The Hippocratic Oath

      I have been preparing for an Ethics workshop, and one of the things I decided to discuss in that workshop is the historic underpinnings of ethical medical behavior. Hippocrates developed his ethical framework somewhere around 400 BC. A variant of this oath, derived from his original tenets, is taken by new physicians upon graduation from Medical School. It is a beautiful and moving thing to watch.

      The actual oath taken varies some from this basic template, and some schools and graduates craft their own versions to reflect current ethical concerns. So, while it is unlikely that graduates will recite this specific oath, they pledge themselves to the welfare of their patients and their community.

      I reprint the Hippocratic Oath here to remind my readers that physicians are pledged to a very high standard of patient care. They take their craft incredibly seriously- because it is. It is life and death for their patients.

      So, the next time you visit your doctor, remember that she/he is dedicated to your well-being. You may not always agree with them. You may even have had disagreements or conflicts with them- that happens. Remember they are human too, but they have pledged to put your well-being as a high value- one that costs them in many ways.

I swear to fulfill, to the best of my ability and judgment, this covenant:

I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and 

therapeutic nihilism

I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug.

I will not be ashamed to say “I know not”, nor will I fail to call in my colleagues when the skills of another are needed for a patient’s recovery.

I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life and save life wherever possible within reason; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.

I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.

I will prevent disease whenever I can, for prevention is preferable to cure.

I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.

If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling, and may I long experience the joy of healing those who seek my help.

Prayer: Lord we lift up those men and women who provide care for us, Amen

Well, When You Put It That Way…

So, if you’re serious about living this new resurrection life with Christ, act like it. Pursue the things over which Christ presides. Don’t shuffle along, eyes to the ground, absorbed with the things right in front of you. Look up, and be alert to what is going on around Christ—that’s where the action is. See things from his perspective                           Colossians 3:1-2 (The Message)

It is interesting how perspective can change our opinions. If we look at situations from a slightly different perspective, it can completely change our perception, and our attitudes. I recall some times in the past when I was watching football and I saw the replay of a potential touchdown. (It seems that every touchdown is now viewed no less that 17 times by officials, commentators, and the guys in the video truck- but I digress.)

On the replay, they showed several angles from different cameras. On at least 2 of the angles, the touchdown was not a touchdown. However, on one angle, it seemed clear that the ball had crossed the end zone line. All of a sudden, the certainty in the announcer’s analysis vanished. He had seen it from a different angle, and he changed his opinion.

I talk about that with clients at times. Some clients in relationships think that they are suffering because of the behavior of their partner- that their partner is being unreasonable. Then I might ask, what if you were to look at this from a different perspective- the spiritual perspective? What if you could decide to take the sacrificial role, and agree that what you are suffering is not fair or reasonable. You can choose to accept that, but not feel powerless about it. Now they would no longer be the victim of imposed unfair behavior, but they would have the option of choosing to accept the situation, and have the more noble goal of sacrificing for their relationship.

When we are in control of decisions, and do not feel that we are the victims of unfair behavior, we are much better able to accept uncomfortable things, and actually feel good about making the personal changes which can make the relationship better.

Please be assured that I am not talking here about abuse, and reckless offenses by one partner to be simply “accepted” by the other. I am talking about some everyday types of annoyances and concerns that may take on a role larger than it really needs to. You know, it’s a matter of perspective. Choosing to frame things differently can change everything.

It’s all a matter of how you decide to see it.

Prayer: Lord, you have given us the ability to decide how we want to react to our environment. Give us the wisdom to see things from your perspective, Amen.

Owning Our Biases

Yes, all have sinned; all fall short of God’s glorious ideal; yet now God declares us “not guilty” of offending him if we trust in Jesus Christ, who in his kindness freely takes away our sins.                                Romans 3:23-24 (Living Bible)

I am a member of a community leadership forum, and recently there was a question posed about ethical leadership principles. One of those principles was about owning our biases. This presupposes that we have an awareness of our biases. Then, we must be willing to take a look at those biases and determine to what extent that they may be affecting our decisions, our relationships with others, and how we run our organization.

My response to the forum was this analogy.  In 12 Step work, there is the 4th Step which calls for us to take a fearless and searching moral inventory of our character defects. Owning a bias is not a character defect. Denying that we have biases is.

 Taking a 4th Step inventory is a very healthy process. Everyone, regardless of whatever recovery status one may have, could benefit from working the 12 Steps of AA. As one of the slogans stated in our Recovery Service at Church, Recovery is Not Just for Alcoholics Anymore.

Yes, we are all recovering sinners, loved by God and precious in his sight.

Prayer: Thank you Lord for the freedom of owning our own defects and biases, Amen