Part 4 in a four part series.
 
            When caring for someone who is seriously ill, the caregiver often fails to care for herself.  I remember vividly the day my husband had some sort of attack that doctors were calling a stroke.  Meanwhile, I had a seriously abscessed tooth and an appointment for a root canal while he lay in the hospital.  I thought about canceling the appointment regardless the pain I was in, but his doctor looked at me and said, "Go take care of yourself so you can take care of him."  And that, indeed, is the bottom line.
            First I will give you the tips my friends have shared with me, and then we will talk about something else that many good Christian women wrestle with.
            1.  Schedule some time for yourself every day.  It may be devotional time with Bible study and prayer.  It may be exercise.  It may be journaling your feelings as you go through this process.  Whatever it is, make the time to do it.
            2.  Focus on the positives each day.  Don't dwell on the difficulties you encounter, or what life used to be like, or what retirement was supposed to be like.  Cherish each day and focus on creating sweet, new memories with your spouse.  Include your children and grandchildren whenever possible.
            3.  Plan an enjoyable outdoor activity for each day—a walk, a drive, sitting on the porch or in the yard, visiting a friend.  There is something emotionally healing about fresh air.
            4.  Take life slow and easy.  Do nothing in a rush.  Model the behavior that you have requested of the patient, and stay calm.
            5.  Take care of yourself physically—eating balanced meals on a schedule, drinking enough liquid every day, etc.  The last thing you need is to have your own health go downhill in a rush because you "don't feel like eating," or "don't have the time to eat," etc.
            6.  Above all, do not hesitate to ask for help from family, friends, and neighbors.  As members of the Lord's body, people should not just be mouthing, "Let me know if there is anything I can do," but actively looking for things to do for you.  If home and car maintenance are not your bailiwick, ask for help.  We are meant to serve one another and in this way you will not only aid the women in serving you, but the men too.  Trying to do it all will simply undo many of the things we have talked about as you become overtired and completely frustrated.  Making a martyr out of yourself is not the answer to anyone's problems, least of all the patient's.  ASK FOR HELP and don't be ashamed to do so.
           
            And now to that other issue.  Many women have problems taking on the role of caregiver, not because they do not wish to care for their very ill husbands, but because it requires them to, in their minds, usurp his authority as head of the house.  It is difficult for a woman who has been taught to be in subjection, honoring her husband as the leader of the home, to take over responsibilities and decision-making, especially when his weakened ability to think logically may have him trying to refuse the medical care he needs.  The doctor will look to the wife to decide upon the appropriate care and medication, and ultimately, when it might be time to seek care outside the home.  Let me see if I can help those women a little bit.
            I imagine everyone knows Bathsheba, but only in that sad instance of 2 Sam 11 and David's adultery and murder.  What we don't realize is that she seems to have become his favorite wife, bearing him at least four sons.  When David finally lay on his deathbed and his son Adonijah took over the throne against the plans of God and his father David, Nathan went to Bathsheba to tell her about it.  He obviously expected her to step in for her fatally ill husband.  With only a little persuasion she went to David and told him what was happening.  Nathan came in at the appropriate time and vouched for what she had told him.  That took care of the matter, then and there.  But what if Bathsheba had refused?  Let's face it, she had the most to gain because it was her son Solomon whom God wanted on the throne.  It probably looked self-serving of her at the least.  But David was so ill, he didn't even know what was going on; he certainly couldn't do anything about it himself.  Bathsheba looked to her husband's interests when he was no longer physically able.  (1 Kings 1)
            And then we have a very different example.  Abigail's extremely rich husband, Nabal, was "churlish and evil."  When David's men came to ask for some food—during a festival time when there was more than enough and after David's men had protected his workers and herds—he sent them away empty-handed with harsh, insulting words.  David was so angry he was ready to kill Nabal and everyone in his household.  Abigail went behind her husband's back and did what he refused to do, taking a generous amount of food to David and his army and their families, and giving him some wise and godly advice.  (1 Sam 25)
            Wait a minute!  How is that a good example?  This is how:  the man was drunk as a skunk.  He had no idea the danger he had put himself and his family and servants in.  Abigail may not have done what he wanted but she saved his life when he was too incapacitated to see the danger. 
            When your husband is no longer able to make decisions about the important things in your lives, he expects you to take over and do what is best for him.  She does him good and not evil all the days of his life, the Proverb writer says of the worthy wife (31:12).  My husband has told me certain things he wants me to do should he become unable to do or think on his own.  He expects me to carry out his wishes.  How is that usurping his authority?
            Talk to your husband now and find out what he wants.  Then when—if—the time comes, be a faithful wife, even if it means doing what his damaged mind no longer wants to be done.  You are not being a bad wife.  You are not being un-submissive.  You are, in fact, being the wife you ought to be, and there is no shame in that at all.
            I hope you have found these articles helpful.  My mother's ordeal is over.  Both she and Daddy have gone on to their rewards.  But my friend's trial continues, as it does for so many.  Today, join with me in a special prayer for those men and women as they fight fear, frustration, and grief to care for their loved ones in the best way they can.
 
Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.  (Isa 41:10).
 
Dene Ward

Part 3 of a four part series.
 
            As I have mentioned, and will keep on stressing, I am not a medical professional and will not attempt to give you any medical advice.  What I am sharing now has come straight from the caregivers, what worked for them and what did not.  You can look on the internet in several places and find other things to add here.  The things in this article come from their personal and practical experience.  I believe they might also be beneficial for visitors, or for those who offer care time while the caregiver is away running necessary errands.  These were shared by those who have been there and who want to help others with their hard-won wisdom and knowledge.
            1.  You must enter the Alzheimer's patient's world; do not expect him to understand or interact in your world any longer.  A basic tenet of education is "Start where the student is at."  The same is true of the Alzheimer's patient.  Don't try to make him do what he can no longer do.  If he wants to converse, then talk about the things he wants to talk about, but if he is no longer conversational, then you must do the talking and watch his reactions for signs of interest or lack thereof.  If he closes his eyes or turns his back, try another subject.
            2.  Address him by name ("Hello, Bob").  He may not reply but at least he knows he is not being ignored. 
            3.  Ask simple yes or no questions and give him choices whenever possible, but no more than two.  "Do you want ______ or ______ for supper?"  "Do you want to watch ________ or _________ on TV?"  Always be willing and able to live with whatever he chooses.
            4.  Don't say, "Do you remember__________?"  Instead, say, "I remember when we ______________," and allow him to say something, to nod or smile.
            5.  Find something to keep his hands busy.  Puzzles might be a good choice, but be aware that while you may have started with 1000 piece puzzles, you will gradually need to move to 500, 300, and even 100 piece puzzles as the illness progresses.  Pay attention to what is happening and his frustration level to know when to switch. 
            6.  On the occasion when something must be done (going to the doctor, getting dressed, taking a bath, taking medication), do not say, "Do you want to __________?"  Just say, "It's time to _________."  This avoids the problem of him answering your question with a "No," especially if it is something that simply must be done at a certain time.
            7.  Patiently answer the same question as many times as it takes, even if it is asked in rapid succession many times.  Use the same verbiage.  Control your frustration and answer it as if it is the first time he has asked.
            8.  Give simple three or four word instructions, helping him accomplish a task one step at a time.  Do not overburden him with too much information at once.  For instance, when he is dressing himself, you might need to tell which article of clothing to put on, one after the other and how to do it.  Another friend of mine had left her mother dressing herself for church and when she returned, found her with her slip on top of her dress.  Do not assume that the patient knows how to do anything the correct way anymore, but stand by and watch, ready to give one piece of information at a time, but only as needed.  For as long as possible, let them have their small victories.
            9.  Remember that you are the patient's anchor, especially when he begins following you around and seems nervous and clingy.  Be there for him and reassure him that you will not leave him.
            10.  And above all, remember that the patient is still a human being with feelings just like you.  They may not be able to verbalize and are limited in their abilities, but they will always remember who makes them feel good.
            The caregivers I have spoken to and I hope these things will help you as you travel a long, hard, and often lonely road.
 
And we urge you, brothers…encourage the fainthearted, help the weak, be patient with them all.  (1Thess 5:14).
 
Dene Ward

Part 2 of a four part series.

Originally, this was the only article I planned to write.  Watching my mother and hearing from my friend made me intensely aware of things I had never known before—things they had to deal with that I would have never imagined.  In a way, this might be the most important of the three articles, though I guarantee you that those two women would have thought otherwise in their attitudes of humility and service. 
            I am listing these things in no particular order, but as they have come to me, from my observation, research, and discussions with and suggestions from those involved.  I imagine the order of importance is different for each case.  It will be up to you to look for these things yourself and decide what is needed for the people you are trying to help.
            1.  Do not ask the caregiver how the spouse is doing when that spouse is standing right there, or on the phone when you know the spouse can overhear that side of the conversation.  You never know how much he will understand and how it might make him feel.
            2.  Don't give medical advice.  Any physician would never think of impinging upon another physician's role.  How much less should someone with no medical training, or much less, such as an LPN?  This got so often and so bad for my mother, that she finally had to say something like, "I believe I will do what the doctor says."  That might have sounded a bit rude, but she had been pressured so often that she felt harassed and judged.  Please don't put a godly and already stressed out person in that situation.
            3.  Don't say, "I know how you feel."  Knowing someone who has Alzheimer's or dementia and dealing with it 24/7 as the primary caregiver are two entirely different things with two entirely different stress levels.  Even helping on a minimal basis, like an overnight stay or afternoon substitute, is far from the same thing.  If you have not done it, you don't know.  Period.
            4.  Don't say, "You make everything look so easy."  You don't see the struggles, the extra length of time, the often frustrating explanations it took to get a spouse up and ready to go to the doctor or to worship services or any other place.  That statement minimizes the caregiver's efforts and her sometimes almost super-human patience.
            5.  If you live in the same neighborhood as a caregiver, please keep an eye out.  For example, my mother went to take a shower one evening and when she got out, two strange men were sitting in her living room.  Turned out they were vacuum cleaner salesmen rather than criminals up to no good whom my daddy had let in with no idea what was up except to be friendly, especially since they often received church visitors in the evenings.  How much better if a neighbor had told those men, "Please don't bother my next door neighbors.  The husband is very ill and the wife is caring for him and doesn't need the interruption.  They wouldn't be interested right now anyway."
            Also be aware that Alzheimer's patients tend to wander.  If you see your ill neighbor out walking the street, go out immediately and talk him into going back home.  Listen to him if he tells you where he is going or who he is looking for, and say whatever is necessary to get him to go with you.  My mother put an alarm on her door after the vacuum cleaner salesmen episode, but my daddy was a tinkerer who could figure out how anything worked, and one night as she was again taking a shower, he figured out that alarm and took off looking for "his wife."  She ended up having to call the police to get him back home.
            6.  Send cards or small gifts, and if possible deliver them in person.  Even the least expensive, tiniest things will brighten a caregiver's day.  Due to things like #5 above, a caregiver often has no chance for her own doctor appointments or errands like buying groceries or getting a haircut or car maintenance.  If the situation is manageable, consider offering to spend some time with the patient while the caregiver gets a few things done.  That is often preferable to you doing it for her because it gets her out of the house and in a calmer situation for an hour or so.  Talk to the caregiver about what is best in her situation.  This will change from day to day and as the disease progresses.
            7.  This may be one of the most important:  Do not judge the caregiver's choices.  No one should be telling her that she is not being a good wife if she has decided that she can no longer take care of her spouse at home and must use a Memory Care Facility.  You may not realize that the disease has reached a point where she is now in danger.  If that seriously ill mate no longer knows her and thinks a stranger has invaded his home, what might he do to her?  I know that doctors will begin asking questions about weapons in the house.  One caregiver I knew had to pack up all of her cooking knives.  Another had to give all the guns in the house to another family member.  But those are not the only weapons available when someone is frightened enough to think he needs one.
            At some point, the caregiver's own health will begin to suffer.  Most men are bigger than their wives.  How will she pick him up if he falls?  Many of these patients suffer REM disorder and sleep fitfully with dreams they try to act out.  The caregiver will often go several days without any real sleep, and this will go on for years.  Eventually reaching the point where she decides he would be best cared for 24/7 in a facility is most emphatically NOT a sign that she is a disloyal or unloving wife who has broken her vows "in sickness and in health, for better or for worse."  It is no one's decision but hers, and none of us has any right to question it.
            If you have a friend or family member in the same situation, I hope these few things that have come straight from other caregivers will help you out.  And as I mentioned in our introductory article, please feel free to share any others below.
 
Bear one another's burdens, and so fulfill the law of Christ. (Gal 6:2).
 
Dene Ward

Number 1 in a four part series.
 
Today begins a four part series on the difficulties of Alzheimer's and how to help those dealing with it, both patient and caregiver alike.  I believe these might also be helpful for those dealing with dementia patients as well. 
Please notice:  I will not be approaching these as a professional on any level, but simply as someone who has seen it up close and who also has friends dealing with it.  I will not be giving medical advice beyond what the doctors have told me and my family and friends.  This is strictly practical information from those who have dealt with it firsthand, information that I hope will be a true service in helping and encouraging others. I also hope it will help us all to avoid saying and doing something hurtful, even with the best intentions.
            My father developed dementia gradually over the last twelve years of his life.  It was hard to watch a highly intelligent and competent man become as dependent as a child, and especially to see him forget who his wife of sixty-four years was, even as she patiently waited on him day after day.  I have a close friend whose husband is now traveling down the road of Alzheimer's.  I see the disease taking more of him every time I read one of her letters, and watch as she bravely faces the unknown every day.  These two, and others I have known, are my inspirations, and the primary source of the things I will write in this series.
            Please, if you are facing, or have faced, similar challenges yourself and have more to add, feel free to comment on the bottom of every article so that others can learn from you as well. It is better to put it on the article than on the Facebook link because it will eventually reach more people, especially as others discover it in the future from an internet search. As many problems as it might cause, one real benefit of the internet is reaching more people.  Please help me do that. 
            Too many times I have stood frozen in my tracks, not knowing what to do and totally unable to think as something happened to someone close to my heart or simply standing nearby, and then wished for days afterward I had known how to act and what to do, mentally flailing myself for being so clueless.  Let's see if we can help one another avoid that. 
            This is merely an introductory article.  The remaining three articles will run the next three days.
 
We who are strong have an obligation to bear with the failings of the weak, and not to please ourselves.  (Rom 15:1).
 
Dene Ward

I have about given up trying to explain to people that your power point doesn't mean a thing if it isn't easily read.  As a visually impaired person, I can tell you exactly what can and can't be seen.  Too many times it seems that people want it to be "pretty" and whether it can be read or not is beside the point.  At the risk of sounding dumb may I ask, "Huh?"
            Color is the first thing.  It absolutely floors me that Bausch and Lomb, the company that makes products for visually impaired people, insists on printing coupons with the expiration date printed in white letters on a pastel background.  There is no better way to make the letters completely disappear, except to never put them on there in the first place.  There must be a stark contrast for us to see what's there, and color tends to make it worse.  Gray letters on white is another difficult combination.  I find myself thinking they really don't care about us after all, or maybe they just don't want us to use their coupons so they will make more money.  Neither option is good PR.
            Contrast is not always simple either.  Over and over I will see an ad on television with nice dark letters in the middle of the screen, but have to turn aside quickly or cover my eyes because the background is a blinding white.  Even when I can stand the white background, it still spills over onto the letters and nearly obliterates them.  Far better a black background with white letters so the background glare is minimal, as on this blog.  If you just can't make yourself use white on black, at least make the white background something besides pure, blinding white, like ivory or cream.  Unless you don't care whether people can actually read it or not.
            I was sitting in a doctor's office last week with my husband, not an eye doctor this time so it was not quite so ironic when I looked at the sign on the wall across from where we sat and couldn't read it.  Sometimes if I look long enough I can figure words out by their shape and the context.  (Another lesson, don't make the print as small as you think you can—err on the side of too large.)  As usual someone decided to get pretty.  The letters were a nice dark print on a muted white—until it reached the punchline, the part they really wanted you to see.  At that point, the words were printed pale aqua on white.  We had a bit of a wait, so I kept working at it and finally came up with this, based more on how the words were shaped because that is all I could really see of that "important" phrase:
            "Sleep apnea is causing your husband's hot baked potato."
            Okay, so obviously that was wrong.  There was no context at all that I could imagine which included potatoes with apnea.  So I kept working at it.  About fifteen minutes later, based upon my own knowledge of sleep apnea (Keith has it) and what it causes, I realized that "hot baked potato" was actually "high blood pressure."  About then, the neurologist finally arrived and I never did read the rest of the sign.  Good thing I didn't need to.
            I believe that some of us have similar problems with the Bible.  We are so certain that it's simple—it is—that we forget that it is also deep, that we can study the same parts for years and still discover new things.  You must work at it to get it all.  But for many it's just too much trouble.  "Why do we have to know all this stuff anyway?" which can also be taken as, "Why do I have to learn anything else about God?  I'm saved and that's all that counts."  Try that on your spouse sometime.  "Why do I need to know anything else about you?  We're married and that's all that counts."  I don't think so.
            Proverbs 10:23 is enlightening here.  Doing wickedness is like sport to a fool, and so is wisdom to a man of understanding.
            Did you catch that?  If you are wise, that is, if you are not a fool, you find pleasure in learning.  And learning about God and His Word should be the greatest pleasure you can imagine.  When we eagerly make time for anything else, even if it isn't wickedness, but neglect our Bible study, we are not exactly the sharpest pencil in the box ("wise").
            God made it as easy as He could—He did not print white letters on a pastel background.  It takes Divine effort to save so many copies of a manuscript for thousands of years and have it be obvious that it is indeed still correct and in some way miraculous, whether anyone else wants to believe that or not.  Now it's time for a little effort from us, a little sacrifice in time, a little deep thinking instead of just rattling off catch-phrases and thinking that makes me holy and righteous. 
            God didn't count on us trying to suss out the shape of the words; He made it plain to see.  If we won't do our part, it isn't just laziness, it's rejection of Him and His Word, and it shows a whole lot more about us than we seem to realize.  Please show Him that you do care about something besides this transient world and its carnal pleasures.  Show Him that you want to know more about Him and to develop a deep and lasting relationship with a Father who cares so much that you won't find a hot baked potato when what you really need is His Blessed Presence.
 
Hear the word of Jehovah, you children of Israel; for Jehovah has a controversy with the inhabitants of the land, because there is no truth, nor goodness, nor knowledge of God in the land…My people are destroyed for lack of knowledge: because you have rejected knowledge, I will also reject you…seeing you have forgotten the law of your God, I also will forget your children.  Hos 4:1,6
 
Dene Ward

Another checkup, another new disorder.  I did not realize there were so many things that could go wrong with an eyeball.  Remember freshman biology in high school?  The model of the eye sat up on its white plastic pedestal stand, and you could lift off the layers and see the various parts of the eye:  the cornea, the pupil, the iris, and the retina.  You might see the optic nerve running off from the back, and if you had a particularly diligent teacher you might hear the words sclera (eyeball skin) and vitreous humor (eyeball fluid), but that was it.  That is what we were all taught an eyeball was made up of.  Let me tell you, that is not even half of it!
              My knowledge has come a long way in the past 17 years, but once again I have learned something new, something else that can go wrong.  I won't trouble you with the four word disorder or describe it.  Here is the frightening thing:  within five years I could need a cornea transplant to save the eye.  HOWEVER, in all caps, italicized, and underlined, the so-called easy cure is not for me.  All these other problems I have make me a horrible candidate for that surgery—unless there is just no other choice.  And should that be the case, the complications may very well cost me the eye.
              My vision may now have a real, concrete time limit.  So what do I do in the meantime?  Of course I pray.  That is obvious.  I have already had one timely "coincidence" save my vision for a while longer.  God can certainly make that happen again.  But in the words of Shadrach, Meshach and Abednego, "Even if he doesn't…" how shall I prepare myself for the days of darkness ahead of me?
              Instead of making this a totally self-absorbed post, let's consider your days of darkness, too, because it does not have to be blindness we are talking about here.  What is troubling you?  What lies ahead in your life that either might come or definitely will come, all things being equal?  What should any of us do to prepare for those frightening times?
              Let us fill our minds with the good.  Are you reading his Word on a daily basis, not just a minimal chapter a day, but a good hour of real study time?  Are you spending time with brothers and sisters in worship, in study together, in encouragement and exhortation?  Have you ever taken advantage of the extra studies that take place during the week, both at the building and in homes?
              Do you follow the admonition of Paul?  Finally, brethren, whatsoever things are true, whatsoever things are honorable, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report; if there be any virtue, and if there be any praise, think on these things. The things which ye both learned and received and heard and saw in me, these things do: and the God of peace shall be with you. (Phil 4:8-9)
             Or do you spend more time on Facebook, surfing the web, playing video games, watching mindless or, worse, worldly entertainment, or any number of other time-wasters that are using up the precious time you have left?  How are you preparing for the moment when all you will have due to a disability or an illness or other circumstance is what you have stored in your heart?
              The days of darkness will come, sooner or later, for all of us.  What will see you through it?
 
For it is you who light my lamp; the LORD my God lightens my darkness. (Ps 18:28).
 
Dene Ward

On June 13, 2005, I was the Alpha patient, the first patient to receive a brand new type of intraocular lens that had not even been approved by the FDA.  I have several rare eye conditions and it was the only hope of saving my vision.

From my journal:
June 13, 2005, Monday—This is the big day.  “Terrified” pretty well says it all.  We began it with a prayer and that prayer continued on silently through the day for both of us. 

              We arrived early, expecting a wait, but they took me in early, after I signed some special consent forms upstairs.  Since the FDA had not approved this, “you will have to sign your life away,” the doctor told me, but what choice did I have?  I signed page after page, and then initialed some handwritten lines added up along the side of the form in the margin.  One of them said, “I understand that no one knows how this material will interact with human tissue.”  Then they sent me back downstairs to wait for pre-op. 

               We shared a long hug when they called my name.  Most folks were there for simple cataract surgery so I am sure that no one understood why we made such a big deal out of this, but it was possible that I would never see Keith out of that eye again, or the other one for much longer either.    
As usual with me, it took several tries to get an IV, along with a lot of pain and blood. 

               “You are a real challenge.”  First try, first bandage. 

            “Yep, you’re gonna be a REEEEAL challenge.”  Second try, second bandage.

              “Oh, I’m so sorry.”  Third try, third bandage.  “Let me go get the resident expert.”  She must have been, because she got it first try.

             They told me I would be in a “twilight sleep," that I would be able to respond but wouldn’t care and wouldn’t remember.  Famous last words.  I remember everything, including everything the doctor said as he worked.  Especially after they threw that sheet over my face.  The claustrophobia came in with a rush.  “You have oxygen, Mrs. Ward, you can breathe.”  Right.  Sure.  Someone must have accidentally turned it off. 

               Then the blue kaleidoscope show started, and at least I was no longer staring at what I knew must have been an inch thick, non-porous, air-tight wrap over my whole body.
 
             “We have full angle closure.”  Yikes.  Not good.  Maybe I should not have done so much research—I know too much.

              “Iris prolapse,” I heard next.  What?  This is what they said would abort the surgery, but Dr Osher kept going.

              “This is not small enough.  Give me another muscle hook.”  Now that’s not a pleasant thought. 

              “That’s too big.  Give me a smaller one.  No, not that one.  It’s still too big.  I want the (some number).” 

              Tug, tug. “I can’t get it.”  Tug, tug.  “Let me try the (some instrument).”  Tug, tug.  “Got it.”  Thank goodness, I was about ready to yank it out myself, whatever it was.

              “Now it’s time to make some decisions.”  Now?  What does he mean "now?"  Isn’t this a little late?

              “This is difficult.”  Amen.

              “Thank you, Lord.”  It was not the last time the doctor thanked God, nor me either.

              Assorted technical stuff and lots of video off, video on for the next two hours.

              “I’ve got Healon 5 (?) behind the lens.  (Flush, flush, flush).  This may be obsessive but I can’t leave it or she’ll have a capsular blockage.  I’m not going to use this on the other eye.  (Response:  Not at all?)  Can’t risk it.”

              “I’m putting in enough drops to float the Queen Mary.” 
After nearly three hours under that sheet, the light show stopped.

              I cannot see a thing with the right eye.  “Your eye will stay shut because of the anesthesia till sometime tonight.”  That explains that.  I did not even realize it was shut.

                My blood pressure is 170/98.  Terror will do that to you.
 
The things that go through your mind during a time like that always seem ridiculous when it's all over, but near-hysteria is another product of terror.  I think hearing everything he said, especially when he became agitated because things were not going well, made it worse.  He may have thought I was calm merely because I never uttered a sound until he asked a question, but I was just too petrified to move.
 
             Look through that again.  The thing he said that I remember best was, "Now it's time to make some decisions."  That came closest to making me lose it.  Isn't the middle of a first ever surgery a little late to be making decisions?  I learned later what he really meant.  This man was as ready for this surgery as he could be, staying late several evenings with a full surgical team to practice on pig eyes before he ever touched me.  He knew exactly what tools to use and the course of the procedure.  What he did not know, was how my 15 mm nanophthalmic eye would react when he placed the 50 diopter prismatic IOL inside it, and what he might have to do if something unexpected happened—like full angle closure or an iris prolapse.  He did not know how, or even if, I would be able to see afterward.  He very carefully explained that in clear, no-nonsense language the day before.  Yes, he was as ready as he could be.  There was nothing slapdash, hit-or-miss about it.  And due to all that preparation, he succeeded in saving my eyes for a while longer, accomplishing the same near-miraculous feat six months later with the left eye.

              How well do you plan for the major trials of your life?  That is exactly what each temptation is—just like a major and very dangerous surgery.  No, you cannot know exactly when it will happen.  No, you cannot know exactly how Satan will come at you.  But do you have a plan in place for defeating him?  Are you building a fortress around your soul with prayer, Bible study, and the fellowship of brothers and sisters who can help?  "If this temptation comes, this is what I will do," and then work on those very things.  Have you planned which passages to read, which hymns to sing, what words to pray, or who to call for encouragement?  Or are you going into major surgery with an unlicensed surgeon who flunked his anatomy test—are you counting on an unprepared you and only you?  I had a doctor who is considered one of the top five eye surgeons in the world and even he practiced!

              When the actual trial comes, it will hit you hard and fast and it will be far worse than you ever imagined it could be.  But how much worse will it be if you are not even a little prepared?  When you do not prepare to win, you have prepared yourself to fail.

              NOW is the time to make some decisions.  If you think you can just sit back and start operating and everything will be fine, you will lose your patient at the outset—and that patient is YOU!
 
For the grace of God has appeared, bringing salvation for all people, training us to renounce ungodliness and worldly passions, and to live self-controlled, upright, and godly lives in the present age, waiting for our blessed hope, the appearing of the glory of our great God and Savior Jesus Christ, who gave himself for us to redeem us from all lawlessness and to purify for himself a people for his own possession who are zealous for good works. (Titus 2:11-14).
 
Dene Ward

[This was written a few years ago after a serious surgery with even more serious complications.  Just so you have the proper context…]
 
              When I was little and listened to the sick list at church, no matter where we went, there was always someone who was “chronically ill.”   All that meant to me was they were never at church.  I couldn’t fathom an illness that never got any better, that gave you good days and bad days, that made you careful not to “overdo” because of the adverse effects that might have on you.  Now I understand, and wish I didn’t.

             I no longer have any social life--my doctor is my social life.  I see more of him than any of my brothers and sisters in the Lord.  I talk on the phone more to his office help than to church folks.  I spend more hours sitting in his examining chair than I do in a pew.  In fact, they ought to rent me a room there. 

              And I know this will take a toll on my spirituality.  It becomes more and more difficult to keep a good attitude.   While I certainly have more time to study, not having a current class to prepare to teach makes it less a priority and easy to put off, especially when reading is so difficult.  Helping others is nearly impossible, especially when you don’t even know what’s going on with the brethren any more.  So yes, my spirituality is suffering.  I struggle to keep it every day.  But the circumstances cannot be helped.

              What I do not understand is people who do this to themselves on purpose:  those who darken the meetinghouse door only enough to keep the elders and deacons off their backs, and leave while the last amen is still echoing down the hall; who never take advantage of the extra Bible studies held in homes, a safe place to ask questions without embarrassment and learn from those who have wisdom and experience in life; who avoid all the social gatherings of the church scheduled between the services, while regularly finding time to be with friends in the world, not to teach, but simply to socialize; who never have a Bible lesson prepared—that’s only for the children—who never attend a wedding or funeral so they can “weep with those who weep and rejoice with those who rejoice,” those who are healthy enough to jog, to play tennis, to hunt or fish, to go to ball games and sit in the hot sun for hours cheering, but simply do not want more than they consider the bare minimum to get by as a Christian. 

              Here is the problem with that:  there is no such thing as the bare minimum.  If Satan can get you to believe that lie, he has sabotaged any chance you have to make it to Heaven.  God expects us to give our all, no matter how much that may be; more for some, less for others, depending upon the circumstances of life.  It is difficult enough when the minimum IS your maximum, but doing that to yourself on purpose will only make you miserable in both lives, this one and the one to come.

              The early Christians understood that they were spiritual lifelines for each other; they would not let go for anyone or anything.  They spent time together, strengthening one another from the beginning, and because of that they were able to withstand horrors we can only imagine.  If you wait till the horror is upon you to reach out for that lifeline, it is probably too late.
 
And all that believed were together and had all things common…And day by day continuing steadfastly with one accord in the Temple, and breaking bread from house to house, they took their food with gladness and singleness of heart, praising God and having favor with all the people.  And the Lord added to them day by day those that were saved, Acts 2:44,46,47.
 
Dene Ward

My grandniece has Spinal Muscular Atrophy Type 1.  SMA1 is a disease that causes progressive loss of motor neurons, leading to muscle weakness and atrophy.  Type 1 usually shows in babies 6 months and under.  The infants will have difficulty moving, eating, breathing, and swallowing.  They will be unable to lift their heads on their own and unable to sit up on their own.  Most victims of this disease do not survive past age 2 due to respiratory failure.  Abigail has already survived the odds, having turned four this year, but her life is not an easy one.
 
             Abigail must often be rushed to the hospital.  Even a simple cold could be the end.  She recently gave us a fright as she was once again loaded into an ambulance and carted off first to an ER and then a PICU.  Abigail takes it all in stride, and today she is going to teach us a lesson we all need to hear. 

              My niece, Abigail's mother, recently posted the following on Facebook:

             "Abigail's full name is Abigail Andreia (on-DRAY-uh) Saltz.
          [Her father] was very partial to "Abigail," and I...was not. He always wanted purely Biblical names for our children and I told him we could use Abigail IF he could think of a middle name that had three syllables, accent on the second syllable. He stretched his Biblical names rule by choosing a Greek word for her middle name meaning "brave," because it seemed a fitting descriptor for the queen we were naming her after and an admirable quality to live up to.
              Wow. The things you don't know.
            I have told Abigail what her middle name means so many times now that she thinks her *actual name* is Abigail Andreia Brave Saltz. When she has to do something scary she says, 'Gimme a minute. I' takin' away da Andreia and da Saltz so all I have is da Brave. Brave means being still even when you're scared.'
             Today the IV techs marveled at how still she was while putting in her IV.
           And this is what people mean when they say their children teach them far more than they teach their children."

              Abigail has always been the happiest child I have ever known.  I always suspected she was brave—children who have physical difficulties often are because of the things they experience from early on.  Now I know exactly how she does it.  She "takes away" the names that might be in the way so she can make use of the name that counts--Brave.
 
             Can I ask you this morning, what names do you need to take away?  The only name that should count for you is Christian—a child of God, a disciple of Christ.  That name will give you strength when temptations arise.  It will give you peace and contentment when you don't understand.  It will give you courage and steadfastness when trials beset your soul. 

            And why is that?  Because through that name we have life (John 20:31), we have hope (Matt 12:21), we have justification (1 Cor 6:11), we have remission of sins (Acts 10:43) and salvation (Acts 4:12).  We also have absolutely no excuse for failure because the one who wore that name left the example for us to follow, and said it was possible to do so.

              Four year old Abigail knows the power of a name.  Remember the name you wear.  Take away all the others and use that one to be faithful to the end.
 
Let them praise your great and awesome name! Holy is he! (Ps 99:3).

Dene Ward
 

Keith got a reprieve yesterday—I woke up with laryngitis.  A deaf man and a woman barely able to utter a whisper do not make a compatible couple.  We struggled through the evening after he came home from work.  He would ask a question then walk away until I finally threw something at him to get his attention so he could read my lips as I answered.  We would sit at the table together and I would talk without first making eye contact—I had to throw something at him then too.  You get the picture.  Most of the time a pillow or napkin was within reach, otherwise we might have had a real mess to clean up.

            Our biggest problems in life are usually caused by speaking when we should have been quiet.  On the other hand, there are times we should speak that we do not, times we get a case of spiritual laryngitis.  The more I think about it, the more I realize that my only motivation for having kept quiet at those times was fear.

            We preach to our young people about peer pressure, encouraging them to speak up about friends doing wrong, about believing unpopular beliefs, or to simply stand up for those everyone else is picking on as if these were easy things to do.  Do we do any better when certain subjects arise among our own peers?  Is it so easy to risk losing a friend, losing a sale, losing status in the community, losing the good opinion of people we want to impress?  No, we don’t do any better most of the time.  We are just as afraid to speak out as our children are.

            The thing we need to convince our young people of—and ourselves—is that we are afraid of the wrong thing.  With knowledge comes responsibility. 

            If I see you about to do something I know will hurt you and do not say anything, I am guilty of hurting you as much as if I did that hurtful thing to you myself. If I say to the wicked,  'You shall surely die,'  and you give him no warning,  nor speak to warn the wicked from his wicked way, in order to save his life,  that wicked person shall die for his iniquity, but his blood I will require at your hand. Ezek 3:18.

            If I fail to tell others that I am a Christian, if, like Peter during Jesus’ trial, I am afraid of the consequences that might bring me, I have denied my Lord,  Every one therefore who shall confess me before men, him will I also confess before my Father who is in heaven. But whosoever shall deny me before men, him will I also deny before my Father who is in heaven, Matt 10:32,33.

            If I see a wrong and fail to speak out, I am nothing more than a coward.  I have become a friend of the unjust man rather than a champion of his victim, and will be included in his curse.  (Prov 29:24.)

            Truly, fear gives you spiritual laryngitis.  It totally disables you.  You become useless to the Lord.  That is the thing you should fear more than anything else. 
 
What I tell you in the darkness, speak it in the light; and what you hear in the ear, proclaim upon the house-tops. And be not afraid of those who kill the body, but are not able to kill the soul: but rather fear him who is able to destroy both soul and body in hell, Matt 10:27, 28.
 
Dene Ward