A week after I turned fifty years old, I encountered those elephants. I had a heart attack. At the emergency room, I was quickly hooked up to an IV, an EKG machine, and an oxygen mask. The cardiac nurse asked what my pain level was. “Nine!” I gasped.
Amid much commotion I looked over my oxygen mask at faces glancing back and forth and calling out things, but I was conscious of another, inner conversation. I thought, Is this where I will die—in this pale green room? Does the ER staff do all they can for you here and suddenly the monitor flatlines and then they walk down the hall tired and defeated as they do on TV?
I wondered, Where is the presence of God? Does he inhabit a place like this, or does he only inhabit church buildings? How earnest has my relationship with God been lately? Is God angry with me? Is he punishing me? Do I love God? Is there even a God? Of course, my Christian faith told me a different story, but when it came right down to it, I was an atheist.
The EKG specialist broke my troubled reverie. “You’ve got to remain still,” he called out as he tried to get a good reading on his machine. My breathing was too hard; I was frightened and in greater pain than I imagined even existed. Finally, a young, bearded doctor appeared in my view and bent down close to my face. He quietly said two or three sentences, but in the midst of all the noise, I heard only these words: “The Lord is with you.”
Immediately, my eyes came to focus on his eyes and locked there for a brief moment that seemed like an eternity. I was totally astonished—and strangely set at ease. Here we were in this pale green room with a lot of commotion and I was in the darkest depths of atheism—and suddenly God showed up! “Thank you,” I said, and then the doctor went out of my view.
01. Pain as a Mirror
Pain has an uncanny way of telling us who we are, of holding up a mirror to show us our deepest fears, our doubts, our failures of will—even our atheism. But it also shows us our courage, love, endurance, and trust in God. Depending on its severity and duration, pain will change our outlook and our behavior—for better or for worse.
In a seminal essay on pain that appeared in Germany in 1934, one year after Adolf Hitler rose to power, WWI veteran Ernst Junger writes, “Pain is one of the keys to unlock man’s innermost being. . . . Tell me your relation to pain, and I will tell you who you are! . . . Pain as a measure of man is unalterable, but what can be altered is the way he confronts it.” Ernst Junger, On Pain, David Durst, trans. (New York: Telos Press, 2008), 1.
How we deal with our pain can decide whether we are diminished by it or transformed by it. From a Christian perspective, a positive response involves allowing pain to reshape our will by daily directing our intentionality more lovingly and trustingly toward God. This does not make sense to our reason. But as the central symbol of our faith, the brutally painful cross of Christ tells us that pain may be one important element in our spiritual formation. This is a great mystery, and it is a mystery in which we are called to participate with all our heart.
If we are open and if we train ourselves to look for it, pain offers us a gift. In pain, there is a profound opportunity for our transformation as persons. Though we would be perverse if we were purposely to seek out pain, if when it comes we were to allow it to have a place in our lives, we would benefit. As Canadian author Margaret Clarkson writes, “Pain in itself is a sterile thing, but, like the plow that bites deep into the winter-bound earth releasing life-giving nutrients and allowing sun and air and rain to penetrate, pain can prepare the way for fruitfulness.” Clarkson, Margaret. Grace Grows Best in Winter (Grand Rapids, MI: Wm. B. Eerdmans, 1984), 194.
When speaking of pain, we should acknowledge that each person’s experience of pain is real and unique, and there is no hierarchy of suffering. As Viktor Frankl, the psychiatrist, author, and WWII Auschwitz prisoner writes, “Suffering completely fills the human soul and conscious mind, no matter whether the suffering is great or little. Therefore the ‘size’ of human suffering is absolutely relative.” Viktor Frankl, Man’s Search for Meaning. New York: Washington Square Press, 1988, 64.
Also relative are the different kinds of pain. Whether physical, emotional, mental, or spiritual, every pain can be as traumatic as another, and we often experience a combination of more than one kind. They tend to gang up on us.