Bell's Palsy; Week Four

Not much new to report this week except that I am clearly making progress. People who saw me a week ago are commenting that I'm looking better. I no longer need the eye-patch at all and probably don't need to use eye drops during the day. I still need to tape my eye shut at night, but that may not be for much longer. My speech is clearer and I can make myself understood without holding my cheek up. Looking at me, I'm told that I look nearly normal - it is only when I am animated that one side is clearly not following along.
I have noticed that I've experienced some discomfort in my jaw; as if I have been clenching it while asleep. I'm not sure what that's about, but I report it for completeness sake.
I still get fatigued. It may be that because I am feeling better, that I press myself more and thereby tire myself out.
Progress is generally up, but variable. Yesterday was rather good but I could tell as soon as I woke up this morning that today was going to be a slight set back.
I continue to feel occasional twitching and - despite my very learned physician's comment - believe that phenomena to be a sign of improvement. For what it's worth: I rarely had twitching like this before being afflicted with the palsy; it is not occurring anywhere else on my body - only on the left side of my face; and once it began about two weeks ago, I started seeing improvement. So my conclusion is that there is some connection with the twitching and my palsy.

Bell's Palsy; Week Three

So now I'm in my third week and have settled in a bit.
One of the young men in our church is finishing up medical school and - providentially - did a presentation specifically on Bell's Palsy during his class work. He and I chatted after church yesterday and chatted about how my symptoms are playing out. It was fun to get geeky about the medical and physiological issues. I think my guy appreciated having a real case to observe closely rather than rely on the research he did for the presentation.
A couple of conclusions and observations:

• Due to the somewhat unknown nature of the condition's cause, treatment is a confusing thing. It is a case where if the condition is treated vigourously, it will subside in six weeks; but if left alone, it will take half a dozen. That is, there doesn't seem to be much correlation between treatment and outcome
• My case isn't as bad as some. There are stories of people who could not speak at all during the depth of their affliction. My speech has been distracting, not suitable for prolonged public speaking, and does not allow for careful conversation; but I have NOT been completely robbed of my ability to communicate
• There is some slight improvement to report. I am tolerating being without the eye-patch for most of the day.  Several people have commented that my face is not quite as flaccid as it was last week (though it's hard to say that objectively because 'church people' really like to be encouraging!)
• It is very possible that this could be temporary 'normal' for a couple of months. Most stories  indicate that's the typical length of the palsy
• Progress will be slow but steady. So slight improvement is a Good Thing - I'll take it. The big fear is that this is one of the rare cases where the condition becomes permanent. But - so far - that does NOT seem to be the case
• Eye drops are my new Best Friend. I keep my little bottle with me all day and probably apply drops about five times during the day
• Sight in my left eye (affected side) seems to deteriorated in some way. In some way that I can't describe, it seems that it is difficult for my right and left eyes to both focus on a thing. It is not double-vision, it is just ... not right. Pardon the pun, but I am 'watching' this phenomena for further developments
• The hearing effect that I described before (Day Eight) is a known symptom. My med student friend told me that is called, "hyperacusis." There is a muscle in the inner ear that contracts as a protection when a particularly loud noise occurs. That muscle is not working now and so I am sensitive to loud noises on the left (affected) side. See http://en.wikipedia.org/wiki/Hyperacusis
• I'm better in the mornings - my face sags more as the day wears on
• It is hard to work. Subtle conversation is impractical. It is even hard to read. I fatigue more quickly
• Because of the fatigue (above) and the fact that my body may be trying to fight off some sort of attack, I'm taking mid-day naps to keep rested
• Particular to me: I'm very word-oriented and a "verbal processor." When I can't speak clearly or smoothly, it slows my thought processing down which is frustrating. Because of that frustration, I am finding that I'm getting a bit grouchy

So, seeing as I am likely in this for a long haul, I will slow down my frequency of updates here on the blog. As new things come in the next week, I'll update this entry and then begin a new one in about a week.

Bell's Palsy; Day Eleven

Well, another pretty stable day.
Spent most of the day with the eye-patch off and experienced some spasms.
Went to my primary physician and he told me most of what I already knew. Interestingly, he's also had the condition so was sympathetic. I asked him about recovery and he said it could be a couple of months. But if it goes beyond six weeks, I should let him know.
As he has experienced the condition, he is up to speed on the science. He said that the core problem is nerve inflammation - that is why application of steroids is helpful. But the idea that said inflammation is caused by a virus is not conclusive. The condition is "idiopathic." OK, I am a Big Words person; what does idiopathic mean? He said it means that 'physicians don't have a clue.' Check this out: http://en.wikipedia.org/wiki/Idiopathic . I appreciated his honesty.
I asked him about the spasms that I experienced Monday night and what that might mean for recovery. He told me it really doesn't mean anything. Analogously, the real 'proof of the pudding is in the eating:' my muscles will be more responsive to my commands. Recovery will be slow and (hopefully) steady: my smile will become more and more symmetrical, for example.
He reiterated my care: eye taped closed at night for as long as my eye will not fully close, use of lubricating eye drops, particular care for my teeth, etc.
So the whole theory about using the NSAIDs to reduce the nerve inflammation didn't get any traction with him. My experience of using Ibuprofen and then experiencing the spasms were serendipitous coincidence - not cause and effect. And, just to report here, after about 36 hours of use, I didn't experience any noticeable increase in supposedly helpful twitching.
Summary: Just have to ride it out and treat secondary symptoms.

Bell's Palsy; Day Ten

So this is the magical tenth day where recovery *might* begin. But it didn't.
Last night I started thinking about what might have been different on Monday that wasn't true yesterday. What I remembered is that I had a bit of a stress headache and took an Ibuprofen for it. Later that night, I started experiencing the spasms. So I did some Wikipedia research and realized that Ibuprofen is one of the NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). OK, I was prescribed a steroidal treatment during the first few days specifically to reduce the nerve inflammation  I wonder if NON-steroidal anti-inflammatory drugs might be helpful and did I accidentally discover this on Monday?
So I began a self experiment. I treated myself to 12 hours of Ibuprofen during the day. Then I will take a Naproxim Sodium for the night (12 hour dose) and see if there is any effect by tomorrow morning. Now I do need to tell anyone reading this that I'm willing to do this because it is a low risk thing for me. I am a large man (6'3" and 280 lbs) so any toxicity from those drugs is mitigated by my body weight. If I were more petite and frail, 'self-medicating' like this would be a Bad Idea. I am NOT recommending this. And I'll likely get yelled at by my physician when I meet with him tomorrow.
Stay tuned for the results.
In other areas, I spent much of the morning meeting and talking. By the time lunch rolled around, I was exhausted. I went home to rest my eyes. Three hours later, I woke up. The lesson: I can function with most of my life stuff, but I am fatigued far more than normal.
But, on the plus side, I was able to go without the eye patch for all day. Later in the evening, I did have to put it back on.
I did receive a couple of very nice "get well" gifts: one was an 'edible arrangement' and the other was a gift card to a nice local restaurant. So I'll definitely be getting my daily servings of fruit for the next couple of days and it'll be nice to treat Barb to dinner.

Bell's Palsy; Day Nine

Well the hope of last night has dissipated  I was kind-of hoping that I'd go to bed last night and wake up all better. Nope; didn't happen. Today was much like most of yesterday. No more tingling and no more twitching spasms. Though a friend told me that they had once experienced facial paralysis due to a migraine and they had experienced the spasmodic twitching before their recovery. So that seems to be a legitimate sign.
But. None today.
Huh. What happened? What was different yesterday that wasn't true today? Don't know - yet.
I have noticed that the area where I'm told the cranial nerve exits the skull is a bit tender which fits with the supposed underlying cause for Bell's Palsy being an inflammation of that nerve.
Got several Get Well cards in the mail today which was thoughtful and appreciated. OK; random thought: all the Get Well cards had glitter on them. I do not know what the linkage between the thought of "get well" and "sparkly" is.
Tonight, I had a meeting at church and the other guys let me shape the agenda so the bits that I needed to participate in were up front. That left me free to leave the meeting early. And I needed it: I was fatigued.

Bell's Palsy; Day Eight Plus

Just wanted to capture a couple of thoughts before the end of the day.

• Physician's appointment: When I was in the Emergency Room, I was told I had to check in with my primary physician within the first week. So a few days after the ER visit, I called the office, left a message, and said "Hi. I'm checking in." Why was I so cavalier? Well, there really isn't anything my physician can do. This is a viral thing and there are no drugs or treatments (that I can afford, anyway) that can be prescribed. What else is my physician going to tell me? "Yep. You got exactly what they told you at the hospital. Your recovery will not be accelerated in any way by your visit today. That'll be $200." From where I sit now, Thursday's visit to my physician (who, by the way, I really like and believe to be Very Very competent) seems like a waste of his time and my money
• What does recovery look like? Nobody has discussed this with me and I can't find any clues on the internet. By the way, that is one reason why I'm taking so much time with this series of blog posts. For others out there who will contract this condition, it can be nothing but helpful to compare and contrast their own experiences with mine. Still, I don't know what it's supposed to look like, feel like, or ... whatever when (if?) I start recovering - there is not any information
• Related to that last point; maybe I do know. This afternoon I related in the last post how I'm able to endure significant amounts of time without the eye patch. By this evening, I was rather comfortable. Hmmm ... that looks like 'improvement.' Sometime earlier this evening I started experiencing a new sensation: my facial muscles on the left side started twitching. You know, like those uncontrollable sort of random movements you can start making? Well it is like that. At times, it got to be a bit annoying. AND my facial muscles on that side started 'talking' to me - a slight soreness, as if I'd been smiling or laughing hard for a long time. ADDITIONALLY, my face started 'feeling' different on the left side. The sensation was as if my face were just a tad warmer on the left than on the right.

Summary: improvement detected; cautiously optimistic.

Bell's Palsy; Day Eight

Today started well in that I was able to go without my eye-patch for significant stretches of time. This is a good thing as the patch is beginning to irritate my skin. Going without the patch worked better in the morning. I don't think this means I'm getting better, though.
I wear the eye patch to gently hold a cotton 'round' against my eyelid and keep the eyelid closed. I do that because my eyelids were not fully closing and to prevent dryness and actual pain, it seemed better to keep one eye closed.
Going for times without the patch allowed me to drive short distances and regain depth perception. However, when I went too long without the patch (about a half hour), then I would experience tearing, dryness, and pain. Getting the patch, the cotton, and the strap placement right is tricky and takes a while to get right.
Once on and stable, taking it off again was immediately uncomfortable. It takes some time to readjust the eye as it has been pressed on and somewhat deformed so it's immediately out of focus and sensitive. Taking the patch off leads to an immediate sense of dryness and pain. Both eyes star tearing up, the tears run down the face and into the sinuses, I need a facial tissue to clean myself off and blow myself off. It seems to take about five minutes of care to get the eye so that it can go without being fussed with. Cupping my hand over the eye seems to help. Then I'm good for a half hour or more.
I went walking at the local mall both last night and this morning to stretch my legs. Walking the mall is something I do three times a week - I know it well. I found that walking with the eye patch takes concentration and found myself feeling fatigue after a walk that should have just gotten my heart going.
I had a breakfast with close friends and then a meeting at my office - again, people who know me well - and found that my capacity for conversation was lower. It is plain ol' physically more taxing to speak when half my face is just flopping along. I found myself fatigued by even pleasant conversation and realized I was beginning to get a stress-related headache.
By the way, to make my speech clearer, I have found that I can hold my hand up to my face. My technique is to place my finger tips on my cheek near my mouth and then press a bit up and back. That seemed to give the best effect - your mileage may differ.
One last thing that I have neglected to mention before: my hearing seems to be more sensitive in the left (affected side). For example, when I sneeze the sound seems nearly painful in that ear. I causes me to wonder if there are affected facial (7th cranial nerve) muscles that contract in response to loud noises to somehow lessen the impact of that sound.
Summary: symptomatically stable.

Bell's Palsy; Day Seven

This is Sunday. I'm a Pastor. It's my job to preach. The left side of my face is a floppy nuscience. When I talk, the right side of my face has to pull the left side along and I still sound like the priest in "Princess Bride."
So I'm in a fortunate ministry situation where the leadership, after a small scramble, was able to find a replacement for me to preach this morning. Whew!
But.
I was still responsible for our "Breaking Of Bread" early service. That service is oriented to the regular attenders and so they have lower 'presentation' expectations. So I thought it a good thing to get up in my full disability and speak about my weakness and Christ's strength (2Cor 12:9). It was hard to get through, physically. I actually had to wipe away drool from my slack lips a couple of times. I'm sure it was hard to watch. Yet a good point was made and I was happy to display my affliction in order to point people to Jesus.
After that, however, I was done. That whole thing, even though about ten minutes, was really exhausting. AND I'm not one who likes a lot of loving attention when I'm feeling badly. So Barb drove me home and I recuperated there.
Then I watched the Tigers game.

Bell's Palsy; Day Six

Today seems much like yesterday – which is a good thing. It means that my symptoms are not getting worse.

I have noticed that it is, oddly, more difficult to breathe through my left nostril. Apparently, having  muscle control actually help keep the sinus open. Who woulda thunk it?

Still drinking by slurping from the right side; though using a straw for cold liquids helps.

Otherwise, I’m trying to find things I can do. My son and I did some garage cleanup as the weather is getting better – I seem fully able to lift, carry, sweep, etc. I did some guitar playing – no degradation of coordination there.

So, at this point, I seem to have reached a nadir.

Bell's Palsy; Day Five

Well, today is my first day of full disability. What I mean by that is I realized I can't drive myself, I can't eat in polite company, can't speak without significant impediment, and my eye patch is no longer cool.

I would have gone to a breakfast appointment but cancelled due to my condition. As I mentioned yesterday, I just can’t eat in public – it would be too distracting for whomever I’m dining with.

My speech is noticeably slurred and it is difficult to speak. It is hard to understand me and it is hard for me to actually form my words.

I’m done with driving. I could drive in an emergency, but I now rely on my wife to take me around.

Here are a couple of thoughts:

·                     The nerve issue is a strange one. The condition is unique in that it is one of the few disease diagnosis that attacks a single nerve group. In this case, the seventh cranial nerve (hey, give me credit that I remembered that)

·                     The attack is thought to be viral – so there’s no real direct medicine that can heal, cure, fix, or resolve the matter. Just have to let it play out. The steriods merely attempt to encourage healing, not directly attack the disease

·                     The effect of the nerve attack is “valve-like.” Nerve function works one way, but not the other. Motor impulses do not get down the nerve pipe to the muscles, but sensation, feeling, and touch are not affected. Probably because they are different nerves. In any case, I can feel my wife’s kiss but I can’t kiss her back.

That valve or ‘diode’ like effect is intriguing.

Consider the analog to the human condition: we feel, but we can’t control. Much of human life is spent on the emotional, the sentimental, the relational, and the perceptive. We, even the most ‘rational’ among us, mostly “feel” our way through life. But so many things are beyond our control. We cannot make good things happen; we cannot prevent bad things from happening. Much of humanity’s sense of culture centers around our desire to control our environment and influence others. Many of our most profound thinkers suggest to us that control is an illusion. When we do, momentarily, achieve some kind of control, the satisfaction evaporates away. When tyrants achieve slavery of others (control), their souls are NOT thereby grown and made better. Yet, when we lose control, most of us lose the sense that we are fully alive. But we are still alive, because we can still FEEL pain, hope, frustration, blessing, and the like.

Feeling and control – life is tough.

Bell's Palsy; Day Four

            Today was a watershed. Symptoms continue to increase and my face is clearly noticeable. The last couple of days, my sense was, "OK, this is inconvenient, but at least I'm not becoming a slack-faced pathetic creature."
           Today, I'm a slack-faced object of pity.

            Another breakfast appointment with a retired pastor – so someone who is very sympathetic. This time I did not bother to eat the English muffin that I’d ordered. I realized that I could not - at least, not in front of people - eat: even with my friend.

            It was my regularly scheduled day for a spiritual retreat so I drove up to the place. That was rather challenging. I was able to drive effectively, but it took A Lot of concentration. Once I got to my retreat site,  adjusting the eye patch seemed a nearly constant thing. I realized that I was not going to get any better as the day progressed so after lunch, drove back. Driving took so much out of me that I napped for two hours. And I’m the guy who loves to do long distance driving.

            I realized that I’m now grounded.

            A couple of weeks ago, I had been invited to attend a poetry reading for tonight where one of my parishioners was participating. It was going to held in the downtown area. OK, *maybe* I could make it down there driving myself, but driving back at night would be a Very Bad Idea. I sent an apologetic message via Facebook that I would not be able to attend, but then my wife said she’d drive me down. So I went and, as much as I could enjoyed the event. But I could not be sociable with anyone else there except, briefly, with our friend.

            Now I can’t travel without being chauffeured.
So I cannot be sociable  cannot converse, cannot share a meal, cannot independently visit people, I cannot preach. As a face-to-face pastor, I'm suddenly unable to do my "job." As I mentioned on Twitter. This is the first time I have had an illness that kept me from doing my job, even though I did not actually feel bad.

Bell's Palsy; Day Three

            During the second day, I realized that I was going to have trouble eating. I had experienced some difficulty late during the first day, but I woke up and my lip control had deteriorated a bit more.

            Now I had an eye patch. Which looked rakishly adventurous. The patch held a ‘cotton round’ (used by women to apply or remove makeup) that kept my eye lid closed to prevent dry eye. Actually, that was a necessity. Without the patch to keep my eye closed, it was not more than a minute that my eyes would both start tearing up and I’d have to hold my left eye closed with my hand. I began to wonder: if I have to wear a patch for up to several months, what will that do to my vision?

            The other part of wearing the patch was the immediate effect: I was now functionally blind in one eye. Very inconvenient. Not only had I lost depth perception, but my right (uncovered) eye is not my dominate one. I did try driving and found I could do it. But I had to borrow technique from my old roommate back in college who once had a job teaching legally blind people how to drive. 

            Back to eating. I drove myself over to another breakfast appointment and found that I could not eat very nicely so had to figure out how to smoothly slide my bagel around my lips and not bite myself. It was tricky. Drinking coffee was a challenge, as well. I slurped more than I was comfortable with.

            At the same time, I realized that my speech was beginning to slightly slur.

OK, this is problematic for a guy who makes his living talking with people, frequently over a meal.

Later that day, that was confirmed as we had a dessert date with another family in the church. This time, cheesecake and coffee. Again, had to angle in the bite of cake so it would get past the unhelpful slack lip and then chew without anything falling out.

Symptoms are getting worse. I did talk during the evening and found my right (unaffected) left facial muscles were getting tired trying to accommodate and pull the other slack side along.

I found that my articulation improved when I took my left hand and pushed my cheek up a bit.

As our hostess was a nurse, she let me know that I would likely have symptoms for several weeks and should make plans now.

Being a pastor who preaches means that I could not, in the immediate future, do my job directly.

Bell's Palsy; Onslaught

So, this is different and I thought I should write about it.

I have been diagnosis with “Bells Palsy.” Wikipedia has a nice article on the subject (http://en.wikipedia.org/wiki/Bell%27s_palsy) which even my attending physician recommended.

First Day: About 4:00 PM, as I was sitting down to watch the season opener (Tigers vs. Twins; Go Tigers!), I was eating some potato chips. I noticed that I could not taste the salt on the chips on the tip of my tongue. At the time, OK, that was odd but did not rise to any level of concern. Later that night, as I was brushing my teeth, I was rinsing and realized that I could not spit with any control. It was as if my mouth was numbed from Novocaine, but without any of the tingle. Again, an odd thing which I did not pay much attention to.

Second Day: I woke and realized that I still had the numbness and started to be vaguely concerned. I had a breakfast appointment and thought that maybe whatever was going on would work itself out like the hundreds of odd little pains and phenomena of being in late middle age.

            I got to breakfast and ordered oatmeal. As I began to eat, I realized that I was having trouble with lip control and there was danger of some of my food escaping my mouth. As I was sitting there, I realized that my left eye was not acting properly, either. At that point, it came together: left tongue tip, Left lips, LEFT eye – and it seemed to be spreading. If you are a male of A Certain Age with a family history of heart problems, you are trained to be very sensitive about bodily phenomena occurring on the left side.

            So I left the restaurant and immediately headed home. I got there and after a brief discussion with my wife (“This is what’s happening. Am I being overly sensitive or particularly wise?”) we decided to get over to the emergency room. We went to the Wm. Beaumont facility in Troy and they took my story seriously.

• Lack of control in left face: lips and eye lids
• No pain or immediate discomfort
• No gross weakness on one side
• No mental confusion (or, at least, no more than usual ;-) )

They listened to my symptoms, took an EKG, and then walked me over to the ‘serious’ side of the emergency floor – which I took as Not A Good Sign.

            I got into a gown and a physician and a resident came in to see me. I kinda liked that because that meant I had a real experienced physician, as well as one very recently trained who was likely eager to impress the older one with all their fresh knowledge. The older gal had me tell my story again and the younger one performed a series of tests to determine if I had any gross weakness on one side compared to the other. No differences.

Was I numb in any affected area? No, I could feel touch and other sensations on my face.

They checked my ear canal. Apparently, there is a herpes variation that can cause numbness like this but will leave some lesions inside the ear. Nothing there but the wax that is usually present.

The older physician did most of the talking and was observing my face. She said there was a noticeable lack of movement on the left side.

At this point, it seemed like they had pretty good certainty. There was no stroke; there was no “T.I.A.;” episode; there was no sign of herpes; and all the symptoms pointed to “Bells Palsy.”
In summary, Bells Palsy is a 'diagnosis of exclusion:' if it clearly isn't A, B, or C - it is D. It is a viral attack on a specific nerve (7th cranial) that causes inflammation and therefore, loss of muscle control. It is temporary, usually (!).

I was told that, at the bear minimum, the best I could hope for was recovery within ten days and the symptoms could (would?) get worse. Likely recovery would be in the order of a few weeks.

However, in the meantime, there were some things I could do. The physician immediately gave me a few steroid-like pills and prescribed a “21-course” over the next few days. As this condition is believed to be due to inflammation, the steroids (acting as an anti-inflammatory role, rather than preparing me for a career in major league Baseball) can be helpful. She recommended I take care of my left eye as there is danger from it becoming exposed and dry; to massage the left side of my face to try and retain muscle tone; and to follow up with my primary physician (with whom she went to medical school) within the week.

That was my first day. 

Pornography From Another Perspective

So let me just start out by saying that the title of this entry is a bit edgy for even me. Pornography is an uncomfortable and awkward topic. And my thoughts here are likely going to be uncomfortable, awkward, and provocative for some folks.

Some years back, there was a “disturbingly candid” essay by a pastor in the Christian periodical, Leadership about his struggles with pornography. There were several noteworthy insights about pornography from this essay, but I’m going to focus on just one.

The insight is that the pastor was attracted to these images because they were unreal. The women in the pictures never had bad days, they were never anyone’s daughter or mother, never crabby or demanding, always suited his moods, needs, and wants. There were no mood swings. They were always respectful and encouraging. They were unreal.

Dan Phillips (via Pyromaniacs 29Mar2011) continues this thought: “That is why so many women resent actresses and models, in general. It isn’t catty pettiness or smallness. It is that they know how visually-tempted men can be, and they know that they can’t compete with a fantasy …”

In other places, the unreality of these women has been exposed by the use of photographic manipulation and the recognition that, at the best, merely one to two percent of women have – at any one point in their lives – ever looked anything like the images that are displayed. The vast majority of real women just do not look like that. The women in the pictures are unreal.

Any so-called ‘relationship’ the man viewing these images had with these women was fantasy, wishful thinking, a daydream, a willing delusion. The whole basis of pornography is anchored to the pleasure that this fantasy creates. And none of this is really news. We understand male pornography pretty well.

But.

What about female pornography?

Hold it – what?? Is there such a thing?

Most certainly. The mistake is to think that female pornography is about beefcake male models at Chippendales. That is a significant minority of what I have come to recognize as female pornography.

Let’s back up and take a 50,000 foot view. What is it that makes images of naked women a starting point for male pornography? It is because they are images. Men tend to be far more visual in their ‘attractiveness’ criteria. Men are attracted to visually pleasing women. To be blunt, men want to have sex with a physically attractive woman.

Now let’s look at the other side. Are women attracted to visually pleasing men? Sure, but that is not nearly as strong an attraction as to emotionally pleasing men. Stereotypically, women want romance, conversation, emotional connection, relational intimacy, and so forth. To be blunt, women want to have sex with an ‘emotionally attractive’ man.

So what is female pornography?

Where can women readily gain access to depictions of emotionally attractive men? Where can they perceive of men who are always attentive, relationally intelligent and engaged? Men who express unconditional love, romance, and excitement?

Romance Novels.

Romance novels are full of men who are unreal. The males in romance novels speak and act very differently than the vast majority of real men – men who actually exist.

A real man comes home from work sitting at a desk where he can’t be as active as he should be and so has put on some pounds. He’s battled the actual job, fought against the tyranny of an idiotic organization, and run the gauntlet of stop-and-go traffic for an hour. He comes home and is exhausted, grumpy, and wound up. He is curt and needy. He’s unreasonable, to be sure. And when he crawls into bed with his wife after the two of them have had a couple of tense moments during the evening, he still wants to cuddle – on his terms – which ultimately means sexual intercourse.

Traditionally, the man in the romance novel is not like this at all. He looks like Fabio-Robert Redford-Brad Pitt-George Clooney. He leaves work in the middle of the day at a moment’s notice and rushes to his lady-love to assure her that he really, truly, deeply loves her and engages in generous slow-motion cuddling for the rest of the afternoon and into the evening. This is not a man who really exists. He is a fantasy. He is not real.

By the way, the current version of the romance novel male circles around vampires, shape-shifters, etc. Oh, and let’s not forget the male homosexual market.

Romance novel readers Love That Man. They buy books to relive this fantasy experience again, and again, and again, and again … Sound familiar? There are A Lot of books being sold to support these female addictions. Whatever else you may call them, romance novels are clearly making a lot of money. To top it off – they are displayed and on sale by the yard-length shelves at Walmart, Target, Kmart, and other fine ‘family-friendly’ stores all over the country.

It is more than interesting for me to observe that digital book readers (such as Kindle) are much more popular among women. The technology of the digital tablet is partly fueled by the market demand for electronic books. “Romance readers buy in volume and velocity, making them optimal digital readers.” I am reminded of a quote that I heard in the early 1990’s. It went something like this: “All emerging publishing technology (books, photography, movies, radio, VCR-DVD, internet) has been propelled by two forces: religion and pornography.” Think I’m making this up? Check this out: http://www.fastcompany.com/magazine/157/angela-james-harlequin-ebook. 
Kindle technology and female pornography – linked at the hip.

Yes, Virginia, there is female pornography. I hope your mother is having a responsible conversation with you about it. Just as I hope that your daddy is having a responsible conversation with your brother about pictures of naked women. And that is pornography from a different perspective.

Weird “Christians”

Generally, those in the pastorate very much want to interact with people outside their church. We see ourselves not only as helpers but also as those with the ‘treasure in jars of clay.’ We want to help and we have something of value that we want to share. But it gets weird, in some cases.

We got a call from a guy some time ago who initially asked about the church but then had very specific questions. The call was initially fielded by our church secretary who took the name and number of the caller and said she’d gotten rather flustered by him. The questions were getting specific and she did not feel confident to address them.

So I called this guy. It was a very unpleasant conversation with this guy insisting that churches don’t do the things in the Bible. His grammar was poor and his manner both abrasive and confrontational. At one point he said that we should never do things that are not in “the book.” So I asked him about democracy, automobiles, and English – all things that are not in the Bible that he himself participates. Not many people like being drawn into a debate like this. I’m one of those, as well. It went like that for ten minutes.

Finally I asked what church he regularly attends. He said he goes to lots of churches. But I asked; do you attend any one church regularly? No, he replied. I offered, "Then you yourself are not obeying the fellowshipping commanded in the book of Hebrews." (Hebrews 10:25). He was quiet for a second and I followed up with the fact that his whole conversational posture here was argumentative. He denied that – of course – and insisted that he was “just asking questions.” I don’t know about you all, but somebody who tells me they are “just asking questions” is not “just asking questions.” Every lawyer knows that hostile cross-examination is always done “just asking questions.”

He had a theological hot button about being saved. How did it really happen? I quoted the epistle to the Romans – one of the most powerful discussions on our need for salvation in all of scripture. But that wasn’t "good enough" (scripture isn’t “good enough?”); at the same time, he insisted that I find a place in the Bible where people were actually saved because they believed on Jesus and were baptized. I countered, if the Apostle Paul says that’s the way it is, then it is true. The Bible doesn’t have to provide an example – why do you insist on that? Again, a moment of silence.

He sounded like a “discernment” guy and his whole ‘conversation’ was about telling rather than listening. I gently confronted him on his tone, his attitude, and his judgmental posture and suggested that if he wanted to actually engage the truths of scripture then he would need to do more conversing (that is, listening) than broadcasting. That didn’t seem to be likely so I told him that he would not be interested in coming to our church.

I have no doubt that on some discernment website or blog, this nutcase will state that I or my church do not really believe or practice the Bible.

What is really annoying about people like this is their assumption that they know more than they do. Reading the Bible is fairly easy to do for a literate person – fully understanding it takes a lifetime of rigorous, detailed, and humble study. Those who have actually done that report that the Bible is richer, deeper, far more complex and nuanced than they ever imagined when they began. “Great is the mystery of godliness.”

But for people like my caller (and other so-called ‘discernment’ crusaders), the truth is simplistic and must correspond only with what they wish to believe. They can’t imagine that they might be wrong. Humility is not a virtue and certainly not a characteristic they possess. In fact, actual ignorance and lack of education is held up as a strength. These are weird people.

But what is even more worrying is that there are many contemporary ‘Evangelicals’ who can’t tell the difference. I mean, as an example, people who don’t know the difference between a Benny Hinn (heretic) and Charles Stanley (good guy) – they’re both on T.V. It turns out that actual and real discernment among most Christians is not that common. What passes as ‘discernment’ on the internet is a dressed-up version of old-school Neo-Fundamentalism. You know who those are: the people who don’t seem to be for anything but are very much AGAINST nearly everything. I am concerned because there are a lot of shallowly-planted followers of Jesus who actually can’t tell the difference between real discernment and the angry discernment.

So, what can be done? Is it hopeless? Is there any way to beef-up the true discernment of the average American Evangelical? What do you think?

Nearby Miracles

I was thinking about the nature of miracles recently. And I'm not the first to consider this. I'm of a 'scientific' mind and understand how the world of things work. So when God works unexpectedly in creation nature (water to wine, stopping the sun in its apparent path, making dry land in a sea, healing of incurable disease, etc.), that's pretty impressive. Those are feats of God's work that are pretty rare and usually far off, however.

But I'm coming to be even more impressed with the miracles that are more accessible to us. The changes in human nature: a heart of pride turned to humility, relationships long dysfunctional brought to health, cold and calculating transmuted to sympathetic and sacrificial. These are things I get to see because the gospel of Jesus leads and invites us into those miracles. And they are very accessible: as close as our own soul.

In my experience, the authentic gospel of Jesus changes everything for the better.

GAMMZ-Collins Scale of Questionability

I was recently introduced to a new piece of research by the GAMMZ team. This is the "Collins Scale of Questionability;" a semantic exercise to identify and label levels of subjective social inappropriateness. While there are, within legitimate use of this tool, objective indica (it is, after all, behaviorally based); the tool best operates when applied to the subjectively precieved questionability of observed behavior. Here is the scale:

1. Interesting
2. Strange
3. Awkward
4. Fishy
5. Shady
6. Sketchy
7. Creepy
8. Stalker-ish
9. Crazy

The scale ranges from light to extreme questionability.
Note that it is tempting to see the phenomena of questionability in a linear and continuous movement. One of the key insights from the GAMMZ team is that the range of questionability seems to operate in a discrete manner. The phenomena, in movement, is  quantum-like in nature with observed behaviors instantaneously jumping from one level to another - occasionally skipping one or more levels in a single state change leap.

It should also be noted that questionability (of necessity) is a sociological phenomena in that it requires the norms of a group to operate, as well as the observation by a group to be recognized. There is the additional characteristic in that questionable behavior, once introduced into a group system, can become both contagious, and from that contagion, escalate to greater levels of questionability. Furthermore, the individual(s) engaging in questionable behavior is/are frequently observed to escalate their behavior upon the recognition by the larger group of the specific behavior as belonging to one of the levels of questionability.

I would like to thank the GAMMZ team for their work and insights in publishing this important research. The GAMMZ team involved in this research consists of:

• Lindsay Geverink
• Amy (wished to remain anonymous)
• Sarah Manore
• Kristi Metz
• Emily Zanke

Showing Up

Was reminded this morning of the old saying that goes something like this: "Most of life is about showing up."

We frequently mean that in a mental or emotional sense, as in: "I was there but mentally checked out;" or "I was emotionally unavailable." I remember hearing this most recently in the case of voting - encouraging younger voters to 'show up' in the political process by voting

But there is the basic sense that we tend to pass over and that is physically being there. "Incarnationally present," to sound technical. You can't even get to "mentally in attendance" if you are not physically there! By the way, no points if you counter with: "But what if I am listening to a conference call or webinar or ..." That's not the point.

So where am I going with this? Next time you elect to not attend church, realize that you are choosing to not "show up." Then tell me, with a straight face, about how much you love your fellow brothers and sisters in Christ. Tell me about your commitment to the church as the family of God. Convince me of your engagement with the purposes of Jesus in the world. You have not shown up physically - it is Highly Improbable that you are showing up mentally, emotionally, or volitionally. Yep, most of your life as a Christian starts by showing up at your local church.

In the book of Hebrews we read "Let us not neglect to meet together, as is the habit of some, but encouraging one another, and all the more as you see the Day drawing near." (Heb. 10:25). Sure, some Christians do treat the meeting-together pretty casually - but that is not the way it is supposed to be. It is an appropriate response to the gospel: now that God has drawn near, we should draw together. And if we don't; well, the next few verses say that will not be good.

Oh, and another ByTheWay, why would you think that "family/friends are in town" is a legitimate excuse to not come to church? If they are believers, they should come and worship with you. If they are not, then this is your opportunity to have an evangelistic impact. Either they come with you and see what Christians do, or they do not come and see that you are committed to the cause and work of Jesus in this world - both of those outcomes have evangelistic impact. Remember that most evangelism is not done by the professionals, it's done by the pew-sitters. But - of course - if you're not in the pew in the first place, well ...
So if you do not go to church, the message to your visitors is pretty clear: "I don't value being with the people of God."

Let's explore that notion of valuing visiting family more than God's people. Look again at the words of Jesus: Pointing to his disciples, he said, "Here are my mother and my brothers. For whoever does the will of my Father in heaven is my brother and sister and mother" (Matt. 12:49-50) - so who is your true family? Or, He replied, "My mother and brothers are those who hear God's word and put it into practice" (Luke 8:21) - who are your true relatives? Or, "If anyone comes to me and does not hate his father and mother, his wife and children, his brothers and sisters--yes, even his own life--he cannot be my disciple" (Luke 14:26) - even using hyperbole, Jesus is making it clear: if some other loyalty is competing with your loyalty to God, you are not being a good disciple. Is there any doubt that Jesus well and truly loved his mother and siblings? No - of course not!

There are certain cultures within the world or sub-cultures within America that embrace the idolization of family. Remember that an idol does not have to completely replace the true God. If you place the idol along side of God, that 'implied equality' is still idolatry.

Back to church attendance - really, if our commitment to God is so weak that we struggle to do this very basic thing of giving one percent of our week to meeting with the local church, then we need to have a serious self-conversation about our devotion to Jesus.

=========================================
"One percent" - where did I get that? A week is seven 24-hour days: (7*24=)168 hours. I assume a two hour commitment to a weekly service. Two divided by 168 is (2/168=) .0119, or a bit over one percent (1.19%).

A Protestant 'Pope' Has Died

‎"If evangelicals could elect a pope, Stott is the person they would likely choose." New York Times columnist David Brooks.
I learned that John Stott, leader of the modern evangelical Christian movement, passed away today. We - Evangelicals - grieve; but not as those who have no hope.
Many others have, and will have, much more enlightening and helpful things to say about John Stott, but my response is more personal. I can't say that I read everything that Stott wrote - far from it. But that which I did read from Stott was very, very good. I was impressed by the trajectory of his ministry. He, as an Evangelical, stayed within the existing Anglican communion and helped to fan a flame of revitalization and restoration within that movement.
I was able to meet him on one occasion while I was studying in England. While we lived there, we decided to make All Souls, Langham Place our 'home-away-from-home' church. Stott, former Rector at that church, came back to preach a brief two or three message series there during our own tenure. After one of the services, I was able to shake his hand and converse Very briefly. I'll be honest, my motivation to stand in line was mostly to get a chance to meet a Christian 'celebrity.' But while I was there, I watched him greet old friends from his days at All Souls as a local pastor. I realized that this great intellect, devoted follower of Christ, and influential leader seemed very comfortable as a parish pastor. I was impressed by him even more. It came time to shake his hand, he realized that I was American and asked what brought me to London. I explained briefly and after expressing interest, he went on greeting his former flock. Even that small interaction gave me a taste of his grace, wit, and 'pastoral touch.'
I got a taste of Stott's capacities by association - the people who were around him. During our few months attending All Souls, we became acquainted with a gentleman who served as Stott's Administrative-Aide-Compainion and I was struck by Stott's personality by extention: if this very clever guy was paid by Stott to just stick around and keep Stott company, Stott must be a pretty clever guy as well. The current President of John Stott Ministries is semi-roommate of mine from college days: Ben Homan (former President of Food For The Hungry) is a rather bright and accomplished fellow. If Ben is leading that ministry; it has Christ-centered depth, purpose, and integrity.
As I said, there will many comments far more insightful, informed, and intimate on Stott's life. But, as for me, I remember meeting a good pastor.
Here are some other comments:
http://www.christianitytoday.com/ct/2011/julyweb-only/john-stott-obit.html
http://www.scriptoriumdaily.com/2011/07/27/rest-in-peace-john-stott
http://westernthm.wordpress.com/2011/07/27/john-stott-rest-in-peace-1921-2011/
http://en.wikipedia.org/wiki/John_Stott

Confident? Confident.

Here in the Detroit Metro area, over 500 like-minded churches as well as many para-church organizations are cooperating in the “EACH” campaign during the Spring of 2011. The EACH campaign will attempt, within the 40 days after Easter, to give Everyone A Chance to Hear the gospel in the Metro Detroit area. Now, there are going to be billboards, bus sides, advertisements, shirts, mugs, hats and all the accouterments of a Big Media campaign. There have been and will be more events, service to the community, compassion initiatives, and practical helps. But the reality of giving everyone a chance to hear is that it will most effectively be done as people have one-on-one conversations with others they already know. All the media stuff is merely a tool to facilitate those conversations.

As we chat with those we know about the Greatest Story Ever Told – the true story of Jesus Christ, we need to tell the Second greatest story: our own story. To help us do that, we have all been encouraged to thoughtfully consider our “two word story.” The idea is to use the same word with different punctuation. The first use of the word is with a question mark which will describe the uncertainty and need one had before coming to Jesus. The second use of the word uses a mere period to describe the certainty of that need being met in Christ.

My two-word-story is: "Confident? Confident." 
When I was growing up, I had a crises in confidence. Sure, we all did at that age, but I was particularly sensitive. As goofy as everyone else was around me, I was even goofier. I was clueless about life and how it worked – everyone else seemed to “get it” and was able to operate with much greater confidence. I was the poster-child for a “Loser.” But one evening I listened to a speaker at my church talk about confidence. Later I was able to chat with him and he asked me about my confidence in my relationship with God, the ultimate judge. I thought I might be “good enough,” but he pointed out from the Bible that really was not true. The only confidence I could have would be through Jesus. That made a great deal of sense to me. So I prayed to receive Jesus to overcome my sin and to guide me in my life.

From that time, my life – to be simple – just got better. My newly discovered confidence in Jesus allowed me to be confident in the other, less-important, areas of my life. I discovered not only a new hope based on the forgiveness of my sin; but also a new life of purpose, meaning, and guidance as I more closely followed Jesus; as well as a new community of care and friendship of other followers of Christ.

And that’s my two-word-story.