day.
My dear
brothers and sisters, we often forget that Jesus is God. This faith affirmation
distinguishes us from other Christian sects. We, like Roman Catholics,
Episcopalians, most Baptists, UCCPs and other mainstream denominations, we
believe in a God in three persons – in a Triune God. We believe in God the
Father, God the Son, God the Holy Spirit.
Jesus Christ is
God. This is the same God that created heaven and earth.
-
The same loving God that Moses and Abraham
worshipped.
-
The same merciful God that led Israel out of
Egypt.
-
The same powerful God that anointed David to be
King.
-
The same God that helped David defeat his
enemies.
-
The God that saved Daniel from the Lion’s den.
The God of the
Old Testament is the same God of the New Testament and he lives forever. Jesus
is God and he lives in eternity.
God became
human with real flesh and blood in the person of Jesus. Is that possible? That
is the power of God, nothing is impossible with God. God became flesh because
of love – because God loved the world so much. We should rejoice that God our
Lord and King came to our world.
God came into
our world and this is reason for us to rejoice. That is why we sing “Joy to the
world, the Lord is come.” “Tignan mo yung mga katabi mo, mukha ba silang masaya
o mukha ba silang inaantok?” We should happy that God came into our world. God
is here with us – Emmanuel. God is
always with us from the beginning of time.
God came to us
when Jesus was born. When Jesus went
back to the Father, God did not leave us. God remained with us because God is
with us through the Holy Spirit. God still continues to dwell among us. Yet
people celebrate Christmas every year like God never came to this world, it is
as if God never became flesh and real in this world
People live in
the dark like they never saw the light that is Jesus. The world lives like
Jesus was never born 2000 years ago. There are still chaos and hatred. Nations
are at war against nations, “wag na tayong lumayo.” Filipinos fighting against
each other, the gov’t against the Muslims. There are factions in our society
with the leftist and the rightist. Even within our church there are divisions,
I know of some churches where people worship one after the other because they
cannot worship together. Families are divided, not only those who are husband
and wives who are separated, but including parent and children or siblings who
fight each other because of misunderstanding, greed, pride or jealousy. And
even with these chaos, we see people who are hungry and begging for food, we
see kids in the streets deprived of their basic human rights to education and
shelter. We see sick people die of malnutrition, we see victims of flood and
disaster caused by man-made calamities. When we celebrate Christmas, we
Christians in general, and United Methodists in particular, celebrate as if we
never understood the message of Christmas – that God became flesh and dwelt
among us.
The Greek word
for dwelt among us is “ensaynoo en hemin” which literally means reside within
us. When John said that God became flesh and dwelt among us – he also meant
that God continues to become real and flesh in this world literally, right now
and right here. The word residence means you have to live in a certain place
for a certain time. As a PK (Pastor’s Kid), it was very difficult to establish
residence – kapag tinatanong ako kung taga saan ako, mahirap sagutin – because
every year our family moves to a new location. Even now, our family needs to
adjust to that question. We need to establish our residence, a place where we
stay for a long time to be able to establish our identity – kung sino kami. The
same is true for us Christians. God must be able to establish residence in our
hearts.
We must allow God
to live in us for a long time to establish our identity that we are God’s
people. This is what John Wesley emphasized to all of us that God’s prevenient
grace demands a human response. It means God can only live within ourselves –
if we do not kick him out, if only we let God live within our hearts.
The Christmas
message is that God became flesh to bring light to this world. This Christmas,
let us remember that the God that brings light to this world becomes flesh and
becomes a reality in this dark world if we allow God to shine in our hearts. God
becomes flesh and real to this world if we allow ourselves to be used by God –
to be instruments of God.
-
God becomes flesh and real to this world with
every helping hand that we extend to a friend who needs help.
-
God becomes flesh and real with every
hospitality we show to strangers.
-
God becomes flesh and real with every bread and
food that we share to those who are hungry.
-
God becomes flesh and real with every loving
embrace we extend to those abandoned.
-
God becomes flesh and real when we literally
visit the sick and those in prison.
-
God becomes flesh and real when we share what
little we have to the little children who have nothing.
-
God becomes flesh and real whenever we forgive
those who have caused us pain, to our officemates, to our friends, to our
family who hurt us.
-
God becomes flesh and real if we allow ourselves
to be the hands and feet of God in this broken world.
My dear
brothers and sisters, God became flesh and lived in us. That is the good news. God
lives inside each one of us. But we must show the good news to others by
showing it in our actions, thoughts and words that God really lives in our
lives. The God who became flesh is the true light to a dark world.
The morning sun
is a reminder that the Son, the Son of God brought light in this dark world to
give hope to all of us. Every morning as the sun rises, let this be a daily
reminder that the one true Light shines in our dark world. Later, we will light
the Christ candle as a reminder of the light that Christ brings and I implore
you dear brothers and sisters that if God became flesh and lives within you,
light the candle to show the Jesus shines through you and let that little light
shine brightly in this dark and broken world.
Let God become flesh and dwell
among us.
In the name of the Father, of the
Son and of the Holy Spirit. Amen.
Saturday, November 24, 2012
Midwives of God's Kingdom
Stewardship: Midwives of God’s Kingdom
A sermon preached in the Stewardship Sunday of the Tagalog Service at the Kamuning UMC last Nov. 18, 2012.
Text: Mark 13: 1-8
Ang Diyos ay sumainyo...
Noong una kong
binasa ang teksto natin ay naalala ko ang una kong pasyente na tinulungan kong
manganak. Ang tagal ng kanyang labor. Dumating siya ng gabi at halos 14 hours
siyang naglabor dahil kinabukasan na siya nanganak. Sa loob ng 14 hours nay un ay
sakit na sakit siya. Humihilab daw ang tyan nya at pumapalo hanggang sa likod. Sabi
ng residente ko ay ganun talaga ang nanganganak at kailangan ko lang siyang
alalayan at siguraduhin na hindi magkakaproblema habang nag-lalabor. Noong
manganganak na siya ay kinakabahan ako dahil first time ko at hindi ko alam ang
aking gagawin. Sabin g residente ko ay huwag ako matakot dahil lalabas at
lalabas din ang baby, kailangan ko lang alalayan ang nanay at hawakan ang ulo,
hilahin pababa at pataas para matulungan mailabas ng maayos ang bata. Paalala
ng residente ko sa akin, manganganak at manganganak din yan, kailangan ko lang
alalayan para may mabuti at maganda ang panganganak ng ina sa bata.
Ang teksto
ngayon ay hango sa Marcos 13:1-8. Ang Marcos ay kilalang libro kung saan
madalas ay nag-iiwan ito ng mga katanungang kailangan nating sagutin. Pakinggan
natin kung ano ang challenge sa atin ngayon sa pagcelebrate natin ng
Stewardship Sunday. Ngayong umagang ito ang ating teksto ay patungkol sa kwento
ni Hesus kasama ang mga disipolo at
papalabas sa templo. Noong isang linggo ay narinig natin na binabatikos ni
Hesus ang mga lider sa templo na lihis ang kanilang kalooban. Ngayon naman ay
napansin ng mga disipolo ang kagandahan ng templo at ang gara nito. Ngunit si
Hesus ay hindi na-impress sa panlabas na ganda nito at sinabi niyang masisira
din ito sa takdang panahon.
Tinanong ng mga disipolo kung ano
ang mga tanda kung kelan ito mangyayari. Nakakatakot ang sagot ni Hesus dahil
parang katapusan na ng mundo kung mangyayari ito. Eto ang sabi niya, mangyayari
eto kapag nakikita nangyaring:
o
Masisira ang mga matitibay na bagay tulad ng
templong gawa sa malalaking bato
o
Ang mga bayan ay mawawasak ng digmaan
o
Ang lupa ay guguho, magkakaroon ng kalamidad,
baha, bagyo, lindol
o
May tag gutom na mangyayari
Hindi ba parang ngayon lang yun? Hindi ba meron tayong
nakikitang ganito, tulad ng:
o
may digmaan sa mga bansa…
o
may gulo sa pagitan ng gobyerno at mga rebelde…
o
bagsak ang pandaigdigang ekonomiya… kaya mas
madaming naghihirap
o
madami ang walang trabaho…
o
madami ang namamatay sa gutom… dahil kulang na
sa pagkain
o
may pag-aaway sa mga kaibigan at sa pamilya
kahit sa loob ng simbahan…
Nagbabala si
Hesus, mag-ingat kayo, sa panahong ito ay madami ang magpapanggap na messiah. Sa
panahon na tayo ay nakakaranas ng problema, paghihirp, kasakitan, mas madali
tayong nabubulag sa hindi tama. Madali tayong maloloko dahil naghahanap tayo ng
mabilis na solusyon. Sa mga panahong tayo ay tuliro, may magpapanggap na
tutulong na ibalik ang dati at pipigilan at aalisin ang sakit at hirap na ating
dinaranas sa buhay. Ang mga huwad na messiah ay pipigilan nila ang labor pains.
Gusto nila na tulad lang ng dati, na walang kirot, walang problema, ok sana
yung walang problema pero ang ibig sabihin nun ay wala ding pagbabagong
magaganap o maaaring mas masama ang kalalabasan.
Maalala ko yung
kwento ng bata at ng paru-paro. Siguro narinig niyo na ang kwentong ito. May isang
batang pinapanood niya ang maliit na caterpillar na umikot at gumawa ng cocoon.
Habang naghahanda ang uod na lalabas sa cocoon para maging butterfly ay gumawa
ito ng maliit na butas. Ngunit para bang hirap ang uod na lumabas sa maliit na
butas. Naawa ang bata sa uod. Naisip ng bata na baka hindi maging butterfly ang
uod kaya gusto niya itong tulongan. Nilakihan ng bata ang butas ng cocoon para
makalabas ang uod. Ngunit hindi alam ng bata na ang maliit na butas, ang tila
hirap na dinaranas ng uod ay isang proseso lamang upang maging ganap ang kanyang
transpormasyon bilang isang paru-paro. Imbis na makatulong ay nakasira pa ito
dahil hindi natanggal ang mga sobrang tubig, hindi nahanda ang pakpak ng uod
para maging paru-paro. Minsan ang hirap na dinaranas natin ay kailangan upang
mas mapaganda ang kalalabasan ng isang bagay.
Kaya hindi kayo
magtataka (may mga OB ba ditto?) na ang painless or epidural ay may kasabay na
mataas na incidence ng Caesarian Section. Ayon sa mga pag-aaral, ang mga
nanganganak ng painless ay may mas mataas na risk na mauuwi sa Caesarian
Section. Hindi naman ito nakapagtataka dahil ang labor pains ay isa sa mga
mekanismo na kung saan ay bumababa ang bata hanggang siya ay mailuwal. Kaya ang
nanay na naka-painless ay nawawalan ng pagkakataon na makatulong na i-ire ang
bata para mas mapabilis at mapabuti ang panganganak niya.
Kung may
mabuting maidudulot pala ang labor pains dapat wag nating tularan ang mga
nagpapanggap na messiah. Huwag tayong maging tulad sa mga pekeng messiah na
susubukang pigilan ang hirap at sakit at ibalik ang dating nakasanayan na. Sabi
ni Hesus na mga peke sila, na para bang ang pagbabago at ang pagdating ng
kaharian ng Diyos ay isang bagay na puede nilang pigilan. Hindi puedeng pigilan
ang birthpangs na ito. Ang mga bagay na nangyayari dahil kasama ito sa planong
pagbabagong ihahatid ng diyos.
Ang matindi,
sabi ni Hesus, ang mga masasakit at malulungkot na pangyayari na parang birth
pains ay simula pa lamang. Sa orihinal na Greek version, ang ginamit na word ay
odin, na ang ibig sabihin ay ‘pang’ or pain or spasm. Ito yung klase ng sakit
kapag ikaw ay may dyspepsia, na parang pinipilipit ang tiyan mo. Pero ang mas
akmang sakit na ito ay tulad ng sakit ng panganganak. May tinatawag na Braxton
Hicks sa medisina, ito yung false labor before mangyari yung true labor pains. Parang
panganganak kasi masakit siya sa umpisa pero alam mo na may mabuting maidudulot
yun sa kinalaunan. Alam ng ina at ng anak na bagamat mahirap ang pagdaraanan
nila ay pagkatrapos nito ay matinding kaligayahan ang madarama nila. Kung ang
birthpains pala – kung ang mga paghihirap na dinaranas natin ay tanda lamang ng
simula ay hindi tayo dapat matakot dahil alam natin na may mabuting mangyayari
pagkatapos.
Ito ang
pangakong nagbibigay sa atin ng pag-asa, na sa likod ng kirot ng ay may
kasiyahan. Ito ang magandang balita mga kapatid, “Na kahit na tayo ay dumaranas ng paghihirap, kaguluhan sa ating mundo,
sa ating lipunan, sa ating pamilya at kahit sa ating iglesya alam natin na sa
kabila nito ay ang kagandahan at kaligayahang naghihintay dahil bahagi ito ng
plano ng Diyos upang tuluyang maganap ang paghahari niya sa atin at hindi na
ito mapipigilan.”
Ngunit hindi
ibig sabihin na sigurado na ang pagdating ng kaharian ng diyos ay wala na
tayong gagawin bilang mga kristiyano. Ito, mga kapatid, ang tanong na kailangan
nating sagutin. Alam natin na ang babaeng manganganak ay talagang manganganak
kahit anong mangyari. Ngunit mayroong mga doctor at midwife na puedeng tumulong
sa kanya upang mas maayos ang pagdating nga sanggol. Mga kapatid, hindi tayo
tulad ng pekeng messiah na pipigilan ang kirot ng panganganak, bagkus tayo ay
mga katiwala ng Diyos – mga midwife. Ang tanong sa atin, bilang isang katiwala
ng Diyos dito sa lupa, paano ka magiging isang mabuting midwife na
tutulung na magiging mas maayos ang
kapanganakan ng pagbabagong hatid ng kaharian ng diyos. Bilang katiwala ng
diyos, paano ka tutulong na maging ganap ang paghahari ng Panginoon sa mundong
ito?
Bilang katiwala
at midwife na tutulong sa birthing process: Ano ang gagawin mo bilang katiwala
upang makapagpahayag ng mabuting balita sa mga nagugutom? Sa mga may sakit? sa
mga makasalanan? Sa mga ligaw ang landas?
Bilang katiwala
ng Diyos, paano mo lalabanan ang kasamaan sa mundong ito? Mga kapatid, hindi
tayo ang messiah ngunit bilang katiwala ni Hesus at tanging sa pangalan niya ay
ano ang gagawin mo?
May
mga papel diyan na puede niyong sulatan at sagutan. Ito ay sa pagitan mo lamang
at ng iyong Diyos. Ano ang gagawin mo, ano ang ibibgay mo bilang isang midwife
at katiwala para sa kaganapan ng pagpapalawak ng kaharian ng Diyos. Sagutin ito
at ito ang pangako mo sa Diyos, at ihulog dito sa harapan mamaya habang umaawit ng himno.
Sa ngalan ng Ama, ng Anak, at ng Espirito Santo. Amen.
References:
-
Matthew Henry’s Commentary of the Whole Bible.
Mark 13:1-8.
-
Albert Barnes Notes on the Bible. Mark 13: 1-8.
- Early Epidural Doubles CS Risk after Induction. http://www.obgynnews.com/news/top-news/single-article/early-epidural-doubles-c-section-risk-after-induction/9f4bc64ad44766d61d23925541d43b01.html
- Radical Gratitude. http://www.nwumf.org/images/radical_gratitude/year_b/radical_
gratitude_nov1306.pdf
-
Lectionary Planning Help. http://www.gbod.org/site/c.nhLRJ2PMKsG/b.3879973/k.9C35/
Lectionary_Planning_Helps_for_Sundays.html
Friday, October 26, 2012
Breaking the Bad News
Last Thursday, I was tasked to present an interesting case during the monthly Tumor Boards of our hospital. Since this month was also the celebration of the World Hospice and Palliative Care Month, I decided to focus the discussion on how to properly disclose the diagnosis of cancer to our patients.
The case we presented was an actual case of a hospital employee who presented with a cough and was suspected to have lung metastasis and needed diagnostic workup to look for the primary cause. However, the patient had history of anxiety and the relatives are colluding not to disclose the diagnosis until the biopsy is certain. After two weeks, the biopsy was out and we were called in to disclose the diagnosis and the medical plan.
I discussed to the group the procedure we followed in disclosing to the patient and his family. I used the six step SPIKES procedure proposed by Baile, Buckman and Lintze. I explained the importance of preparing a good setting, knowing the patients perception, inviting ourselves and using the patients knowledge in explaining the disease, showing empathy and explaining the medical strategy in handling the condition.
It was overwhelming to receive enthusiastic response especially from the medical consultants from other specialty. Their enthusiasm felt like they found a new ally in battling cancer. We could never overemphasize the importance of giving good patient care especially to our cancer patients. And there is no better way to start showing our love and concern to our patient than in disclosing properly a bad news.
The case we presented was an actual case of a hospital employee who presented with a cough and was suspected to have lung metastasis and needed diagnostic workup to look for the primary cause. However, the patient had history of anxiety and the relatives are colluding not to disclose the diagnosis until the biopsy is certain. After two weeks, the biopsy was out and we were called in to disclose the diagnosis and the medical plan.
I discussed to the group the procedure we followed in disclosing to the patient and his family. I used the six step SPIKES procedure proposed by Baile, Buckman and Lintze. I explained the importance of preparing a good setting, knowing the patients perception, inviting ourselves and using the patients knowledge in explaining the disease, showing empathy and explaining the medical strategy in handling the condition.
It was overwhelming to receive enthusiastic response especially from the medical consultants from other specialty. Their enthusiasm felt like they found a new ally in battling cancer. We could never overemphasize the importance of giving good patient care especially to our cancer patients. And there is no better way to start showing our love and concern to our patient than in disclosing properly a bad news.
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