Back Infections and Heart Infections

My husband Ray knew something was wrong as soon as he got out of bed.

Ray receiving his PICC lineHis lower back, where he’d had back surgery six weeks before, was wet. His t-shirt was wet. The sheet was wet. His fingers glistening with a strange wetness from reaching back to investigate, he asked me to check what was going on. I saw a rivulet of fluid pouring out of the top of his surgical incision. Something was really, really wrong.

As I gently pressed the skin around the incision, pus kept flowing out. He had a serious infection under the incision. It had been hidden, but it literally rose to the surface of his body and forced its way out. His problem wasn’t that pus was being discharged from the inside to the outside—that was just the symptom, the manifestation of the true problem: a deep and serious infection.

He’d had the infection before he was forced to be aware of it. There were indications: fever, and just not feeling right.

The Lord is quite adept at using the physical to show us truths about the spiritual and emotional. I started seeing parallels between the two worlds.

The undealt-with, unhealed spiritual and emotional hurts in our souls don’t just sit there under the surface—our awareness—forever. It’s like emotional pus. Eventually it starts leaking out sideways: addictions, anger, isolation, rebellion, self-destruction. These are the presenting problems that drive people to seek help through recovery programs such as Re:generation and Celebrate Recovery, or counseling.

Just as a rivulet of pus wasn’t Ray’s true problem but merely a symptom, our heart issues are the true problem that Jesus wants to point to and say, “Let Me heal them. You can’t do it on your own.”

Ray’s infection was so large that he needed “wash out” surgery. He needed a skilled surgeon, in the sterile, controlled environment of the operating room, to open up his incision and clean out the infection. Before he even got to the OR, the doctor ordered IV antibiotics to attack and disarm the destructive power of the multiplying bacteria. By the time the surgeon got to the washing-out stage, Ray’s infection had been disarmed, turned into “clean gunk.” No bacteria was left, just the debris of the now-dead bacteria.

In the spiritual realm, it’s truth that functions like powerful antibiotics. Truth attacks the destructive power of lies and decision. There is still leftover debris of lies—bad thinking habits and bad behavior habits—but when the lies are disarmed, it’s a lot easier to replace the old habits with new, healthy, godly habits.

This was a serious infection. The day after surgery, they put in a PICC line that threaded a tube from his upper arm into a vein, ending just above his heart. This is a very effective way to infuse health-building antibiotics into his body, medicine that can’t be taken orally—it has to be pumped directly into his bloodstream. He gets five antibiotic infusions a day, which we can do at home instead of needing to be hospitalized or having to go a doctor’s office (which would be hard to do at 6 a.m. and 9 p.m.!).

The PICC line allows us to keep a constant level of antibiotic in his blood. He needs this constant flow to attack the infection over a long period of time. We also need a constant infusion of truth into our souls, into our minds, to counteract the destructive power of lies and deceptions and schemes. In fact, one study revealed the it takes a minimum of four infusions of truth weekly through time in the Word for spiritual growth and healthiness.

I like thinking about the infusion of truth through God’s Word as I connect the tubing to Ray’s PICC line catheter. God is so good to give us physical lessons to show us spiritual truths!

Ray sure couldn’t heal himself on his own. He pointed out that he had to surrender control over this entire “adventure” (to use my dad’s word to describe his cancer journey). There was absolutely nothing he could do to fix the spinal stenosis that squeezed nerves, causing shooting pains down the backs of his legs, and he couldn’t heal the infection that came later. He had to place himself in the hands of the surgeon both times. He had to place himself in the hands of the anesthesiologists to put him to sleep and wake him up. He had to place himself in the hands of the nurses to administer his pain meds and the IV antibiotics. He had to surrender control to those who knew how to help him.

At any point, he could have shut down the process—not having the surgery, or walking out of the hospital, or refusing the home infusions of IV antibiotics. He could have refused to wear the back brace after the spine surgery; he could have refused to submit to the BLT restrictions (no bending, lifting or twisting).

But that would have also shut down the healing.

When we have soul sickness—a heart infection, if you will—we need to entrust ourselves into the hands of people more educated in the healing process than we are. We need to surrender our false sense of control and invite others to lead us from sickness into health. And we need to not shut down the process by thinking we know better, or thinking we’re fixed or even just “good enough.” We need to not push back against restrictions suggested by those who know better than we do what it will take to help us climb of our pits to get to the place of spiritual and emotional health.

God provides help for physical challenges like infections, and through the “one anothers” of scripture He provides help for spiritual and emotional challenges as well. And He lets us connect the dots to learn transferable concepts from each.

 

This blog post originally appeared at
https://blogs.bible.org/engage/sue_bohlin/back_infections_and_heart_infections
on Sept. 4, 2019.


Loneliness

Kerby Anderson discusses the pervasiveness of loneliness in our culture, particularly within marriage.

The baby boom generation is headed for a crisis of loneliness. The reasons are simple: demographics and social isolation. More boomers are living alone than in previous generations, and those living with another person will still feel the nagging pangs of loneliness.

In previous centuries where extended families dominated the social landscape, a sizable proportion of adults living alone was unthinkable. And even in this century, adults living alone have usually been found near the beginning (singles) and end (widows) of adult life. But these periods of living alone are now longer due to lifestyle choices on the front end and advances in modern medicine on the back end. Baby boomers are postponing marriage and thus extending the number of years of being single. Moreover, their parents are (and presumably they will be) living longer, thereby increasing the number of years one adult will be living alone. Yet the increase in the number of adults living alone originates from more than just changes at the beginning and end of adult life. Increasing numbers of boomers are living most or all of their adult lives alone.

In the 1950s, about one in every ten households had only one person in them. These were primarily widows. But today, due to the three D’s of social statistics (death, divorce, and deferred marriage), about one in every four households is a single person household. And if current trends continue, sociologists predict that ratio will increase to one in every three households by the twenty-first century.

In the past, gender differences have been significant in determining the number of adults living alone. For example, young single households are more likely to be men, since women marry younger. On the other hand, old single households are more likely to be women, because women live longer than men. While these trends still hold true, the gender distinctions are blurring as boomers of both sexes reject the traditional attitudes towards marriage. Compared with their parents, boomers are marrying less, marrying later, and staying married for shorter periods of time.

Marriage Patterns

The most marriageable generation in history has not made the trip to the altar in the same percentage as their parents. In 1946, the parents of the baby boom set an all-time record of 2,291,000 marriages. This record was not broken during the late 1960s and early 1970s, when millions of boomers entered the marriage-prone years. Finally, in 1979, the record that had lasted 33 years was finally broken when the children of the baby boom made 2,317,000 marriages.

Instead of marrying, many boomers chose merely to “live together.” When this generation entered the traditional years of marriageability, the number of unmarried couples living together in the United States doubled in just ten years to well over a million. The sharpest change was among cohabiting couples under 25, who increased ninefold after 1970. Demographers estimate that there have been as many as one-and-a-half to two million cohabiting couples in the U.S. Yet even high figures underestimate the lifestyle changes of boomers. These figures merely represent the number of couples living together at any one time. Cohabitation is a fluid state, so the total number living together or living alone is in the millions.

Not only is this generation marrying less; they are also marrying later. Until the baby boom generation arrived on the scene, the median age of marriage remained stable. But since the mid-fifties, the median age of first marriage has been edging up. Now both “men and women are marrying a full eighteen months later than their counterparts a generation earlier.”

Another reason for a crisis in loneliness is marital stability. Not only is this generation marrying less and marrying later; they also stay married less than their parents. The baby boom generation has the highest divorce rate of any generation in history. But this is only part of the statistical picture. Not only do they divorce more often; they divorce earlier. When the divorce rate shot up in the sixties and seventies, the increase did not come from empty nesters finally filing for divorce after sending their children into the world.Instead, it came from young couples divorcing before they even had children. Demographer Tobert Michael of Stanford calculated that while men and women in their twenties comprised only about 20 percent of the population, they contributed 60 percent of the growth in the divorce rate in the sixties and early seventies.

Taken together, these statistics point to a coming crisis of loneliness for the boom generation. More and more middle-aged adults will find themselves living alone. Thomas Exter, writing in American Demographics, predicts that

The most dramatic growth in single-person households should occur among those aged 45 to 64, as baby boomers become middle-aged.

These households are expected to increase by 42 percent, and it appears the number of men living alone is growing faster than the number of women.

The crisis of loneliness will affect more than just the increasing number of baby boomers living alone. While the increase in adults living alone is staggering and unprecedented, these numbers are fractional compared with the number of baby boomers in relationships that leave them feeling very much alone.

The “C” word (as it was often called in the 80s) is a significant issue. Commitment is a foreign concept to most of the million-plus cohabiting couples. These fluid and highly mobile situations form more often out of convenience and demonstrate little of the commitment necessary to make a relationship work. These relationships are transitory and form and dissolve with alarming frequency. Anyone looking for intimacy and commitment will not find them in these relationships.

Commitment is also a problem in marriages. Spawned in the streams of sexual freedom and multiple lifestyle options, boomers may be less committed to making marriage work than previous generations. Marriages, which are supposed to be the source of stability and intimacy, often produce uncertainty and isolation.

Living-Together Loneliness

Psychologist and best-selling author Dan Kiley has coined the term “living-together loneliness,” or LTL, to describe this phenomenon. He has estimated that 10 to 20 million people (primarily women) suffer from “living together loneliness.”

LTL is an affliction of the individual, not the relationship, though that may be troubled too. Instead, Dan Kiley believes LTL has more to do with two issues: the changing roles of men and women and the crisis of expectations. In the last few decades, especially following the rise of the modern feminist movement, expectations that men have of women and that women have of men have been significantly altered. When these expectations do not match reality, disappointment (and eventually loneliness) sets in. Dan Kiley first noted this phenomenon among his female patients in 1970. He began to realize that loneliness comes in two varieties. The first is the loneliness felt by single, shy people who have no friends. The second is more elusive because it involves the person in a relationship who nevertheless feels isolated and very much alone.

According to Kiley, “There is nothing in any diagnostic or statistical manual about this. I found out about it by listening to people.” He has discovered that some men have similar feelings, but most tend to be women. The typical LTL sufferer is a woman between the ages of 33 and 46, married and living a comfortable life. She may have children. She blames her husband or live-in partner for her loneliness. Often he’s critical, demanding, uncommunicative. The typical LTL woman realizes she is becoming obsessed with her bitterness and is often in counseling for depression or anxiety. She is frequently isolated and feels some estrangement from other people, even close friends. Sometimes she will have a fantasy about her partner dying, believing that her loneliness will end if that man is out of her life.

To determine if a woman is a victim of LTL, Kiley employs a variation of an “uncoupled loneliness” scale devised by researchers at the University of California at Los Angeles. For example, an LTL woman would agree with the following propositions: (1) I can’t turn to him when I feel bad, (2) I feel left out of his life, (3) I feel isolated from him, even when he’s in the same room, (4) I am unhappy being shut off from him, (5) No one really knows me well.

Kiley also documents five identifiable stages of LTL which are likely to affect baby boom women. A typical LTL woman who marries at about age 22 will feel bewildered until she is 28. At that point, isolation sets in. At 34, she begins to feel agitated. This turns to depression between the ages of 43 and 50. After that, a woman faces absolute exhaustion.

Women may soon find that loneliness has become a part of their lives whether they are living alone or “in a relationship,” because loneliness is more a state of mind than it is a social situation. People who find themselves trapped in a relationship may be more lonely than a person living alone. The fundamental issue is whether they reach out and develop strong relationship bonds.

Male Loneliness

In recent years, social psychologists have expressed concern about the friendless male. Many studies have concluded that women have better relational skills which help them to be more successful at making and keeping friends. Women, for example, are more likely than men to express their emotions and display empathy and compassion in response to the emotions of others. Men, on the other hand, are frequently more isolated and competitive and therefore have fewer (if any) close friends.

Men, in fact, may not even be conscious of their loneliness and isolation. In his book The Hazards of Being Male: The Myth of Masculine Privilege, Herb Goldberg asked adult men if they had any close friends. Most of them seemed surprised by the question and usually responded, “No, why? Should I?”

David Smith lists in his book Men Without Friends the following six characteristics of men which prove to be barriers to friendship. First, men show an aversion to showing emotions. Expressing feelings is generally taboo for males. At a young age, boys receive the cultural message that they are to be strong and stoic. As men, they shun emotions. Such an aversion makes deep relationships difficult, thus men find it difficult to make and keep friendships.

Second, men seemingly have an inherent inability to fellowship. In fact, men find it hard to accept the fact that they need fellowship. If someone suggests lunch, it is often followed by the response, “Sure, what’s up?” Men may get together for business, sports, or recreation (hunting and fishing), but they rarely do so just to enjoy each other’s company. Centering a meeting around an activity is not bad, it is just that the conversation often never moves beyond work or sports to deeper levels.

Third, men have inadequate role models. The male macho image prevents strong friendships since a mask of aggressiveness and strength keeps men from knowing themselves and others. A fourth barrier is male competition. Men are inordinately competitive. Men feel they must excel in what they do. Yet this competitive spirit is frequently a barrier to friendship.

Fifth is an inability to ask for help. Men rarely ask for help because they perceive it as a sign of weakness. Others simply don’t want to burden their family or colleagues with their problems. In the end, male attempts at self-sufficiency rob them of fulfilling relationships.

A final barrier is incorrect priorities. Men often have a distorted order of priorities in which physical things are more important than relationships. Success and status is determined by material wealth rather than by the number of close friends.

Men tend to limit their friendships and thus their own identity. H. Norman Wright warns:

The more a man centers his identity in just one phase of his life—such as vocation, family, or career—the more vulnerable he is to threats against his identity and the more prone he is to experience a personal crisis. A man who has limited sources of identity is potentially the most fragile. Men need to broaden their basis for identity. They need to see themselves in several roles rather than just a teacher, just a salesman, just a handsome, strong male, just a husband.

Crowded Loneliness

Loneliness, it turns out, is not just a problem of the individual. Loneliness is endemic to our modern, urban society. In rural communities, although the farm houses are far apart, community is usually very strong. Yet in our urban and suburban communities today, people are physically very close to each other but emotionally very distant from each other. Close proximity does not translate into close community.

Dr. Roberta Hestenes at Eastern College has referred to this as “crowded loneliness.” She says:

Today we are seeing the breakdown of natural “community” network groups in neighborhoods like relatives, PTA, etc. At the same time, we have relationships with so many people. Twenty percent of the American population moves each year. If they think they are moving, they won’t put down roots. People don’t know how to reach out and touch people. This combination produces crowded loneliness.

Another reason for social isolation is the American desire for privacy. Though many boomers desire community and long for a greater intimacy with other members of their generation, they will choose privacy even if it means a nagging loneliness. Ralph Keyes, in his book We the Lonely People, says that above all else Americans value mobility, privacy, and convenience. These three values make developing a sense of community almost impossible. In his book A Nation of Strangers, Vance Packard argued that the mobility of American society contributed to social isolation and loneliness. He described five forms of uprooting that were creating greater distances between people.

First is the uprooting of people who move again and again. An old Carole King song asked the question, “Doesn’t anybody stay in one place any more?” At the time when Packard wrote the book, he estimated that the average American would move about 14 times in his lifetime. By contrast, he estimated that the average Japanese would move five times.

The second is the uprooting that occurs when communities undergo upheaval. The accelerated population growth during the baby boom along with urban renewal and flight to the suburbs have been disruptive to previously stable communities.

Third, there is the uprooting from housing changes within communities. The proliferation of multiple-dwelling units in urban areas crowd people together who frequently live side by side in anonymity.

Fourth is the increasing isolation due to work schedules. When continuous-operation plants and offices dominate an area’s economy, neighbors remain strangers.

And fifth, there is the accelerating fragmentation of the family. The steady rise in the number of broken families and the segmentation of the older population from the younger heightens social isolation. In a very real sense, a crisis in relationships precipitates a crisis in loneliness.

Taken together, these various aspects of loneliness paint a chilling picture of the 1990s. But they also present a strategic opportunity for the church. Loneliness will be on the increase in this decade, and Christians have an opportunity to minister to people cut off from normal, healthy relationships.

The local church should provide opportunities for outreach and fellowship in their communities. Individual Christians must reach out to lonely people and become their friends. And ultimately we must help a lost, lonely world realize that their best friend of all is Jesus Christ.

© 1993 Probe Ministries