Wounding and healing are not opposites. They're part of the same thing. It is our wounds that enable us to be compassionate with the wounds of others. It is our limitations that make us kind to the limitations of other people. It is our loneliness that helps us to to find other people or to even know they're alone with an illness. I think I have served people perfectly with parts of myself I used to be ashamed of.

When we know ourselves to be connected to all others, acting compassionately is simply the natural thing to do.

to her parents in relief, I asked if it was another one. “No,” her mother said, “it was the same one that was lost.” Dr. X had come that afternoon and brought it to them. I told them how glad I was that it had been found. “Yes,” her father said. “We are too.” Then he smiled. “She is safe now, no matter what happens,” he told me. The following morning, the surgery resident told me how the medal had been found. On the previous day, Dr. X had made his patient care rounds much as usual, followed by a dozen of the young surgeons he was training. But instead of ending the rounds in the ICU, he had taken them all to the laundry department in the subbasement of the hospital. There, he explained what had happened, and then he and all his residents and fellows had gone through the pediatric laundry from the day before

"Over the years I have learned that "cleaning up one's act" may be far less important than consecrating one's life. It may be possible to use everything. A ruthless man may be able to open doors that a more kindly and traditionally spiritual person could knock on forever. Without judgment, many things can be made holy."

Integrity usually comes to people slowly and takes them unawares, as part of a natural process of maturing or through the need to be there for someone else who is counting on them. But it can appear full-blown in times of crisis or loss. In my work I have seen many people recover a greater integrity because they have lost something or someone very dear to them.

With certain people we may get to try on a greater wholeness for a time, to actually experience being more. These experiences are a sort of grace. They help us to know not only the direction of our personal wholeness but how it feels and even tastes. Everyone's wholeness is unique and even such common role models as Eleanor Roosevelt and Albert Schweitzer can distance us from ourselves. Our wholeness will look different than theirs. Our wholeness fits us better than theirs. Our wholeness is much more attainable for us than theirs ever could be.

We usually look outside of ourselves for heroes and teachers. It has not occurred to most people that they may already be the role model they seek. The wholeness they are looking for may be trapped within themselves by beliefs, attitudes, and self-doubt. But our wholeness exists in us now. Trapped though it may be, it can be called upon for guidance, direction, and most fundamentally, comfort. It can be remembered. Eventually we may come to live by it.

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If you carry someone else's fears and live by someone else's values, you may find that you have lived their lives.

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Wholeness is never lost, it is only forgotten. Integrity rarely means that we need to add something to ourselves: it is more an undoing than a doing, a freeing ourselves from beliefs we have about who we are and ways we have been persuaded to 'fix' ourselves to know who we genuinely are.

Perhaps we are no longer a kind people. More and more, we seem to have become numb to the suffering of others and ashamed of our own suffering. Yet suffering is one of the universal conditions of being alive. We all suffer. We have become terribly vulnerable, not because we suffer but because we have separated ourselves from each other.

Immy spent the next day or two undergoing tests, and I saw her several more times. The medal had been moved from her shirt to her hospital gown. It had seemed so important to her parents that I mentioned it in passing to the cardiac surgery resident as we sat writing chart notes in the nursing station on the evening before the surgery. He gave me a cynical smile. “Well, to each his own,” he said. “I put my faith in Dr. X,” he said, mentioning the name of the highly respected cardiac surgeon who would be heading Immy’s surgical team in the morning. “I doubt he needs much help from Lourdes.” I made a note to myself to be sure to take the medal off Immy’s gown before she went to surgery in the morning so it wouldn’t get lost in the OR or the recovery room. But I spent that morning in the emergency room, as part of

"As a physician, I was trained to deal with uncertainty as aggressively as I dealt with disease itself. The unknown was the enemy. Within this worldview, having a question feels like an emergency; it means that something is out of control and needs to be made known as rapidly, efficiently, and cost-effectively as possible. But death has taken me to the edge of certainty, to the place of questions.

After years of trading mystery for mastery, it was hard and even frightening to stop offering myself reasonable explanations for some of the things that I observed and that others told me, and simply take them as they are. "I don't know" had long been a statement of shame, of personal and professional failing. In all of my training I do not recall hearing it said aloud even once.

But as I listened to more and more people with life-threatening illnesses tell their stories, not knowing simply became a matter of integrity. Things happened. And the explanations I offered myself became increasingly hollow, like a child whistling in the dark. The truth was that very often I didn't know and couldn't explain, and finally, weighed down by the many, many instances of the mysterious which are such an integral part of illness and healing, I surrendered. It was a moment of awakening.

For the first time, I became curious about the things I had been unwilling to see before, more sensitive to inconsistencies I had glibly explained or successfully ignored, more willing to ask people questions and draw them out about stories I would have otherwise dismissed. What I have found in the end was that the life I had defended as a doctor as precious was also Holy.

I no longer feel that life is ordinary. Everyday life is filled with mystery. The things we know are only a small part of the things we cannot know but can only glimpse. Yet even the smallest of glimpses can sustain us.

Mystery seems to have the power to comfort, to offer hope, and to lend meaning in times of loss and pain. In surpr

Few perfectionists can tell the difference between love and approval. Perfectionism is so widespread in this culture that we actually have had to invent another word for love. 'Unconditional love,' we say. Yet, all love is unconditional. Anything else is just approval.

the hospital to tape it to the closed door of Dr. X’s office. I had signed it and on the way back to my bed I began to worry. What if I had done something really foolish? If the surgical resident didn’t care about such things, why should Dr. X? I was off call the next day and, exhausted, I spent most of the time asleep. When I returned to the hospital for the evening shift, the pediatric day resident told me that Immy was no better. For the next few hours I took care of whatever was most urgently needed on the service, but later in the evening I stopped by the Intensive Care Unit to examine Immy and speak with her family. I found her parents in the waiting room. Together we went to see Immy. She was still unconscious. Leaning over to listen to her chest, I suddenly noticed a medal pinned to her hospital gown. Turning to her parents in relief, I asked if it was another one. “No,” her mother said, “it was the same one that was lost.” Dr. X had come that afternoon and brought it to them. I told them how glad I was that it had been found. “Yes,” her father said. “We are too.” Then he smiled. “She is safe now, no matter what happens,” he told me.