1987 issue 3 - the frustration of fallibility - counsel of chalcedon

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  • 8/12/2019 1987 Issue 3 - The Frustration of Fallibility - Counsel of Chalcedon

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    shown.you n part, we even use the gift

    of

    logical thinking to try to do away

    with the One who gave it to us, gave it

    so that we may know him and love

    him. But He is so loving that He sent

    Jesus Christ, His own eternal Son as an

    atoning sacrifice

    for

    sinners . When we

    see Christ's death,

    we

    see

    just

    how

    hateful our rebellion is in the sight of

    God. God wants you to repent, turn

    away from pretended autonomy. Satan

    has; deceived you and you've been

    following his

    lie

    with pleasure.

    God

    demands that you look upon his Son,

    trust in him, and be baptized. Whoever

    believes in Jesus Christ will never

    perish, but live eternally

    in

    God's favor

    and presence. could tell you more, but

    I'm afraid your milk will get wann."

    "TilE MILK

    I forgot all about it You

    know,

    no

    .one has ever told

    me

    about

    the Christian faith in this way.

    I -

    think

    I'mbeginning to see that I've

    been

    very

    wrong in my thinking, in my attitude,

    in my, uh, in

    my

    heart, I guess."

    The

    rustration o allibi}ity

    by Hilton P. Terrell, M.D., Ph.D.

    ....Ye shall be as gods. knowing

    tween befng the patient's adviser, edu-

    goo nd

    evil,

    the serpent promised cator and assistant and being his w a r ~

    Eve. Mankind wanted godhood and be- . den. "Am I

    my

    brother's keeper?'' Cain

    lieved Satan's half-truth. As eternal exis asked God. Cain's question was wrong

    tence without the power to have eternal because it was a devious answer to God .

    health is no blessing, so is knowledge Had Abel carelessly or deliberatelY' ,

    of

    good and evil without the power to injured or killed himself despite Cain 's

    enforce the good. Pretenders to God's advice to

    the

    contrary, Cain's question

    throne must have all the divine quali- would indeed have been a defense. We

    ties in fuli measure. One of God's attri. . physicians are responsible to .help the .

    butes is infallibility. Anyone who helpless within our means but we lack

    wants to be God will be pressed toward the power to

    be

    ultimately .accountable

    this unattainable goal and will realize for the illnesses or deaths

    of

    others un-

    only frustration. Medical practice today less we deliberately harm them or

    reveals frustration arising

    from

    a

    p r e ~

    commit grossly ignorant or careless

    tense

    of

    infallibility. acts. s helpers, we represent a facet of..

    Our . nation has progressively dis- God's nature. There is .a difference,

    owned God and legitimate human though, between being God'sreprt-:

    authorities whom He has appointed. sentative and being God Our pa

    Thus, we come under .increasing p r e s ~ tients want us tO be their keeper when.

    "And

    I

    can see that by the grace of God sure to manifest God's powers personal ' ever . heir .own autonomous acts have

    your epistemological self-consciousness . ly. Though we want His autonomy, we gotten them into difficulties. They of-

    has just been accelerated (Teehee).Why lack the ability and despise the responsi

    -'

    ten want .us to provide the godlike

    n G t c g r n e b a G k a f t e r y e U

    d e l i v e r i e s

    b i l i t y

    w h i e h

    g o e s w i t h n escape--

    p o w e r s

    t h e y

    l a c b v h i l e y e r s a f e g u ~ d i n g

    and we'll

    talk

    some more. from our dilemma is to artoint some their autonomy. Christian physicians :

    human institution with improper author- must learn to reject this contract.

    "Could we? That'd be great. I'll be back ity in order to displace responsibility .Though the medical profession is not

    in abOut a half-hour," from ourselves.

    But

    no sooner has an uniquely a recipient

    of

    this generation's

    "Terrific. See you then. And

    God

    bless

    you."

    Uh, God, God bless you, too, Rev."

    0

    entity been charged with authority thart rebellion against God's authority, the

    we rebel. We resent authority whether it physician does provide

    a

    personal focal

    is legitimate or not. Medicine is an in point onto which patients project their

    stitutional target for today's rebellion be- frustration with the results

    of

    their own

    cause of its legitimate and illegitimate autonomy . and fallibility, Focussing .

    authority. blame away ftom one's self is an an.:

    Physicians' actual authority cient practice.2 Ostensibly possessing

    over free patients is quite limit great knowledge and the power

    of

    life,

    ed nd is wholly derived from supposedly always available, physicians

    our patients' responsibility

    for

    are increasingly required to be error-free.

    themselves. Our duty is to encourage Both the public and physicians often be-

    patients' accountability to

    God

    as it have as though the profession's stan- .

    relates to health.

    We

    should

    not

    accept dards ought to be omniscience, omnipo-

    responsibility for the patient's self- tence and omnipresence. The power of

    governance nor can

    we

    properly be held the state is used by patients to.pressure

    by patients to possess God's powers on physicians toward divine infallibility.

    their behalf. There is a difference be- Decisions bearing on treatments near

    Dr. Hilton P. Terrell

    is

    a medical

    doctor

    In

    Florence, South Carolina

    and is editor of the Jouriud of

    Biblical Ethics

    in

    MediciM.

    the end

    of

    life, for example, were .once

    left to patients, their families, elders

    and physicians. This arrangement made

    for some errors ,even though these are

    The Counsel of Chalcedon, March, 1987 _,

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  • 8/12/2019 1987 Issue 3 - The Frustration of Fallibility - Counsel of Chalcedon

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    patient's

    autonomous

    sins, as

    we

    have ing their competent patients as objects not

    defensible

    as the

    absolute representa-

    the opportunity, we can expect poten- rather than as the architects of heir own tion of nature our patients take them

    tial retaliation w h e ~ e v e t il:ie C9nsequen- health.Patients bave l ~ a m e d to be i n a n ~ for.

    We

    must 'be careful lest we tacitly

    ces of u t o n < ~ m y aren't deflected

    by us.

    cial objects in one generation; physi- concur with our patiepts in this false

    What is the purpose of a humanist's cians are not being taught this same conception. "F;acts" in medicine

    have

    a

    god but to give out goodies

    c:in

    demand

    lesson and

    finding it painful. short half-life. There is a definite_ lace

    and humbly , take

    blame

    .when the In addiqon to an ,assured

    payment

    for medical subspecialization

    but

    too

    gQ9dies cause .

    trpuble?

    physicians must surrender other god- large a representation may

    reveal

    our

    TELL-IT-LIKE-IT lS like perquisites

    if

    the

    infallibility

    trap

    profession's anxieties about incomplete

    MEDICINE is to be escaped. We must alter our kn,owledge more than it believes our

    Physicians must correct patients' ex- notions of keeping

    up"

    with medicine. patients' ills. We need to examine our

    pectations that we

    can

    bear

    responsiL

    While

    we

    would not be so

    brazen

    as to personal motivation for

    entering

    sub-

    ,bUity for the consequences of original claim

    lcnowledge

    of

    all

    that is .

    in

    our specialized

    medicine.

    Frustration with

    sin or of their particular sin. We must medical

    field,

    we like to feel that we incomplete knowledge is a non-durable

    ieam to insert tJ1is correctionas a part keep abreast of all that could

    be

    im-

    motive for entering a subspecialty.

    of diagnosis Md treatment. We mustbe portant

    e

    u b ~ r i b e to modified Spec.ial talents, interests and opportun-

    wiUing

    to say such

    thbtgs

    as,. you are science for

    ourselves. itles

    are more enduring reasons.

    .anxious

    and

    depressed because

    you:

    (1) Consider. The

    s e l f ~ s e r v i n g

    promotion of medi

    are

    pursuing the p o s ~ e s s i o n of too that over two . million artiCles cine's potency also needs correction if

    . many things, i ) neglecting your wife. related to medicine are pub- we will escape tile shackles of n f a U i ~

    (3) holding a grudge against your co- lished anliually.5 If we assume bility. We cannot cure a conunon cold.

    workers,

    (4)

    d i ~ t i n g

    your

    ttJoughts

    that

    99%

    of

    these can .

    be

    ig

    The

    uSUal

    maximum

    life

    span

    of

    toward the calamitous,

    (5)

    shirking

    the

    nored because of redundancy, ir

    people

    . in

    developed nations

    is little

    :preaching of the Word, the sacraments, relevance to our raeld or d i s c e r n ~ differeQt from w h ~ t

    it

    is in

    third

    wcirld

    prayer and tl_le fellowship of

    the

    saints; ible inaccuracy, we still have a nations or in our own country three

    6)

    etc. full-time job masterin1 the re- generations ago.6 The increased ave

    These habits may

    have

    produced a mainder. If

    we

    could manage r ge life

    expectancy

    of

    developed

    .na-

    riest of crooked ind1ecules 'sorttewi:iere that task we wopld be ignoring tions would almost disappear if we

    inyour brain that has become tbe chem- our work and other priorities. counted

    all those

    people

    conceived

    but

    .ical expression in your flesb of your We should not cease learning in not allowed birth. Economic advance-

    disobedience. i : v . i n g y o u . . a n . a n t i d e p r e s

    d e s p a i r o v e t

    _:this- limitationc bu t- ..- -ment-of-a natien-eorrel-ates- at-least--as-

    sant chemical may , straighten out Ute should recognize that a life or well with

    i m p r o v ~ d

    life expectancy as

    crooked

    molecule.$

    but .unless we ad- learning will not establish

    our does

    medical care.7 Wide

    variations in

    dress the life.patterns

    we will

    only

    eri-

    . infallibility. ,

    medical practices

    arnpng

    developed

    na-

    .courage

    you to

    believe that

    the

    c o n s e ~

    -.IS SUBSPECIALTY MEDI

    tions

    do

    not

    result

    in

    life

    expectancies

    quences can all be chemically rtullifieq. CINE AN ANSWER?

    equally

    (l.ivergent8 .

    :Confess these sins and let us get Subspecialization in medicine re-

    New treatments

    carry new

    complica-

    a plan reconsu-uct your life according ceives pa1.1 . f its impetus from the tions and prices

    whi

  • 8/12/2019 1987 Issue 3 - The Frustration of Fallibility - Counsel of Chalcedon

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    afforded us a window into

    the

    spirit

    of

    man. Psychiatrists are llllowed

    t

    ex

    press opinions in

    court

    as to the

    s t t ~

    of

    an accused felon's mind when a crime

    was committed. Lacking even the

    buttress of a physical lesion on which

    to lean speculations, physicians thus

    intrude on authority given by God to

    the state.

    The

    state

    is

    thereby assisted

    in dodging its responsibility

    by

    such

    highly dOubtful advice. Christian

    physicians (and judges) should

    try

    t

    remove psychiatric testimony from

    special privilege of this kind. Courts

    must judge on physical evidence and the

    testimony of actual behavior in relation

    to

    the alleged crime. Interpretations that

    track back into the non-material part

    of

    man are not provable by our medical

    arts. The general condition of the heart

    of

    man is well described in scripture,9

    if

    the court wishes

    to

    know. A particular

    spirit is opaque

    to

    science and medical

    expertiselO and physicians should re

    frain

    from being paid spiritual Peeping

    Toms.

    We have mentioned only a few

    of

    the

    functional manifestations

    of i n f l l i b i l ~

    ity in medicine.

    We

    can help our pa

    tients and our profession

    if

    we work t

    restore a more limited role for medicine

    in these and other areas.

    References

    Bessinger, C.D., Jr., Humanito

    logy

    As

    a New Specialty

    (letter)

    NEfM

    Vol.

    314,

    No.

    4,

    Jan.

    1986,

    pp.

    249-50.

    2

    Scriptural examples include: Gen.

    3:12,13;

    16

    :1-16;

    Num.

    16:2,3,41;

    2 2 : 3 7 - ~ 4 : 1 1 ;

    John 5:

    16-18;

    Acts

    6:8-

    14,57-58.

    3 Weatherman Loses Suit,

    Florence

    Moming

    News,

    Vol. 64,

    No.

    42,

    Monday, April

    28, 1986,

    p. l-

    B

    4 Cohen, B.L. and

    Lee I.,

    A Catalog

    of Risks Hea/Jh Physics Vol. 36

    (June), 1979. pp.

    707-722.

    5

    Haynes, B R.

    et

    al., How

    to

    Keep

    Up with the Medical Literature:

    1.

    Why

    to

    Try to Keep Up and How

    t

    Get

    Started.

    Ann nt Med.

    1986;

    lOS:

    149-153.

    6 Yin P. and Shine M., Misinterpre

    tations of Increases

    in

    Life Expectancy

    in Gerontology Textbooks.

    The

    r

    ,

    halcedon

    Needs

    Teachers

    Positions open

    for all grade

    levels, 1987-88

    Applicants must

    be

    experienced,

    Reformed (holding to the system

    of doctrine taught in the

    Westminster Confession

    of

    Faith), committed

    to

    Christ

    and

    to

    Christian education, and

    flexible in terms of

    the

    courses

    and activities in which they are

    willing

    to

    participate.

    Gerontologist, Vol. 25(1), Feb.

    .1985,

    pp.

    78-82.

    --:Brody, J.A., Prospects for an

    Ageing Population.

    Nature.

    Vol.

    315,

    6

    June

    1985,

    pp.

    463466.

    -- Weatherby N.L., Nam, C.B. and

    Isaac, L.W., Development. Inequality,

    :Health Care, and Mortality a t the O lder

    Ages: A Cross-National Analysis.

    Demography Vol.

    20

    , No. 1, Feb.

    1983,

    pp

    2743. .

    7 Maloney, J.V., Jr.,

    he

    Limits

    of

    Medicine. Ann 'oj

    Surg

    Vol.

    194,

    No

    . 3, Sept.

    1981

    1

    pp.,

    250-251.

    8 Payer, L., Medicine in Three

    Countries: Germany.

    MD

    Vol. 30,

    No.2

    Feb.1986,

    pp.

    95-148.

    9

    Scriptural references (Romans

    1:21,22; 2:15,16;

    Jer.

    17:9,10)

    tor Cor.

    2 : 1 0 ~ 1 6

    This article is reprinted,

    by

    permis

    sion, from the

    Journal

    of Biblical

    Ethic

    in Medicine

    Volume I, Number

    I, January,

    1987.

    The Journal

    is

    pub

    lished four times a ear and is available

    for $16.00 for four issues. The address

    is 1050

    Clarendon Avenue, Florence,

    sc 29501.

    D

    Chalcedon Christian

    School

    P.O. Box 888022

    Dunwoody,

    GA

    30338

    . (404) 396-0960

    Robert T. Lester,

    Administrator

    Benefit package

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    r

    age

    salary for

    Christian Scltool teachers.

    Continuing the series

    of taped sermons on

    The

    Book

    of

    ebrews

    by

    Joseph C. Morecraft.

    m

    Models ofPersevering Faith V

    Models ofPersevering Faith

    V

    Models

    of

    Persevering Faith,

    VI

    (Hebrews

    11)

    The

    Race ofLife

    (Hebrews

    12)

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    . ~ - -

    he Counsel or Chalccdon, March, 1987