Sunday, December 31, 2006

Absolutely Crazy

Last night at work was nuts. The pace never paused, and patient flow was steady for the full twelve hour shift.. I am thankful that I work in a mid-size hospital emergency department rather than a huge never ending flow of patients type of department.


Not to brag, but aside from the unique cases to illustrate, we set a few records in the past 24hours as well.

  • Saturday afternoon, we crossed the '40,000 patients seen' threshold of 2006.

  • Saturday night, we hosted the patient with the highest blood alcohol record setter... BAC .712. According to the text book, this patient should have been having seizures, comatose, or close to death. He was lethargic, but breathing fine, knew where he was, who he was, and carried conversation. -I told him "God must have a plan for him because he should have been pushing up daisies with a BAC that high.". He agreed, and determined that maybe it was time he seek out a bible.


Our 'Team' at work is really blessed to have great skill sets that really compliment each other. We help each other out and flow really well. Even though our mojo started off really rough in the beginning of the night, we made it till morning with the 'my butt is kicked' feeling by the time the sun came up.

There are many other unique cases that occurred during the night, but honestly, I am too whipped to elaborate right now. I'll do it later. Right now, I just want to go to sleep.

Have a safe New Year, and don't do anything dumb enough to bring you to the ER tonight. We might be tired and cranky by then.

-Ch

Thursday, December 28, 2006

Does this thing really work??

Grace has now graduated to the appliance princess. As you can see, she now has a full arsenal (and excuse) to clank pans together and put weird things in the microwave. Her kitchenette was a gift from Grandpa and grandma Lisiak, AND, her Christmas outfit was provided in part by...(Sounds like a paid sponsor doesn't it?) Uncle Jim and Nancy Lisiak. THANK-YOU EVERYONE for the wonderful gifts, and sending out the California Christmas fashion bug! E




Mmmmm.. no food in here..

How Much Can You Take?

How Much Giving Can You Take?
Yes. It's true. Although I spent the vast majority of my 13 years with the USMC as an infantry grunt, I also spent 3 of those years recruiting for the U.S. Marine Corps. -And to our credit, we did an awesome job with the utmost integrity. (Best station in the Nation!) One of those pinnacle moments, was of the above. Click on it to enlarge the photo. (self explanatory)
I believe we can all give much more than we think we can comfortably give. Give your time, yourself, your impressions, your finances, give your passions, and give to God by doing all of this. If you'd like to see real suffering and real need, email me; and a trip can be arranged to tangibly see just how good we have it. God will open your eyes to the joy of 'serving the least of these'.
I once thought we didn't have much, and it was all hard earned. ...Well, I still believe it was hard earned, but now, I know we have much more than we gave credit for.
The spirit that Kristopher had four years ago, seems to melt away sometime during the onset of adulthood. I would petition, that you don't allow that to happen.
-Even if you don't believe in God, he believes in you.
Semper Fi,
Staff Sergeant Carl Hilton, USMC (Ret.)
"The Marines have done so much, with so little, for so long, that they
should be able to do anything, with nothing, for almost forever!"

Wednesday, December 27, 2006

Michigan Sunrise



After getting home from work, I captured these shots of the sun rising in our front yard this morning. After a somewhat uneventful Christmas workday/night at work, it is awesome to rethink that the sun rises anew every morning. God's beauty is everywhere and awesome to behold.




Monday, December 25, 2006

MERRY CHRISTMAS



Foretold by the prophet Isaiah. 700 BC

"For to us a child is born, to us a son is given, and the government will be on his shoulders. And he will be called Wonderful Counselor. Mighty God. Everlasting Father. Prince of Peace."
Isaiah 9 verse 6

Fulfilled by the Birth of Jesus Christ.

"Today in the town of David, a Savior has been born to you; he is Christ the Lord. This will be a sign to you: You will find a baby wrapped in cloths and lying in a manger."
Luke 2 verses 11-12

Friends, family, and strangers; this is the reason for our joy.
The Lord bless you and keep you. May his face shine upon you, now and always. MERRY CHRISTMAS!

Love,
Carl, Tess, and Grace Hilton









Sunday, December 24, 2006

AMERICAN MISSION (IM?) POSSIBLE

SHOPPING.

....In men all around the world this one word elicits anxiety, pain, anguish, and memories of general discomfort. -Hunting for the few elusive gifts on the eve, of Christmas eve, is even more dangerous than previously thought.

When a gift cannot be found at HOME DEPOT, MENARD'S, or LOWE'S, we as men know we are in trouble; for we now know that, we have to venture into the deepest, darkest recesses of TARGET, or worse, THE MALL...


We've briefly documented this adventure through photographs to give warning and heed to those who are brazen enough to venture into the masses of procrastinating holiday shoppers..

-Good thing Tess was there to keep me organized and under control. ( ; / )

If you must go out tomorrow, God's speed friend. God's speed.

Saturday, December 23, 2006

Peace on Earth and Goodwill Towards Men



I was emailing a brother of mine serving as a Navy chaplain at Landstuhl Air Force base hospital in Germany this morning, and found that what I had been typing was worthy enough to share.

-Enjoy and consider this perspective:

The other night I watched a bloody, uncut, hour long, online video I found on 'Baghdad Trauma ER'. This is the initial 'green zone' ER/hospital where U.S. soldiers, airmen, sailors and Marine warriors are whisked away to when hit with IEDs' or critically injured in combat. Pretty amazing stuff.

I say that with my twisted U.S. Marine and civilian paramedic trauma experience perspective.
I am pretty sure that God designed us to have a deliberate dislike to see human suffering and carnage, so when someone overcomes that to get a job done, whether it be in combat, the inflictor, the afflicted, or the interceding healer, it always comes back to be dealt with... And I'm confident that modern psychiatric medicine or counsel is only a small piece of the healing puzzle.

God's introspective blessing and Holy spirit counsel is the solution.. Perhaps the lack of that is the root of PTSD, or whatever else they call it nowadays. -And just as generations before have denied and declared "I don't want the God thing chaplain", ...We really do. Sooner or later, if we ever want to heal, we have to get into the "Jesus thing" We have to know that our creator, our father, has not abandoned us to "this". And we'll never know, until we let ourselves know.. Him.


Today. Right now. We should get on our knees and pray. Pray for ourselves and our families. Pray for the men and women, boys and girls that get sucked into the abyss of conflicts, combat, and carnage throughout the world. Pray for the family and critical victims of automobile accidents that just happened. Pray for those who are on the brink of hating Christmas because it brings back so many hard memories of loss. Pray for a softening of hearts; that we don't develop hard hearts to the indifference of others. -And Expect an Answer.


Cllick on the text below to check out this letter written to his parents by a young U.S. Marine Reservist from West Michigan.



Friday, December 22, 2006

Chia Pets and other important gifts of season







Have you ever examined the perennial Christmas season commercials that are on only during this time of the year? Cha, cha, cha, Chia! or, Clap on, clap off.. The Clapper.
(Doesn't the sleepy little white haired lady on the commercial remind you of dear old Mom?) No? Well, me either.
With the Traditional American Christmas spirit getting overshadowed by new 'work' obligations to pay for these "must have" items, I would like to propose to you a product we all might benefit from time to time.
(The following video in no way reflects or represents the mood, tone, views, or compulsions of the blog creator, editor, staff, Friends, associates, strangers, family, or extended family. No liability is assumed or accepted. This video is only intended to add humor and creativity to your day.)

Keeping my eyes on Jesus, I clearly realize that I already have EVERYTHING that I need. My prayer would be: "That God blesses us with the realization that, 'if we are to work harder, faster, or stronger, the reason is; to bless others with the surplus God has provided us, and to give him glory.' -If we're good stewards, I'm pretty sure he will bless, and even multiply those blessings, -if we remain faithful to his direction.
Is it coincidence, that people spend an entire lifetime searching for their 'direction' in life?

Thursday, December 21, 2006

Yule be happy to know


Yesterday, Grace's Great Grandma lisiak came in From Wisconsin to stay with us. (So of course we spent the entire afternoon doing the last minute vacuuming, dusting, and overall housework catch up to make the house ready for her arrival. -After she arrived, I think I saw her all but 20 minutes before I headed out to work. (Which was pretty much an unremarkable night by ER standards.)
While I grabbed a few hours sleep, Tess, Grace, and Great Grandma went to to work... (at the mall, shopping, eating, visited other family, and basically perusing around West Michigan.)



Here is the 'person of the hour' back at work again knitting mitten ties for Grace. You can't keep a good woman down! : )
For the Lisiak family back in Wisconsin and California, here is evidence that she is doing great in the Midwest's 'Winter-Water-Wonderland'. ...Well actually, no snow yet, but we are praying for it.
God Bless,
-Carl

Tuesday, December 19, 2006

Dad, this Buck is For You..



In Michigan, deer hunting is BIG. If a person were to muster up all the deer hunters in Michigan this past November, they would be looking at about 739,000. -And that is down from 900,000 just seven years ago. (according to the Detroit News) But then again, what the heck does Detroit know about hunting?

It's down partially, because of me.

Yep. I haven't hunted since around 1998. (Sorry family. I know I've just shamed you all..) I'm envious of my brother who takes his son out hunting each year.. -Part of the problem of not being able to hunt is simply, LIFE. Working mondo hours, going to school full-time, and spending time with my wife and little girl, who deserve whatever little spare time I have.

..But I still recall, and even imagine the times of solitude and enjoyment of preparing for, and deer hunting, each November 15th up north at Grandpa and Grandma's farm. -After I fix my time management weakness, perhaps I'll find plenty of time to get out in the woods and get some venison. Until then, I'll wish I had the opportunity of this poor guy in the video.. Because even though I've not been hunting in nearly ten years, thirteen years of Marine Corps Marksmanship tell me I'd have been dragging home some fresh venison if given the opportunity that this poor guy missed.

Enjoy! -Carl

Monday, December 18, 2006

36 Hour Marathon


After a long work weekend, my faith in human kind being able to rule themselves without supernatural intervention to survive and thrive, has been solidified. NOT!


Even though it might seem I've become cynical, I really haven't. When I write about someone having a "rock star status blood alcohol level" (.41 and still violently obnoxious in restraints screaming, "DUDE! I'M A ROCK STAR!" in between the !*&%#$*#'s) Well, ya gotta laugh at that.


The weekend consisted up the usual stomach pains, chest pains, intestinal and bowel issues, kidney stones, appendicitis', diff breathers, broken bones, sprains, strains, lacerations, burns, psych issues, depression, overdoses, attempted suicides, and overall silly behavior.


I couldn't make this stuff up if I tried... Surf the net and look for any medical student's ER perspective. This is just the way society is. Aside from the small 'butterfly effect' moments, I'm still sifting through the rock stars with a smile. ; /


Remember a few posts ago, I mentioned that we work for thirty days to reach that one day when we make that rim shot and get the big save of a really awesome day when you really make a difference? -What that means is, that we get to work with alot of "Rock stars".


I think humans are the only species on the face of the planet that actively engages in conscious self-destructive behavior. It's true. Humans are the only living 'beings' that consciously decide to commit suicide, cut themselves, glamorize death and destruction, and so on.. -I think that, also, only convinces me more that there is an active lying spirit that thrives on deception and oppression of non-Christians and Christians alike.


I'll leave you with this one last thought:


If you've been smoking for decades and have to be put on home oxygen because your lungs can no longer handle proper CO2/O2 exchange.. Don't kick back at your house drinking a few beers and decide to smoke while wearing your nasal cannula oxygen feed...


Case in point: 72 year old patient did just that in his home. The oxygen supports combustion friends. The flash fire lit his face up like a roman candle. He suffered 1st and second degree burns on his cheeks, nose, chin, and IN his nose, mouth, and trachea. His house living room caught fire, and he is now going to finish out the rest of his days with permanent facial deformities after he heals from the burns.


Not to be a downer, but if life gives you lemons, don't eat the peels; make lemonade.

Smoke break anyone?

Friday, December 15, 2006

Murphy's law pictures

Some things don't match.

December '06. Finally ready for the snow... Uh, hey? did anybody notice, when I got the snowblower ready, all the snow melted? -Yeah. No white Christmas so far. Sorry everyone.Daddy dressed Grace, and EVERYTHING matches.. Even her socks! -Weird. The towel does NOT work when pulled into the tub. (Grace gets a lesson in physics from Mommy).
I've enjoyed the past two days home. And am ready for the next three days (nights) of 12 hour shifts. The great thing is that I can bang out alot of hours in a small period of time. The bad thing is, it's like punching out in a time warp. Work, sleep; work, sleep; work, sleep... Even though I'm around, I'm not really around. Mix in some school work and church, and time becomes a commomity. The good thing is; when I get home each morning, Grace is just waking up so it's like "Hey! Daddy never left. Let's play!" : )

-Carl

Wednesday, December 13, 2006

Emergency Room Rap

Postings from the ER can be uppers and downers for me. I have to generalize, keep them limited and short, and cannot post pictures, or detailed descriptions because of 'HIPPA'. (Privacy stuff) But, part of this is educational, so here are some basic 'do's and don'ts'.

For example:

  1. Don't place a newborn in a bouncy seat on the edge of a kitchen counter; there is a great chance the child is going to fall. Murphy's law says, the baby is going to land on it's head, AND on the hardest part of the floor. This was a case last night. The child's head CT clearly showed an occipital skull fracture on the 8 WEEK OLD patient. Thankfully, there were no bleeders resulting from the head trauma. We ended up running all of our labs, getting our IV access, and packaging her up for tranfer to a regional childrens hospital neuro unit that specializes in this type of injury just in case a bleeder starts. Pray for this little girl and her family.
  2. If you feel nauseous and have to vomit, DON'T smoke a joint to ease your queezyness, then fall back asleep and awake only to call an expensive, taxpayer financed, ambulance to take you to an ER just because when you woke up, your eyes were crossed and you couldn't see straight.. (yes, this was a case as well) The paranoia might have something to do with the concern.. Besides, unless you have cancer and live in California where it's actually legal to smoke medical marijuanna. You probably shouldn't. ESPECIALLY if it is laced with opiates. ..Which by the way, is illegal in California as well. (This is posted just because it was the most 'unique' of the substance abuse cases during the night.)
  3. If you are trying to hide the fact that you are still smoking, don't smoke at the top of the stairs where you could fall and be forced to get a 9 cm lac on your head stitched up. This was a great case for me to learn internal suture techniques that pull together tissue. The lac was from the right eyebrow to the midline temporal area.. Suture count: 7 on the inside, seven on the outside, and a running suture line in the middle of about 6.5 cm.. Believe it or not, it will look great once it's all healed up. : )
  4. If you are a sleepwalker, clear the way, or pad the floor. A really nice elderly gentlman tripped and fell in his home on the way from the bed to the bathroom. He fell literally right on his face, no hands. -And then imagine after falling and breaking your nose, you get to the hospital and get stung by a wasp on your nose..twice! That's how it must have felt to have the lido injected into this poor fellows nose to numb him up. After that, he took four stitches on the bridge of his nose, and three in the opening of his left nare. Aside from his pre-existing hypoxia issue being complicated by his fractured nose bleeding into his oropharynx, This 79 y/0 man was tough as nails! After packing his nose, and getting him ready to go, his final comment was: "You shoulda' seen the utter guy!"

Off the point: If you haven't yet clicked on the "View my Guestmap," in the left hand column of the blog to put a 'pin' on a map of where you are visiting from, PLEASE DO IT.. It's easy.. and besides, the only one that had admitted that they've read this blog with a 'pin' is my mom... 1 person out of couple hundred million global internet users.... What a bummer. : /

(Still love ya' Mom!)

-C

Tuesday, December 12, 2006

What a difference

Over the past week we added some new things to the blog. Please take a second and put a thumbtack where you live on the "Make your Mark" guestmap on the lower left side. -Thanks! -Ch



....Looks like they both gained a little weight over the past year..



Monday, December 11, 2006

Get rid of the hum-bugs

The following pictures are of artifacts I had been able to handle during a previous humanities class. Props go out to Professor Gary Hauck for sharing his collection. The best part of this class was a four-fold:

  1. I was able to physically touch, see, and feel, the structure and consistancy of the straw bricks made by the Israelites as they labored for the Egyptians around 1500bc.

  2. It was awesome to think that whoever had created this straw brick had a desire and excited anticipation for the same Messiah, and deliverer that we wait for to return.

  3. I am amazed that I handled something that was formed before our Jesus walked the earth to fulfill the prophecies of the Old Testiment prophets.

  4. It made a tangible connection for me, between reading the word, and seeing physical evidence of what is written in the word.

The oil lamp (pot that the brick fragments are held in) dates back to 2000 BC, hence is about 4000 years old. It precedes the era when they had a pinched snout for the wick to rest in the olive oil.

The bricks mixed with straw come from around 1500 B.C., near the Goshen area of Egypt. They fit the description of the bricks made by the Hebrews in that same location at that same time period.

What this means to me is: no distance, no depth, no sin, no distraction, no obstruction, nothing temporal, no anger, and no one, can keep us from the love that our Savior Jesus, has for us. This is especially timely with arrival of the Christmas season while we can still celebrate the birth of Jesus together as families.

This reminds me just how easily I am (we are) suckered in and distracted by worldly issues. I'm sure that the Hebrew laborers must have had their moments.. right? How easy it seems to be, to slip and dwell on family conflicts, work schedules, deadlines, wars, famine, school, or indebtedness? I know I need to return my focus on Jesus everymorning. Everything else pales in comparison to the awesome anticipation and preparation for his return.

Lord, look into my heart and make it right. Remove my anxiety, anger, frustration, sin, and crazy out of focus vision. Draw me in, and pour out your spirit on me, so that I can be more like you. An example to the world. (Cause' I don't seem to be doing a very good job when I try going it alone). Amen!

Sunday, December 10, 2006

Annual Christmas Tree hunt



Last night Tess, Grace, and I went on our annual Christmas tree hunt. Grace LOVED running around and looking at the different lights. -Sometimes she just wanders towards what appeals to her without any fear and lets out her "OOOHH" and "AAHHHHH's"...(Dont worry Grandpas and Grandmas, we are always only a step away).

After we located the perfect tree, we went out and had a family dinner at 'Bono's BBQ', (the newest hotspot in A-town). As soon as we got home, Grace had to immediately get on the phone and call her "Peeps". If Grace's telephone skills are any indication of the future, I hope all of her friends are just a local call away.




Saturday, December 9, 2006

Guest K9 Blogger

This afternoons guest blogger is "Laser Baar". Detailing his adventures while staying at the Hilton's for the weekend:


"Woof. Woof, woof, WOOF.. Grrr. Growl. Woof. Scratch. Bark. ZZZzzzzzzzzzzzzzzzzzzzz. "

Translated as:

"Hey, what up. Life is nice here. I'm being treated like a king. Good food. Nice staff. I stayed on the king size bed last night. Woof. The kid likes to play alot. I'm tired now. ZZZzzzzzzzzzz"

There you have it folks; Laser Baar, telling it like it is..
Have fun and don't worry Baar family. Laser as staring out the window waiting patiently for your safe return!

Friday, December 8, 2006

OPERATION SNOWBLOWER



Great news! With all the whining I've been doing about the snow, my neighbor Rob gave me their snowblower! ...Well actually, it had just broken down on them and since it was so close to his birthday, he decided he was going to buy himself a new one for his birthday (woot, woot!) and I became the proud papa of a little red Toro.



After a trip to the hardware store and two hours wrenching, it was running like a champ. Needless to say, I'm a pretty happy guy about not having to throw snow with a shovel! Bring it on!


While I was finishing being grungy performing toro surgery, the girls were in the house going through Grace's nightly routine. : ) Cleanliness is next to Godliness!

That's it for today. I've got the weekend off, and we are 'dogsitting' "Laser". .Boy, we know how to party on the weekends....

Lofty goals

My lofty Goals before our planned February's return trip to Haiti:
(In no particular order)

1. Lose 20 lbs (over the holidays!) so I'm not the 'big pasty white man with medicine'.
2. Refine my suturing skills before we make the big trip.
3. Get back to running at least a mile and a half every other day..(I'd say three miles, but heck, I'm only getting older!)
4. Finish my final two classes to complete my undergraduate degree.
5. Learn the basics of playing the guitar.
6. Be more faithful with my prayer life.
7. Be more attentative, and appreciative of the love and support my wife provides. (Hi Tess!)
8. Fake and bake before I go so I don't burn like a piece of bacon. (Refer to #1).
9. Get back into singing on our Praise and Worship team.
10. Give it to God. Not allow myself to be filled with anxiety and worry over details I have no control over.


















First and foremost, we are requesting prayer. In addition, if you would like to support our efforts, AND get a tax deduction while doing it, feel free to send your $$ gift to:

Lighthouse Community Church, Hope for Haiti Mission team:
5947 Lake Michigan Drive,
Allendale, Michigan 49401

Be sure to request a reciept be mailed back to you to use for that 'ugly word'.. taxes.

Thursday, December 7, 2006

And now ladies and gentlemen, we introduce to you..


In some circles he's known as Captain select Burmeister, U.S. Navy Chaplain. In other circles he's known as 'Pastor Paul'. For us, his name is Paul. A brother, mentor, and a best friend. Heck. Paul even had the guts to marry Tess and I when I was a brassy, classy, U.S. Marine Sergeant.. (I can embelish my own memories as much as I want.)

Paul is deployed to Germany for the next year to serve as chaplain to America's wounded warriors coming back from Iraq. On occassion he has the opportunity to write letters back home. Here is what I affectionately call, 'Paul's letters to the church'.
You'll be blessed by his words. We love and miss you bro.
Dear family and friends,

Greetings from Germany! I hope you are all well. I'm doing fine, andgetting into the groove of the very busy ministry that exists here in Landstuhl.This is a truly incredible place! We see wounded soldiers come in, whose livesare hanging by a thread - for example, one recently came in with 92% of his bodyburned - and they are able to save them (with God's help, for sure!). Somerecoveries, that are nothing short of miraculous, seem to happen here eachday. God is good! He hears the cries of these patients, and theirfamilies, and all of us who stand with them as they walk through "the valley of theshadow of death."

It is such a sacred privilege to be here, ministering tothem. It's humbling, and inspiring, and exhausting, all at the same time.My roles and responsibilities here are much different than what Ianticipated prior to arrival. I am not working the patient wards in the hospital atall.
I handle all the ministry to outpatients, housed in barracks on a separateArmy base about 30 minutes from Landstuhl - which means I'm doing a fairamount of traveling too. I spend 4 days a week visiting with them in theirbarracks, listening to their "war stories" and guiding them towards the LordJesus Christ as best I can.
I conduct two evening programs of groupdiscussion and teaching on Combat Operational Stress, or better known asPost-Traumatic Stress disorder (PTSD). I have two social workers available toassist me, and another Navy Chaplain, who is assigned to a separate group ofMarines. You can pray for me/us on Tuesday and Wednesday nights, when thesegroups sessions are taking place.Many of these young men and women are in shock, in denial, in pain, andangry at God, or someone or something else (including the health care system thatis trying to help them). I represent both God and the health care system, sothat anger occasionally gets directed at me. I am also leading worshipevery Sunday at the barracks, and will be launching some Bible Studies in the nextfew weeks as well. The biggest thing is simply "being there" for them when(and if) they are ready to talk. Simple talking through their experienceshas proven to be one of the best facilitators of healing for combat stress.

My other responsibilities include the mortuary/decedent affairs division ofthe hospital, which handles all of the deaths that occur here, and caringfor their families - who often are here when patients die (we have two "FisherHouses" for them to stay in while they're here); the Central Command Stafff or Health Promotions and Preventative Medicine (so no patients with thisgroup); and of course duties as the on-call Chaplain to handle emergencies - atleast one day a week, plus one 4 day period every three weeks or so. As thesenior Navy Chaplain here, I'm also trying to take care of the 350+ Navy personnelwho came with us and, when in need of a Chaplain, want to speak to their ownNavy Chaplain instead of one of the Army or Air Force Chaplains. All inall, it's PLENTY to keep me busy! It's amazing...we have 8 full-time Chaplainshere, and none of us are lacking for work!I must apologize for not writing sooner, but the process of getting settled,getting trained and oriented to the hospital, etc. has been very consumingand time demanding.

What little extra time I have typically gets used for doing physical exercise, writing Nancy or the girls, cooking and cleaning (yes,I'm getting quite domestic!) or trying to see a few of the local sights. Nancywill arrive here tomorrow for a stay of 6-8 weeks (hopefully) which will bea huge morale boost, although I would have to say that my morale has been verygood - thanks be to God. It will be fantastic to have her here for theholidays, as we will be getting a little extra time off, and hopefully thetwo of us can enjoy some excursions to Heidelberg, Salzburg Austria, and maybeeven Paris. You can do ALOT over here if you have ALOT of time and money!!I never expected we would be celebrating our 25th wedding anniversary overhere.The spiritual fruit of my ministry is a bit hard to gauge at times, althoughI try to move conversations toward the things of the Lord with people at everyopportunity. Some don't want to get into "religion" (as they say it) andmake their feelings very clear about that.

As I said, some are very angry, andit will take them much more time to work through what they have experienced,and God's part in all of that. Others have found that their faith is the onlything they really had to hold on to in combat, and are on the journey ofreturning to or rediscovering the faith they were exposed to in theirchildhood. I find very few who have a vibrant, vital relationship withChrist...which is sad, but good in the sense that "the fields are ripe untoharvest" for my work. Pray for me to be bold and forthright with the gospel and to recognize the opportunities He gives me to share it!

Most of these patients are under alot of medication, and are in a great deal of pain - and not in the mood to talk to a stranger. The fact that I am a Chaplain givesme some level of "entree" with them, but even at that, I am not theirunit/command chaplain, and they may only be here for a few days, so theytend to not want to engage. It's a challenge! I know that the Holy Spirit hasbeen using me to plant seeds in many of their lives, however, and I onlypray that someone will be in their lives after they return to the States or tocombat who can water those seeds and encourage them along.

I thank each and every one of you for your prayers for me, and the rest of us working in the hospital here. I praise God that He has answered your prayers for my health (which has been great!) and daily strength, to face the manynew challenges that come each day. One of those is working within an Armycontrolled community, and working alongside Air Force and National Guardservice members. Each service community has its own culture and its owntraditions, policies, and ways of doing things, and we're finding out thatthey can be very different from what we are used to in the Navy. So we"roll with the punches, and go with the flow!" It was great watching Navy beatArmy in the great football classic, and give the soldiers here a hard time aboutthat. In spite of any athletic rivalries, we truly are one team.

We have had many dignitaries and distinguished visitors come through here since I arrived, including the Secretary of the Navy, the Surgeon General,the Deputy Director of the Bureau of Medicine, and several professional NFLcheerleading teams, racecar drivers, and entertainers. I am currently usingan acoustic guitar donated and signed by the Beach Boys, who performed herelast week! Like I said, this is an amazing place!

Well, I better sign off for now. I hold all of you in my heart and thankyou again for your prayers. Please feel free to forward this message to any andall who may care for me/us. I can be e-mailed at either my former personale-mail account: piburmeister@allcom.net OR at this revised Army e-mailaddress:paul.burmeister@amedd.army.milI pray God's richest blessings upon you all, and for a Christmas holidaythat is filled with great joy at the thought of God giving us His only Son, to rescue us from our sins, the dominion of darkness, and eternal destruction.Christ is truly the LIGHT of the world, and this world needs Him SO badly.

I see the horrors of war with a very real and personal face now, and know anew that only Jesus Christ is the answer to the problems of evil, war, sin,pain, suffering, etc. May the presence and power and peace of Christ Himself fillyour hearts and homes, and give you great hope and joy.

I send you all mylove and the assurance of my prayers.Your Brother, Friend, and Pastor - PAUL

Wednesday, December 6, 2006

Lizard Suicide.. A permanant solution to a temporary problem

Haitian lizards are nearsighted when it comes to handling their problems...
Photo credits go out to: Troy and Tara Livesay. Missionaries in La Digue, Haiti



Oswald Chambers Devotional


"It is the will of God that human beings should get into a right-standing relationship with Him, and His covenants are designed for this purpose. Why doesn’t God save me? He has accomplished and provided for my salvation, but I have not yet entered into a relationship with Him. Why doesn’t God do everything we ask? He has done it. The point is— will I step into that covenant relationship? All the great blessings of God are finished and complete, but they are not mine until I enter into a relationship with Him on the basis of His covenant.
Waiting for God to act is fleshly unbelief. It means that I have no faith in Him. I wait for Him to do something in me so I may trust in that. But God won’t do it, because that is not the basis of the God-and-man relationship. Man must go beyond the physical body and feelings in his covenant with God, just as God goes beyond Himself in reaching out with His covenant to man."


Oswald Chambers wrote the devotional " My Utmost for His Highest ". Deep stuff. His devotionals always make me look inside my heart and examine what my motives are, compared to where they should be.

Tuesday, December 5, 2006

Deep thoughts on in-famous words



-You never hear a kid say, "when I grow up, I want to be a crackhead."
When I was young in the Marine Corps, I learned to look at everyone with a shaved head.. You know how some people attempt to portray themselves a certain way? Confident, weak, strong, careless, ect? Those are people I'd consciously picture with a shaved head, and, viola', everyone was on the same page; just plain goofy looking. (no offense to the 'intentional' bald guys out there).
-In E.R. if you're looking at people with a passion of trying to logically figure them or their behavior out. ...just look at them as though they're just still kids. (Anyone remember Tim Conway's videos 'Dorf on Golf"?) Same thing. All patients, executives, blue collar, white collar, ect. ect. ect. (including me) are just 'big' little kids with various, personal concerns and emergencies. We all started out and formed at least part of our personalities through childhood and adolescence experiences and circumstances.

I often wonder, 'what plethora of circumstances has lead to this 'one particular individual (generally "patient"), into living a life that brought them circumstantially, exactly where they are, right at that precise moment?' ----Sometimes a junkie has some kind of light, or a bell go off, and want to be healed.. they transfer to a rehab program after sobering up in the ER. Sometimes, I've had the opportunity to pray with these patients, (or prayed over them when they were not even aware of it).. and experienced one of those great "butterfly effect" moments. --You know what I mean.. the moments where a little action on our parts makes an unknown positive impact on someone.
Sooo, then you've made an impact and blessed someone. Great. -You try to continue the trend, only to find some sucker lying, cheating and stealing, or whatever they can do to get the next fix, or whatever else they can get to propel themselves to the next closer point of temporal, immediate satisfaction.. I call these folks "the deceived, who are good deceivers".
(By the way, the pictures I have with this posting are the least offensive I could find relating to crackheads or general drug addicts) ; )
After a good string of "counseling", I ran into two addicts in the ER in the same night that just want something for nothing. Lazy, arrogant, "it's not my fault", ect. Heroin and cocaine are not friendly bedfellows... Why would someone go on a crack binge for five days to counteract heroin withdrawlal, I have no idea. -Oh, and then, call 911 to go to the ER because they "hurt"?
Needless to say, there was no witnessing that day... and I have to ask myself, (and perhaps you may want to ask yourself the same question) who made me the judge? -The question of the nineties arise.."what would Jesus do"? Did I (or do I) follow HIS example? Alot of times its tough to be sympathetic to a stereotypical, categorically the same, "can't get a break" kind of person.. For every 1 person that is reached, there are 8 who will urinate on you (and your Saviours) efforts.. that is why, when I feel like throwing someone out of the ER, I have to ask myself; "What would JESUS do?" --I hope he'd do the same thing I am. Rejoicing with the one, and 'sucking it up' the eight who chastise and continue on their merry way.
Mind you, I'm not a young Christian, and so I know when to talk, and when to not.. But every time I consider generalizing, or just leaving someone to themselves because they rubbed me the wrong way, I consider three things:
  1. Hell is eternal pain that NONE of God's creatures created in HIS image, are willed to go to.
  2. My brother, who once ran a construction company, had a tool trailer (worth a few thousand dollars), stolen for the umpteenth time, replied to me after I questioned his lack of anger upon having the perpetrators arrested; ...he said, "I just have to ask myself; why them? What separates 'me' from 'them'? -Is it simply God's grace"?
  3. If Jesus was working in an E.R. that had such a high volume of unsaved, deceived, and lost, come through the doors for healing... what would Jesus Do?
So that's my soapbox for the past few nights. There are many 'suckers' out there who by others standards, do not deserve any form of compassion.. Each night while driving into work, I pray for discernment and empathy for those whom need it. (Not those who deserve it.)
When I was in Haiti, someone spoke a Haitian proverb that was pretty much on the money: "Those who deserve, don't have to beg". God's got his eyes open.
Love it, leave it, deny it, agree to disagree, it's all good; because the Holy Spirit imparts on me what direction to go. ...and he may speak to me through your comments. -If you are one of the above mentioned and have wise advise or counsel, I look forward to hearing it. Till then, and after, I'll keep in his grip.
Stay blessed.
-Ch

Monday, December 4, 2006

Breaking Out!



After only a couple of days of snow, Tess and Grace were getting cabin fever and had to get out to see our new wintery wonderland. Lake effect is really coming down here in the "snowbelt". I'd really love to see us get many FEET of snow..... if I had a snowblower! ; )





Lake effect snow, which can be a type of snowsquall, is produced in the winter when cold winds move across long expanses of warmer lake water, picking up water vapor which freezes and is deposited on the lee shores. This effect is enhanced when the moving air mass is uplifted by the orographic effect of higher elevations on the downwind shores. This uplifting can produce narrow, but very intense bands of precipitation, which deposit at a rate of many inches of snow per hour. The areas affected by lake effect snow are called snowbelts.




Sunday, December 3, 2006

Nothing interesting to blog about





No interesting cases in the E.R. yesterday, so here are some pictures taken a few weeks ago during my mission trip to Haiti.
God willing, Tess and I will be traveling back to Haiti this February to continue work on the medical clinic and other needs at the lifeline mission compound in La Digue, Haiti.
Not many people understand why we feel called to go to the poorest (and most corrupt) country in the western hemisphere.. So I will post more about the what, why, where, and when we are doing this, later when I have time.
In his grip,
-Ch

Saturday, December 2, 2006

Boooo! To the weather man!


Posted by Carl:
It finally snowed in Michigan! Although not everyone is happy about this news, I am! -For just thirty days.. I want to see what kind of difference getting our house reinsulated makes on our energy bills this year. -Hopefully we saved a bundle because we've spent what prospectively saved already on our POCT (piece of crap) Taurus.. Yes friends, on occasion this may turn to a "Ford Taurus bashing site".. Sorry!
Anyway, last night at work was really not remarkable. Much of the same, different day. We are seeing alot more O.Ds', attempted suicides, and alcohol related issues.. (drunks... high contenders for the night; .38, and .29 with a roofie. No record setters, but close.) Happy Holidays.
-The paramedics called in a report of a patient we were getting last night as an "alcohol overdose". Mmmmmm.... I didn't realize that there was a theraputic value that we all should have been shooting for ; )
Remember what I had mentioned in the first log; Most American emergencies are directly related to the results of our own actions... ie; like when I shot a nail gun into my leg.. Dougggh!
Later on I'll post some pics from injuries in Haiti. Now THOSE are something to get to the ER for.
By the way, my dad got a buck this deer season!!!! Yeehaw! Venison to fill the freezer! Good shootin' dad!
-Carl