Hearing someone yelling “Help!” would mobilize most of us. It is especially galvanizing when you are a nurse. And it's distressing to hear when you are in the midst of treating another patient. I wrapped things up as quickly as I could and left the patient's room, only to find the source of the cries not 10 steps from the doorway. As soon as she saw me the old woman in the wheelchair ceased bleating and, in her most imperious manner, ordered me to get her a snack. I don't know if this woman was once rich or not but she treated the staff at the nursing home as if we were hired help. Furious both that she was not actually in physical distress and at the tone she used, I went up to her and said, “We are not your servants! We are medical personnel who are here to keep you healthy! I have more than 2 dozen patients, many of them a lot sicker than you! If you want a snack, you don't bellow; you ask politely like a civilized person. And when we have the time, we will get your snack. Do you understand?” Quite abashed, she muttered an apology. And then, since I had finished with the other patient, I went and got her a snack.
Today we regard being called a servant as an insult. How much more so if we realized that often when the word is used in the Bible a more literal translation would be “slave.” Frequently in scripture the difference between “slave” and “servant” is not clear. Some forms of the slavery practiced then were not like the rigid, permanent condition of slavery that we had in pre-Civil War America. In ancient Israel, people might even sell themselves into slavery to pay off a debt or to keep themselves from starving. The Bible says that a slave had to be fed and clothed and released after working for 6 years, with generous provisions. (Leviticus 25: 35-37; Deuteronomy 15:12-15) Such slaves were usually better off than poor freemen. A slave might be promoted to become the steward of a master's estate, as Joseph was. In the Roman empire, slaves could practice a craft, such as blacksmithing, or work as an artisan, or have a profession, like teaching or medicine. In addition, a debt slave could be ransomed from slavery by a relative who paid the debt. This relative was called a redeemer. (Leviticus 25:47-49)
The fact is that for most of history the majority of human beings have been servants to someone. If not actual slaves, they were tenant farmers, herders, soldiers or household servants. Most societies were hierarchical and technically, everyone was the servant of the local lord. He was in turn the servant of the king, who might be the servant of an emperor, who was supposed to be the servant of God. Being somebody's servant was just a fact of life.
The world hasn't changed all that much. Most of us work for someone who has the ability to fire us. Few of us have unique skills that are in such demand that others will offer us a job the minute we are free from our current employment. In today's economy, people who thought they could pick and choose among positions at other companies have received a nasty reality check. In fact, the idea that having a government job provides a safe and secure career is no longer true. Right now, if you have a job, plus a mortgage, utility bills, car payments, and the need to gas up that car, you are as good as an indentured servant. As the Bob Dylan song goes, you gotta serve someone.
So why would we want to voluntarily act as servants to others? That is the topic of our last SWEEPS sermon: service. And, as you can imagine, it is one of the least practiced parts of Christianity. We might go on service projects and short missions. There's nothing wrong with that. But as Christians we are to act as servants of Christ daily. (Mark 9:35) We are to imitate Jesus, who, at the Last Supper, stripped down and wore a towel to wash the dirty feet of his disciples the way a slave would. Then he said, “I have set you an example that you should so as I have done to you.” (John 13:15) This is one answer to the question “What would Jesus do?” (Matthew 20:26-28)
The most popular thing about Jesus is his ethics. I should amend that to some of his ethics. While his sayings about love and forgiveness are well-liked, by and large, non-Christians and even some Christians ignore Jesus' ethical teachings on sex and marriage. Very few will commit to loving their enemies. Denying yourself and taking up your cross isn't a big hit with a lot of folks either. Being a servant gets a lot of lip-service and that's all.
Jesus' leadership style, called servant leadership, is quite popular, at least in management books and seminars. But what about plain old servanthood? In an era when being assertive is good and being a doormat is bad, you don't hear much praise for acting as a servant.
Part of this is a misunderstanding of the role of a servant. We are not committing ourselves to satisfying every whim of others. That is what the older woman thought I and the staff were there for. That is the sense of the word that I objected to. But we nurses are servants in the sense of doing what is necessary and helpful to others. We medicate, feed, wash, dress, treat, exercise, and otherwise care for those who cannot do so on their own. That is a form of service. And it is probably the best analogy of what Christian service is like.
We usually think of a servant as someone to be ordered around. But not all servants are like that. As I said, in the ancient world a servant could be a teacher. A teacher has at least some limited form of authority over their students. They are serving by imparting their knowledge but to do so, they need to be able to assign work and grade the results. In this case, in order to serve others, it is the servant who calls the shots.
A physician is a servant in this sense. Doctors ask questions, subject the patients to tests, and prescribe medicine and courses of treatment. But if you do not follow the doctor's orders, he or she will be of very little service to you.
As a nurse, I wasn't able to give orders in that sense. But I followed the doctor's orders and acted as his agent, asking questions, performing some tests, taking samples for other tests, giving prescribed medicines, treating wounds and other conditions. Other healthcare personnel also carry out doctor's orders, taking X-rays or using other imaging methods, giving physical, occupational, or speech therapy, dispensing drugs, even laying out a dietary plan of what the patient can and cannot eat.
Obviously there are tensions here. Patients can and do sometimes refuse to follow doctor's orders. They would rather lie in bed than undergo tiring and perhaps painful therapy that would enable them to walk again. They may object to a medication, sometimes over legitimate concerns, but sometimes for reasons that have more to do with comfort than health. For instance, patients may object to taking a diuretic because it means going to the bathroom frequently. But taking the diuretic can be the best way to get rid of fluids that are causing legs and ankles to swell up or that are threatening to drown the person's lungs in their own fluids.
When a person has a legitimate problem, we nurses will discuss it with the patient and ask the doctor if something in the treatment plan can be changed. Perhaps pain meds can be given an hour or half-hour before the patient goes to physical therapy. Perhaps the diuretic can be given earlier in the day so the patient can sleep through the night without having to get up every few hours to go to the bathroom.
Sometimes patients can be unreasonable. Maybe they heard bad things about a drug or have a completely mistaken idea about what it does. Doctors and nurses get this a lot, partly because of real doubts raised about other drugs in the past, partly because of the ubiquitous ads for medicine, partly because of the internet which spreads both good information and misinformation. We try to correct these things but the result can still be that the patient may refuse life-saving drugs or clamor for inappropriate ones. She may refuse to go to physical therapy which means she may become an invalid despite her newly replaced knee or hip. He may continue to eat the wrong foods or refuse to eat the right ones, causing his blood sugar or his blood pressure to rise or drop dangerously. She may take her breathing treatments and then go outside to smoke.
Legally this is tricky territory for a nurse. Patients have rights. They can behave badly, like refusing to shower, and then we can be cited for neglect. They can refuse to believe that they cannot get out of bed without help and then we can be investigated when they fall. All we can do is try to persuade them to do what's right.
That resonates with me as a Christian. There are a lot of spiritually unhealthy people out there and not all of them want help. Or they only want help on their own terms, which may not be compatible with getting better. On our part, all we have is the truth of the power of the love of God in Christ, the power of persuasion and the power of prayer. That's the challenge of serving others.
In most professions, you can serve God by serving those created in his image. You can look for Jesus in the people he died for and serve him by caring for even the least of his brothers and sisters. (Matthew 25:37-40) But you can't force them to let you serve them. And you have to resist being persuaded to enable them to harm themselves. That's a big temptation for those who serve. We can confuse serving others with pleasing others.
There is a peculiar effect of serving others. It can lead to loving others. Usually we think that first you must love people in order to devote yourself to serving them. But I've found that it works the other way around as well. In serving people, you learn about them. In learning about them, you can discover things to love about them. You discover their strengths and weaknesses. You discover their quirks. You discover their vulnerabilities. If you really get to know them, you learn their fears and their hopes. You see their humanity and ideally, they see yours. You touch their lives and they touch yours.
Serving is always about helping and not harming. But sometimes it can include hurting people inadvertently. There is nothing so heartrending as a patient crying out in pain as you are cleaning and dressing their wounds. But it must be done. Untreated wounds get toxic. In seeking not to hurt a patient at all, you can do them greater harm. Sometimes you have to help a person face and deal with their trauma, whether physical, psychological or spiritual, so that they can heal.
So serving others takes wisdom. You need to know why you are doing what you are doing. You need to know the principles so well that you can envision alternatives that preserve the essentials. And you need to keep communicating with the Great Physician. He is the ultimate authority on spiritual health and healing.
And finally, you need to take breaks. You wouldn't run a machine nonstop 24/7. It would break down. You need to rest or else the quality of the service you offer will suffer. You need to pray, to praise and to relax. God not only knows this, he made it one of the Ten Commandments. Servants rest on the Sabbath, too. (Exodus 20:8-10)
All of the topics of our SWEEPS sermons are forms of service—stewardship, worship, evangelism, education, and pastoral care. They are all ways of meeting people's needs. They are all ways of serving Christ. They are all ways of glorifying God.
But they are not all of the possible ways of serving God through serving others. And discovering new ways to serve is yet another form of service. So I leave you with this challenge: How are you serving Jesus in what you do? And how could you do it better?
Originally preached on March 21, 2010. It has been revised and updated.