Tag Archives: healing

The Plague Zone

“A season of Darkness”: that’s how Charles Dickens describes the reign of terror that gripped revolutionary France under the spell of the guillotine. He might equally have had in mind the plagues that seized Egypt, one after the other. Plagues are nothing, if not death-like in their darkness.

And not just metaphoric darkness either. Abravanel notes that all three plagues in this week’s reading — the last and the worst, compared to which the first seven plagues were child’s play — have darkness in common. The locusts arrived in droves so thick that “the land was in darkness” (10:14). Locusts come and locusts go, however – Egypt had experienced them before. So the next plague upped the ante: just deep darkness; lasting and inexplicable; “thick darkness that can be touched, for three whole days” (10:21-22). Still, no one died from it; people huddled together, holding hands, perhaps, until it was over. The final plague, therefore, added death to darkness: every first-born killed, precisely at midnight.

No one willingly enters a plague zone. Even if you think you are personally exempt from danger, the horror of being there is just too much to bear. That is why, with the locusts about to arrive, Moses had to be “brought,” to Pharaoh (10:8) – he would not come willingly. Blood, frogs, boils and the rest – those he could handle. But not pure darkness, the sun and all the stars in total eclipse. Not that! “Let someone else tell Pharaoh that three stages of increasing darkness are on their way,” Moses must have hoped.

He should have paid closer attention to God’s command: “Come,” not “Go,” to Pharaoh. “We can never distance ourselves from God,” says Menachem Mendel of Kotsk, “When God said ‘Come,’ God meant, ‘Come with Me. I, God, will accompany you.”  God would not send even Moses all alone to announce the plagues of escalating darkness.

I think of this when I visit a dying patient. We picture plagues as mass diseases, spreading person to person, home to home. But terminal illness is equally a plague for the person suffering it. It too spreads, limb by limb, organ by organ. It may start with the metastatic proliferation of murderous cells that consume the body like locusts devouring a landscape. Then comes darkness of despair so thick it can be touched; and, finally, death at what may as well be midnight.

It is a terrible thing to watch someone die. “The mind withdraws,” says Louise Harmon, in her Fragments on the Death Watch. “There is a turning in toward the self, a curvature of the spine that directs the remaining life force toward the center. The knees are tucked up under the body. The arms are folded like a praying mantis, a caricature of moot supplication, and the petition is for safety.”

As I say, no one willingly enters a plague zone – because no sane person wants to watch this happen. So when disease approaches hopelessness, and the hospital room becomes a virtual plague zone, people invent reasons not to visit. As the plague advances, loneliness sets in: no one to talk to, even as we lose the light to see them by.

But precisely when final darkness looms, the dying need our visits most, and not just to talk banalities. We come at such a time to share the darkness, not turn on lights. It can be a horrible ordeal to sit, and wait, and do nothing more than lend a loving presence through the moments leading up to midnight. But it can be strangely satisfying too, if we remember that the commandment is “Come,” not “Go.”  “Come with Me,” says God, “I will sit there with you.”

The Talmud locates God’s comforting presence alongside the patient’s head. Visitors too report sensing that presence at times, especially when death finally arrives. And why not? God never dispatches us all alone to endure the darkness.

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Our Love Affair With Doctors

The age-old Jewish love affair with medicine began this week, as it were: with Exodus 21:18/19, which discusses mayhem, the willful assault by one person upon another. According to Torah, the guilty party must provide healing for the victim — from which the Talmud deduces (BK 85a) the aggressor’s obligation to pay for medical care (with extra remuneration for pain, humiliation, and damages for loss of income, as well).

If the injuring party is also a doctor, who offers his/her own medical services instead of paying someone else, the injured party can refuse, because, to the victim, the assailant is like “a lion lying in wait,” and victims have the right to doctors whom they trust. Nor can the assailant supply a doctor-friend who will heal for free, since the victim can argue that “a doctor who heals for nothing is worth nothing” (BK 85a).

In addition, the assailant cannot claim (for example) that the victim need only pray and God will answer the prayer, because, says Rashi, it is forbidden to rely on God alone to provide healing, The Tosafot go farther, specifying consultation with doctors also for what we would call “acts of God”; even there, we cannot count on God alone to “undo the damage.”

The Talmud prohibits Jews from even dwelling in a town where there is no doctor (San. 17b).

So early on, Judaism decided that we cannot trust simply on God, that doctors are therefore necessary, that they may charge for what they do; and that those who need healing have a right to it. Pretty advanced thinking for late antiquity and The Middle Ages, I would say!

Yet inexplicably, the same Talmud also says (M. Kid. 4:14 = Kid. 82a), “The best of doctors belong in Hell” (gehinnom, in talmudic parlance). It’s only a side (and snide) comment, one of many unauthoritative aphorisms, so we cannot put much stock in it.  But we learn a lot from later rabbinic attempts to understand it. The comment pointedly specifies doctors who are “the best,” not “the most righteous,” we are told, having in mind doctors who think they are beyond the obligation to heal the poor (Rashi); or those whose arrogance prevents them from consulting with medical colleagues in cases of medical uncertainty (Maharsha, Samuel Edels, Poland, 1555-1631).

When it comes to valuing life and those who help sustain it, rabbinic tradition has much to be proud of.

But the Rabbis do not just anticipate modern-day perspectives. They offer a spiritual insight that is nowadays easily forgotten. Healing derives ultimately from God, they insist, so physicians do their work as deputies from God. To be called to the profession of healing is to be God’s presence in the face of pain. But it is more, even, than that.  Since God’s ultimate presence is seen in the original act of creation, healing must be viewed as the continuation of that act.

As a prisoner in Auschwitz, Primo Levi remembers having to watch a man die slowly on the gallows. As the victim twists in agony, Levi thinks, “To destroy a man is almost as difficult as to create one.” Like the gallows, disease too slowly destroys what God has created – destruction and sickness on one hand; creation and healing on the other. Those who heal are the antithesis of destroyers; they create new lives for those they save.

Each morning, we say a blessing that praises God for “healing and doing miracle work” (rofei kol basar umafli la’asot). “Healing,” then, is “miracle work.” We may know how medicine works its wonders, but it remains a wonder nonetheless — a miracle that anything works at all. The best of doctors are not those who deserve gehinnom, but those who stand in awe at the gift of being God’s personal agents on earth, charged with nothing short of creating lives as God once did.