Advanced Directive Panic

AloneBlocksforWebThere is nothing like sitting through an explanation of Advanced Directives and then staring at the document itself in an attempt to complete it with the name or names of those who should be contacted should my life be suddenly and irrevocably put at risk to drive home the realities of both my own fragile mortality and my current single-hood and parental status.

Let me back up a bit and provide a little explanation of this little form for those of you who may not be familiar.

An Advanced Directive is a document that provides health care facilities guidance about whether you would wish to be provided life-sustaining procedures or artificial nutrition and hydration should you be faced with a terminal condition or “persistent vegetative state”.

Yep, it’s a cheery little topic, isn’t it? Well, we spent several days holding in person training and discussions about this form over the past week or so in my office. I am part of the administrative team that puts these things together for my office so I get to participate many times (aren’t I lucky?). It is a very important document and being that I work with a healthcare facility, it is something that our employees deal with every day. We are all too well aware of the importance of having an Advanced Directive in place when things for a patient are truly about as bad as they can be.

So why do I bring up such a delightful topic of conversation on what is otherwise most likely a beautiful Colorado summer day?

Well, here’s the thing. While I understand the need for this type of documentation, as a single person, it does a number on my heart and mind. When faced with this form as well as the idea of a will, I am suddenly keenly aware that it is just me. No kids, no spouse. Just me. Oh, sure, if I had things that were worth giving away in a will, I could find friends and relatives to give them to, but when it comes to life and death, to whom do I turn to make decisions that honor both who I am and where my faith is? It is a decision that is certainly not something to be taken lightly and one which has made me look closely at my life’s decisions.04-lonliness-passionate.jpg

As I’ve said a number of times before, I am, for the most part, a happy single person. I have done the marriage thing – twice – and failed miserably both times so this has been a clear choice for me for that past 10 years and I am glad of that choice.

Single-hood has many pluses. For example, as a single person, I am able to control a good deal of the stress that is in my life which is important for my mental, spiritual and physical health. I don’t have to worry about when I come and go, what I have for dinner, or worry about someone thinking it’s odd that I want to make my dog the center of my social world (ok, maybe this is a little odd, but I’m allowed an oddity or two, aren’t I?).

But as I sat in the Advanced Directive course, I suddenly realized just how alone that choice for single-hood has made me.

If I were to have a severe accident, who in my life would be able to make that life or death decision on my behalf? Sure, the Advanced Directive is supposed to alleviate the “in the moment” crisis, but someone has to sign as my medical power of attorney. Who knows me well enough to know what I would want or need? Now, I know that the immediate response is my family, right? I mean, my dad is still alive as is my stepmother, my sister and my brother. But the reality is that though they are a part of my life, they don’t really know me all that well. My parents have moved out-of-state as has my sister and even though we call and email occasionally, we all live – and always have lived – very different lives. My brother doesn’t live far from me but the relationship with him is very much the same. I don’t begrudge any of them the state of our relationships – they are what they are for reasons far too complex to try to delve into here – but it certainly gave me pause staring at that legal document. And all of this was driven that much further home for me during a recent sermon on Matthew 10:34-39.

You see, much of what is different between my family members and I is faith. While my parents and siblings would likely profess to being Christian, the idea of being involved in church, studying the Word, prayer, and other acts of faith are not only not on their radar, but have been causes for minor mockery to large arguments.

In a very real sense, I am the man whose foes are of his own household. In fact, as I was growing up, the stronger my faith, the worse my relationship with members of my family. Now I realize that I am not living in Biblical times. I do not rely on my family to provide a home, monetary stability and the ability to participate in social and civic events. I am not shunned for my single, childless state, but it is at times like this that the difference between those with a family and those without becomes a much starker contrast.

Here I am at 50 with no children of my own, no spouse, no close family members. This is difficult enough when it comes to financial matters but somewhat paralyzing when it comes to life and death matters.

The reality is nobody wants to die alone or know that the fate of their lives may be in the hands of someone who has not real connection to them. We want that Hollywood emergency room scene where the family comes running in to spend even a moment with a loved one who may not make it. But if you’re me, who is it that will come running?

I don’t doubt that God will be with me every step of the way and He will provide His angels for me, but the knowledge of His presence doesn’t ease the sense of loneliness when I struggle with a health condition or a waning bank account.

I don’t say these things to invoke pity or sympathy, but to remind both myself and all of you that these are the things that many in our congregation face. Many of us are spouseless, childless or have strained or nonexistent relationships with family. We are, for all intents and purposes, the widows and orphans Jesus speaks of and it is for us that churches are supposed to exist.

In church, widows and orphans are given a sense of community; we are able to find people who are caring, loving, and willing to take on burdens far beyond those that others would. But as a congregation we cannot do that if we do not make ourselves available. Standing in the common area before or after church doesn’t create that community. What does create community is trying to understand what burdens being single may cause or what trials strife amongst family members can create. Community is seeing the individual for who they are and where they are.

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Perhaps there are others around you that have chosen to be single or are isolated from their families. Reach out. Pray with them or for them. Offer to have that elderly gentleman seated all alone in the restaurant a seat at your family table. Sit with the one who found out that life has changed forever in the blink of an eye. Most of all, remember to be the arms of Christ to others. In the grand scheme of things, this is all we are really called to do – to love one another by showing one another God’s love.

Now….who wants to sign my advanced directive??? 😉

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