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NYC DART

Team Spirit

Team Spirit

Mary Fichtinger

July 7, 2020 By Mary Fichtinger

This was a unique DART deployment in every way, besides the fact that we were fighting a novel virus. We are an international relief team that was asked by a NYC hospital to help with the local crisis. Administratively, legally, procedurally, this was a challenge. But the city was suffering; people were without care because the volume was so high. Of course we’d help.

We staffed two floors of a hospital in Manhattan. The floors had previously been closed. Vacant. Gutted, even. Mt. Sinai Beth Israel kicked it into high gear and cleaned up, painted up, stocked up four full floors to turn them into Covid units. We staffed two of them with SP nurses and clinicians, and the hospital stretched and hired still further to fill the other two.

We were a team. We hadn’t met before orientation day, but were suddenly united. We taped up the gaps in each other’s PPE (personal protective equipment), held up each other’s notes to the plexiglass window since nothing could leave the “hot zone”, bounced clinical cases off each other, shared tricks for the electronic medical record, and prayed for each other. These docs and nurses were my family for this deployment. We’d share stories, struggles, laughs, and grief. But we all showed up with one purpose: to use whatever we had to serve others in Jesus’ Name. We were there for a reason, and we knew that we are brothers and sister traversing unfamiliar territory together.

The team unity on a DART is something beautiful, powerful, conspicuous. When Bob and I (and our children, parents, friends, doctors, therapists, bosses) went over and over what the potential costs would be to take a trip like this at a time like this in our personal lives, the team was a significant factor. I’ve worked in really wonderful settings before. For heaven’s sake, my ER team in Indiana has long felt like family, and I have missed them dearly. (Please note, emergency was the one specialty I decided I’d never work in when I was a student. They helped me love it.) Obstetrics, largely fueled by the power of prayer, in India was incredible, even when we had to carry our own soap to the hospital. The joy and encouragement of our SIM team is beautiful and humbling in how great a gift it is. Twenty years of service in Bible studies, youth camps, small groups, missions trips, worship bands, etc, have all borne amazing opportunity to experience being part of this phenomenal family called the Body of Christ.

But nowhere have I functioned as part of a team so united, so focused, so skilled, so selfless, so steadfast as on my two DART deployments. Certainly the fact that we only live together for a month-ish plays into it, but we eat, sleep, work, play, weep, and pray together. Emphasis on the work, which is characteristically long and hard in every way.

The supernatural strength and blessing that is found in and poured out on unity both astounds me and invites me deeper into the impossible.


This Body. Provider rounds, where we update the next shift about each patient’s course, status and plan, happened every morning and evening at 7:00, and we handed off our patients from the unique angles and thought patterns of our specialties in ER, family med, OB, pediatrics, heme/onc, and outpatient internal medicine. Obviously none of us were in our element, but it is not unlike disasters (or Jesus) to push us into uncharted territory. We’d all studied up, rallied our resources (largest being prayer support), said yes, and once again stepped into the unknown. Jesus always trusted the Father to guide and provide for the moment at hand, and expects us to follow Him in it.

Oh, and that huddle of nurses on each shift, each floor, pieced together by the Spirit of Jesus, men and women from every corner of our nation were ready to receive what He gave. The patients all had Covid-19, but they are all individuals with specific stories, needs, and complications. So God brought a contracted elderly woman with skin breakdown over every joint to us, where her “randomly assigned” nurse was a wound care specialist from Alaska. Our heme/onc NP from Minnesota first received a patient with a hemoglobin of 5. The first palliative care patient to arrive on our newly opened floor was welcomed by a nurse from Georgia whose background is in hospice. Our bilingual nurse educator from Florida happily cared for many of our elderly Spanish-speaking patients who couldn’t rally the energy to communicate with a translator on a screen. A pediatrician from South Dakota patiently tended to mentally impaired adults. ER docs from Texas navigated the common but uncomfortably poor vital signs day and night, and were ready to respond when the patient’s breath wasn’t enough. A nurse from Colorado who now works in trauma counseling had long midnight conversations with those who’d faced death and weren’t sure what was next. Mothers credentialed as nurses wiped adult bottoms and spoon-fed dry mouths while the local hospital techs were caught off guard by the humility and compassion on display. On night shift I sat lengths of the dark and lonely hours with dear Mr. V, plagued with anxiety and hallucinations, singing and holding the hand or scratching the itchy left shoulder of this man whose heartbeat flickered on for just a while longer. We passed the sacred hours resting in the nearness of Jesus, waiting for one dawn or another. He’d open his eyes and ask, “why is it taking so long?” I don’t know, my friend. I don’t know. But for the first time in years, you’re not journeying alone.


Today I write, and my telling feels like old news because so much has transpired in these short weeks. Our nation is also feeling so acutely the overwhelming plague of ethnic injustice (it is so difficult for me to use the term “racism” because it seems to validate the false premise that there is distinction of race in different features of humanity). Today we suffocate in flesh under the assault of a virus that wrecks havoc on every bodily system. We suffocate in economics under the weight of inequality, greed, and materialism. We suffocate in community under the oppressive depraved misunderstanding of sanctity of life and the evil of power abused. We the people can’t breathe.

I feel it, the crush of our lostness, of our sin that separates us from the breath of Life and the wholeness of our own selves, and from each other. This isn’t what we were made for, and He won’t leave us here.

Come quickly, Lord Jesus.

Filed Under: Uncategorized Tagged With: Covid, NYC DART

All in this Together

All in this Together

Mary Fichtinger

July 7, 2020 By Mary Fichtinger

“We’re all in this together.” What does that even mean to people?

Art in the Hudson Bay echoes our need for rescue.

We each bear invisible wounds that are common to man but experienced in deeply personal ways. We are each engaged with an invisible enemy that has tactics we would never anticipate. We are each completely suspended by a grace we don’t understand, yet think our minds have somehow accurately mapped out the truth about things. By March of 2020 I had just spent three of the most difficult months of my life clawing my way through days and nights, drawing the will and ability to endure from the grace of others. Flinging myself onto invisible hope that it must be true: everyone who calls on the name of the Lord will be saved. His rescue is the only way through certain valleys and shadows. (There are times when we can be fully secure in God’s goodness, sovereignty, wisdom, and kindness, and feel the suffocating weight of humanity’s sinful wretchedness, vulnerability and despair. Jesus put on flesh to bear it for us, and it killed Him.)

I’d thought by March that the gentle Shepherd was about to give me the time and space to heal some deep and old wounds. To rest a body and soul wearied by trauma on all sides, year after year. To bring refreshment and re-orientation, relief from every self-sufficient way of doing life. I thought I was being given a moment off of the battlefield and in my own hospital bed…

Enter Covid-19.

The whole world needs emergency medical staff. Some places need it yesterday. I had tools in my belt that I did not pursue, fashion, define, or establish: emergency medicine training, credentialing, and experience. But not just that… also familiarity with being in way over your head. Functioning in a necessary, decision-making capacity where nobody really knows for sure what’s best. Knowing you’re all still relatively helpless to rescue the dying, even if you give it all you’ve got. Knowing you’re going to get it wrong. Recognizing the face of fear, pain, inability to lift your own head, death. Isolation in your suffering. Survival depending on the grace and given-ness of others. I’m acquainted with this territory. And with the powerful God passes through the fire WITH us.

Turns out as He allows the desolation of the world’s false saviors and arrogant presuppositions, scatters our human wisdom and topples the towers that will never reach us to heaven, He unites us at our perfectly uniform core: dependency. Every nation, tribe, and tongue. Every diagnosis, complication, multidisciplinary team. Every lifestyle, economic status, religion, career. We all so want it to be okay. We want to be okay. We want to decide and accomplish what we think is good. Want what we understand or feel in control of to sustain us. We want not to need someone else to do our breathing for us, clean our waste up for us, take control of managing our very survival. But we do.

The brother of humble circumstances should boast in his exaltation, but the one who is rich should boast in his humiliation because he will pass away like a flower of the field. -James 1:9-10

How simply humanity can be experienced on a hospital floor where everyone has the same diagnosis. I cared for previously-healthy 34-year-olds (miraculously) fresh off of 3 weeks’ mechanical ventilation, and 95-year-olds fresh-on to hospice care. Listened to the grief of the just-widowed, recovering to go home alone. Listened to the moans of previously-healthy 60-year-olds who were still blankly existing in some encephalopathy we didn’t understand yet but knew to expect. Listened to the gratitude, hope, and plans of those who’d recovered and got to wheel down the hall to the elevator that would take them off the Covid floor and back to their families. Listened to the last words of one whose 87 years had taught him a few things. I used translator services to accommodate half a dozen languages on one floor. The nations were gathered together at Mt. Sinai of all places, crying out for hope. We cared for Hindu, Catholic, non-religious, superstitious, Evangelical; secured oxygen on the drug addict, the home-health nurse, the homeless, the 9/11 hero, the homosexual, the undocumented immigrant, the mother-and-son pair, the husband-and-wife pair, the mentally disabled, and the accomplished professional. Sent one man out to a crowd of celebrants and cameras, and sent one man to finish his course alone in a hospice bed.

We’re all in this together: We are in desperate need of rescue.
So bring your diagnosis, bring your prognosis. Bring your dwindling bank account, bring your overtime check. Bring your “essential worker” pass and bring your pink slip. Bring your home school, home office, hope for a new season, and grief for what’s already lost. Bring your black funeral dress and bring your dancing shoes and cowbells. Bring your black eyes and empty bellies and chains of injustice. Bring your privilege, your voice, your provision. Bring your awareness and bring your ignorance. Bring your broken heart and bring your comfort zone.

Bring it here, to the feet of Jesus, and let Him do with it what He will. We’re all in this together. And He’s telling us it’s time to do things differently. Listen to Him.

Filed Under: Uncategorized Tagged With: Covid, NYC DART

Demolition

Demolition

Mary Fichtinger

July 7, 2020 By Mary Fichtinger

Last year in school the boys studied ancient history of the world and civilization. This included, of course, the accomplishments and failures of mankind, some of which seemed to one in the same because of the division of the human heart. Example: the tower of Babel. Eager for acclaim and self-confident, that mighty hunter Nimrod with his men tried to build their own way to their own definition of triumph. Their success at invention, innovation, and accomplishment revealed the enormous capability of even a tiny image of God, while their disregard for His sovereignty barred them once again from true knowledge of Yahweh (which Jesus said is life itself).

So He had to scatter them. What is even the power of “autonomous” man united, except dust in the wind when you can see eternity?

He gave them different languages. He reminded them the reality of human limitation. He revealed the inherent divisiveness of pride as in frustration and futility they finally migrated apart with those who could understand them. Then they could actually discover that big, beautiful world God had created for them in the first place. Isn’t His kindness magnificent, even in what felt harsh? Remember: you are not your own. Remember: there is so much more goodness for you if you go ahead and step into what I made you for.

I love practicing medicine. It has been a gift from God to me, and one that I’d never expected or asked for. It is a privilege, an honor, a joy, even as it bears so much brokenness in so many ways. Truly, you could listen to endless debates about what’s right and what’s wrong with any healthcare system in the world, and they may all be correct at some level. The current pandemic has flooded the world with grief, fear, and confusion. It started with the healthcare system, but is certainly not ending there.

This is what I love about Covid-19: YAHWEH is working good for all with eyes to see. Only the truth can set us free, but often… the truth hurts.

He is laying waste our idols. He is reminding the medical community I know and love despite its many ugly faces that it is no savior. He is reminding the developed world that it is not self-sufficient and certainly does not have all the answers. Neither is it a savior. In dramatic fashion He is unveiling the worldwide pervasiveness of injustice and our ineptitude to rightly respond (or even care to). He is toppling our domino foundations of finance and opportunity. He is giving free speech to millions of voices that don’t know what they’re talking about in hopes we will finally recognize the confusion and contradiction. He is also awarding this generation with an unprecedented opportunity to turn off all the outside deceiving and distracting voices and meet with the Truth in the closet. He is knitting millions of families back together even as He also discloses the tragic darkness hovering under the surface of so many others who were convinced that they were making it, even if just barely. He is putting the ways of man on exhibit as only a global crisis can accomplish. He is putting our own hearts on display as we respond.

Everything that can be shaken will be. And everything will be revealed and laid bare before the eyes of Him to whom we must give account. We’re appropriately appalled and distraught at the recognition of all that is unredeemed.

It is mercy to see things as they are, which is, at core, maybe not what we always thought. And only unseen things can teach us that. But the best news is that this is not the end of the story.

a time to tear down

Filed Under: Uncategorized Tagged With: Covid, NYC DART

“The opinions expressed on this site are my own opinions. They are not necessarily the opinions or views of my employer, SIM.”

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