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COVER STORY:
Hospital Chaplains
April 13, 2001    Episode no. 433
Read This Week's July 18, 2008
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JUDY VALENTE: In the maternity ward at New York's Lenox Hill Hospital, chaplain Yusuf Hasan performs the akika birth ritual, welcoming newborn Mohammed Touri into the Islamic faith.

Imam HasanIMAM YUSUF HASAN (Lenox Hill Hospital Chaplain): David, how have you been?

VALENTE: But he spends much of his time with the young and very sick as the pediatric chaplain at Memorial Sloan-Kettering Cancer Center in New York city. From birth to death, chaplains are there for patients and their families of all faiths at the most significant times of their lives. Seventeen-year-old David Capalbo, a Christian, was just diagnosed with leukemia three weeks ago.

IMAM HASAN (to David): Can you talk to me a little bit about your feelings, how you felt when you first heard your diagnosis, some of your feelings inside?

DAVID CAPALBO: I couldn't believe it, I thought I was going to wake up from a dream. I was shocked.

IMAM HASAN: I think the most important thing for me is to be there for them, just to be there and be prepared to walk with them whatever way I have to. Do for them whatever I have to do religiously or spiritually.

Imam Hasan with patient(to David): It's not easy for you, I'm sure. We'll try to work with you to make it easy for you. And you have a right to feel a little depressed at times, and the right to feel sad, to be angry too, if you like to be angry sometimes.

What I've done to really help him is to make sure everyone gives him his space and his time to process his feelings and then let him talk to me about his feelings in a private setting.

(to David's mother): And mom, how are you doing?

MRS. CAPALBO: When they said he had leukemia I didn't expect to hear that at all. My family and I have a strong faith and we believe that Jesus is going to pull him through.

VALENTE: Chaplains try to gauge each family's particular needs, knowing that the needs of the family may be different from those of the patient. And for some what is most comforting is prayer.

Hospital chaplains receive a year of specialized training and have to be certified by professional organizations. Though many are members of the clergy, their work is ecumenical. They must be able to provide spiritual and religious support to patients and their families of all faiths.

Ken TrushKEN TRUSH (father of patient Daniel Trush): Our whole family was watching him play basketball, he took a shot, he came running off the court holding his head and started spasming, we later found out that he had five aneurysms and one had ruptured.

VALENTE: Twelve-year-old Daniel Trush was rushed to Beth Israel Hospital where Rabbi Mychal Springer was the chaplain on call. And though the Trushes are devout Catholics, they felt an immediate connection with the rabbi.

MR. TRUSH: There was a feeling that someone understands what we are going through, someone understands what we're feeling, and someone understands our deep commitment to God and our faith that things will work out.

RABBI MYCHAL SPRINGER: They had a deep belief that they and I were about the same thing and that's what made it work.

Daniel spent 30 days in a coma, endured four surgeries, and spent 341 days in the hospital. Mychal Springer and the Trush family prayed constantly and Daniel eventually emerged from his coma --even doctors called it a miracle. Four years later, Daniel is an active teenager and is still grateful for those prayers.

DANIEL TRUSH: Without faith and without the big man upstairs, I don't think I would be here right now.

VALENTE: But the most difficult part of a chaplain's job is when prayers go unanswered and then they have to confront what is the meaning of suffering. Why do terrible things happen to good people?

IMAM HASAN: As a clergy person and as a chaplain, there are some things that we are not just able to explain ourselves.

Rabbi SpringerRABBI SPRINGER: When people experience that their prayers are not answered, often there's a lot of anger. And the most important thing that the chaplain can do is to be respectful of the anger as being a faithful response. I reached out to God, I expected God's help and I'm not going to receive God's help in the way that I most desperately wanted. That anger is sacred because it speaks to the intensity of the desire for God to be a source of healing and comfort and life.

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VALENTE: Rabbi Springer spent 10 years working in a hospital setting and now teaches rabbis at the healthcare chaplaincy, a center which trains chaplains of many faiths.

Dr. Christina Puchalski, internist and head of George Washington's Institute for Spirituality and Health, believes that doctors must consider the spiritual as well as the physical well-being of their patients and include chaplains as an integral part of the health care team.

DR. CHRISTINA PUCHALSKI (to patient): It sounds like those beliefs are pretty important in times of stress?

VALENTE: She devised an assessment tool that allows doctors to know more about their patient's spiritual history and religious beliefs.

Dr. Puchalski and patientDR. PUCHALSKI: We've found that through research and experience, a person's spirituality is often what they use to help them cope with their suffering. As a physician, I see spiritual issues come up every day in the lives of my patients.

VALENTE: Like Rhonda Oziel, who grappled with the most difficult questions of faith when diagnosed with ovarian cancer.
RHONDA OZIEL: I went to synagogue on Rosh Hashana, the Jewish New Year, and there's a prayer where you ask God to inscribe you in the Book of Life, and here I was in the middle of chemotherapy and feeling really lousy, and I thought, "Oh my, God did not inscribe me in the Book of Life last year, and that's why I got this cancer."

VALENTE: Now seven years later, she says it is her faith as well as medical treatment that has kept her alive.

MS. OZIEL: When I got cancer I began to think about how these things happen to you. I began to think about God I began to incorporate praying a little bit into my daily life, which is something I had never done before. I have become a better person, a more mindful person. By that I mean I will step back in a moment that I am really enjoying myself and just relish that moment.

VALENTE (to Ms. Oziel): What about people with no faith tradition, how do they get through this?

Rhonda OzielMS OZIEL: They find something that they can hang onto, whether it be their family, whether it be the trees, whether it be music, art, something that is going to draw you into yourself and out of yourself.

KEN TRUSH: All I know is that prayer helps, faith helps, and that it will take you through whatever the outcome is.

VALENTE: Chaplains say that being witnesses to a constant barrage of pain and suffering takes its toll. And they have to draw on their own inner resources and faith traditions.

IMAM HASAN: It's overwhelming at times to be amongst people who are drawing from you and it does really burn you out everyday to see a death of someone who is suffering or about to die.

RABBI SPRINGER: Sitting in a room of healthy -- God willing --healthy children, my own daughter, I realized that I still carry with Crossing finish line me a real sadness for all those children, the ones even who got well, but what they endured and for their parents.

There are so many extraordinary moments that happen even in the lives of sick children or perhaps even especially in the lives of sick children. So, part of what keeps me whole is to recognize those moments and see the blessings in them.

VALENTE: I'm Judy Valente for RELIGION & ETHICS NEWSWEEKLY in New York.

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