Article
Advent
Creed
Gaza
8 min read

The bleak midwinter: why tears could be the best thing for us this season

In a world of devastation, you can share honest feelings of hopelessness - yet not be overcome.
In front of a collapsed building, a rescuer carries a new born baby by the arms.
The rescue of Afraa Abu Hadiya, Syria, February 2023.

On February 6th 2023, a heavily pregnant Afraa Abu Hadiya, along with her husband and their four children, was awakened in the dark, early hours of the morning by a 7.8 magnitude earthquake violently shaking their apartment building in Syria. Afraa and her husband gathered their children and made for the building’s exit.  However, just as they were nearing the door, the building collapsed upon them, crushing the entire family.  Afraa, however, seems to have remained conscious for some hours because she did the unthinkable and delivered a baby girl while trapped beneath the rubble.  Then, tragically, she died and her baby was left alone buried beneath a building in the middle of winter. 

This year we have read too many such stories.  In places such as Syria, Turkey, Ukraine, and most recently, Israel and Gaza, thousands of women, men, and children have suffered and died and grieved as a result of natural disasters and armed conflict.     

For those of us who live in relative safety, it is difficult even to begin to comprehend such tragedies.  Yet despite our advantages, many of us are struggling in our own ways. According to the CDC, between 25 and 30 per cent of adults in the US are currently experiencing symptoms of anxiety and/or depression.  And it is no secret that mental distress levels have been steadily climbing for years in the UK as well, especially amongst youth

It can make the joyful, merry, jolly, happy, cheerful, peaceful Christmas spirit encouraged at this time of year strike a discordant note with the actual state of our minds and hearts. All is not well inside many of us, but we sense that Eeyore is an awkward personality to bring into a room, so we tend to conceal the parts of ourselves that are anxious and hurting.   I confess I’ve become pretty adept at keeping parts of myself out of sight. 

I didn’t say that sometimes I feel like everything beautiful and good is always, sooner or later cornered, caught, and hauled away by the destructive forces in the world.

I met up with a couple of friends recently.  We talked about our children and their school and our plans for Christmas.  I said we were going to keep Christmas simple this year.  What I didn’t say was that we’ve been keeping Christmas “simple” for several years now.  I didn’t say that, a few years after my brother died, my parents and my siblings and I agreed that we would no longer see each other at Christmas because the hole my brother left is too acutely obvious when the rest of us are together.  I didn’t say that we don’t keep our Christmas tree up for long because the crystal star we hang near the top is in memory of our son who never saw his first Christmas, and while I love to make him a part of the holiday in this way, I also can’t live with the visual reminder of that pain for long.  I didn’t say that although we make an effort to give our children a happy Christmas, my husband and I are just trying to make it through to the other side of the holidays because we’ve twice in recent years painfully and unexpectedly lost our household income right before Christmas and the season now triggers within us the fear and confusion and hurt of those Christmases.   I didn’t say that sometimes I feel like everything beautiful and good is always, sooner or later cornered, caught, and hauled away by the destructive forces in the world. I just told my friends that we were going to keep Christmas simple.  Maybe you have your own lines you trot out on such occasions. 

If you do, the season of Advent is a welcoming space for such as us.  Advent is observed during the four weeks leading up to Christmas and marks the beginning of the Christian church year.  Traditionally, it is a time when Christians remember how their spiritual ancestors, the ancient nation of Israel, spent roughly 600 years being conquered and enslaved successively by Assyria, Babylon, Persia, Greece, and then Rome.  The God of Israel had, however, promised that he would, one day, send them a deliverer, a “messiah”, to rescue them from their bondage.  And so, the Israelite people, in their suffering, waited and looked and prayed for the coming of their deliverer.    

Christians believe that Jesus, whose birth is celebrated at Christmas, was that messiah, and that (spoiler warning) he ended up delivering not only Israel, but the whole world in a very different way than anyone was expecting.  (But that’s the story of Easter, and we’re not there yet.) During Advent, Christians remember the centuries of Israel’s powerless waiting to be rescued, and how, true to his word, God sent them a messiah.

Choosing this hope sometimes feels naïve and even dangerous. I want to have hope, to hold it like a banner against the forces of destruction and pain whirling about in the air. 

However, Advent is not just for looking back.  It is also a space for acknowledging all the myriad ways in which darkness still rules over us today.  How we still suffer and hurt and die.  How we inflict these things on each other.  How it seems like, no matter how we try to make the world better, it’s still always in a tragic mess.  And then, while we’re acknowledging all of that and feeling its great weight, Advent asks us to do something that feels preposterous at times: to believe the promise Jesus made that he will, one day, banish darkness from the earth and make it completely and irreversibly whole and new.  In short, we’re asked to continue to wait hopefully for light to break while we live in the darkness.   

Choosing this hope sometimes feels naïve and even dangerous. I want to have hope, to hold it like a banner against the forces of destruction and pain whirling about in the air.  But, in the face of the anguish of Israel and Gaza, and the wounds I’ve experienced in my own life, do I dare live as if everything will come right in the end?  I would like to, but when hope ends in disappointment it wounds deeply.  I’m not always sure I can afford to risk hope.

If you still weep and mourn for what is wrong in the world, however powerless and wounded you may feel, you are not yet overcome. 

Advent urges me never to stop calling for help, but if calling for help isn’t exactly the same thing as summoning hope, it’s perilously close.  Is it possible to call for help if I don’t believe, if I am afraid to let myself believe any help will arrive?   

Well, apparently it is.  I learned this from Afraa’s tiny daughter buried in rubble.   

After the earthquake, relatives and friends rushed to the ruins of the collapsed apartment building in order to try to rescue those who had been inside.  As they dug through the debris, one of them reported hearing “a voice” from beneath the rubble.  The rescuers followed the sound and eventually uncovered the baby, still attached to her mother by the umbilical cord.  She was pulled from the wreckage of her house and family, and sped to hospital where she miraculously made a recovery and was adopted by her aunt and uncle who gave her her mother’s name.    

She was rescued because someone heard her voice.  The journalist does not specify what kind of noise she was making, but given that she was injured, suffering from hypothermia, and barely breathing it seems it must have been weak crying or whimpering.  And considering that she was surrounded by her dead mother, father, and four siblings, and that the entirety of her short life outside her mother’s body had consisted of the noise, terror, chaos and pain of the building falling upon her, it seems impossible that she was hopefully and consciously calling for help. How could she imagine what help might be?  Her mother had not even had the chance to hold her in her arms. What could she know of a tender face, gentle hands, warm blankets, nourishment in her belly, soft fabric against her skin, the healing of wounds?  She was not waiting or hoping for any of these.  She did not even know they existed.  She was simply weeping for the terror and pain and loneliness of her little life.  But the weeping was enough to save her.    

As I consider tears, it seems to me that they can, in themselves, be reason for hope.  The person who weeps has accepted neither that things are the way they should be (as do those who cooperate with or advance the destructive forces in the world), nor that things are the way they must be (as do those who, however understandably, give up and surrender themselves to being destroyed).  If you still weep and mourn for what is wrong in the world, however powerless and wounded you may feel, you are not yet overcome.  In fact, unless we grasp how grievous our wounds are, how can we begin to seek out the right physician?  How will we choose to make the changes within our power to make?  A world that is lamenting its own brokenness, as Advent encourages it to do, seems to me to be a world for which there is yet hope.    

I have never experienced the trauma of a building collapsing upon me, but I’ve spent plenty of time trapped beneath the twin wreckages of a life I once had and the one I was hoping to build.  Maybe you’re buried in rubble too.  Maybe you’ve survived an earthquake and its aftershocks, but you’re not sure you’re glad you have because you’re bleeding and crushed and in the dark and you can’t imagine how you will rebuild and survive in such a world even if you do eventually emerge.  Maybe you’re not even sure you want to be rescued because it’s all, all broken now – your home, your family, your bones.   

This Advent I am trying to gather the strength to call for help for myself and for the world although my heart and my faith are bruised.  Maybe you will call too.  But if we are too afraid and confused and wounded to do even that, then let us weep, friend, together in this darkness.  For although this is a world in which much breaks and dies, it is also one in which rescue has been known to arrive unlooked and unhoped for.  And if the memory and the promise of Advent hold any truth, sometimes the hand outstretched unexpectedly to deliver turns out to be, beyond all imagining, the hand of God. 

Article
Care
Creed
Easter
Trauma
1 min read

Understanding the power of blood

From hospitals to hymn books, it's significant for a reason.

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A bag of blood connected to a drip.
Give blood.
Aman Chaturvedi on Unsplash.

With one billion molecules of oxygen packed into each of your 30 trillion red blood cells, blood is sometimes known as the red river of life. Countless lives have been saved through blood transfusion, but why, throughout history, across continents and cultures, has there been a special interest in the blood of one man crucified 2,000 years ago, believing it alone to have “wonder-working power”?  

Whether you are a newborn baby with half a pint of blood, or an adult with nearer nine pints, “what is certain is that you are suffused with the stuff”, writes author Bill Bryson in his book, The Body.  

Once thought to ebb and flow in waves like the sea, from the liver to other organs, having been heated in the heart, blood in fact flows in a network of vessels measuring some 60,000 miles, with the heart acting as pump, not heater. Cleverly conserved through a complex system of blood-clotting in the case of injury, blood is a precious resource that needs replacing if lost in large amounts. Victims of road traffic accidents can require up to fifty units of blood; significant amounts are needed for organ transplantation, severe burns or heart surgery. 

The first human blood transfusion in Britain, using blood from a lamb, was performed by Dr Richard Lower in 1667, given not to replace blood loss but to change character: could the old be made young, the shy be made sociable through blood transfusion? Apparently not.  

Safe transfusion awaited the discovery of blood types by Dr Karl Landsteiner in the early 20th century. Today, NHS Blood and Transplant deliver 1.4 million units of red cells to 260 hospitals each year for transfusion; about 85 million units are transfused worldwide, given to replace blood loss after accident, surgery, ulcer, ectopic pregnancy or for anaemia in cancer. Also used to boost blood cell numbers in malaria, sepsis, HIV, leukaemia and sickle cell anaemia, blood transfusion is now amazingly safe. Fatal reactions are extremely rare, “occurring only in one out of nearly two million transfusions”, writes physician Dr Seth Lotterman. “For comparison, the lifetime odds of dying from a lightning strike are about 1 in 161,000,” he adds. The risk of HIV infection has dropped dramatically, to less than one in seven million. 

History tells though of the danger of transmitting disease from the blood donor during transfusion. The World Health Organization recognises risk of infection with HIV, hepatitis, syphilis, malaria, and Chagas disease. The Contaminated Blood Scandal saw an estimated 30,000 people in the UK given blood transfusions and blood products infected with hepatitis C, hepatitis B and HIV. More than 3,000 people died as a result, and thousands more live with on-going health complications. For my final Christmas article for Readers Digest, I wrote on Stephen Christmas, a tireless campaigner for blood safety who lived with haemophilia and died in 1993, having contracted HIV through contaminated blood. 

I was a blood donor. However, I am now unable to donate blood or organs for the rest of my life since there is a possibility that my blood is ‘stained’, possibly with prion disease, after adopting embryos. The Blood Transfusion Service will not accept donations from women who have had various fertility treatments. 

And there’s another uncomfortable truth about blood donation – the NHS does not have enough blood, organs, tissues, platelets, plasma or stem cells to treat everyone who needs it. As a nurse, I remember caring for a man dying of liver cancer. Suffering from sudden, massive melaena (blood loss in black, tarry stools as a result of internal bleeding), he received emergency blood transfusion, with bag after bag of blood being infused, until the consultant called for the treatment to stop, because the bleed was too big – and blood supplies too scarce.  

Struggling to accept the stark reality of stained blood and dangerous shortages, I kept coming back to an old Sunday School song about blood, where absolute abundance and ultimate cleansing are instead promised. 

There is a fountain filled with blood 
   Drawn from Immanuel’s veins; 
And sinners, plunged beneath that flood, 
   Lose all their guilty stains. 

Gruesome and graphic in its imagery, but full of deeper meaning. And as a nurse, I’m accustomed to blood, sometimes lots of it. I’ve seen that man bleed out on the ward that night; I’ve attended a road accident, where a boy lost his leg – but not his life, because towels stemmed the massive flow of blood. I’ve raced a patient to the operating theatre after her aortic aneurysm burst within; I’ve stemmed arterial bleeding from the groin by applying prolonged pressure to the site punctured by a catheter during cardiac stenting. According to the World Health Organization, severe bleeding after childbirth is the leading cause of maternal mortality world-wide. Each year, about 14 million women experience postpartum haemorrhage resulting in about 70,000 maternal deaths globally.  

In the Bible, and in hymns of praise like this one, there is also no getting away from blood. “Like it or not, the Bible is a bloody book,” writes  Kyle Winkler. It runs through the book like a crimson thread. There’s a story of a woman bleeding for twelve years, until she touched the hem of Jesus’ garment and was healed.    

Elsewhere the Bible keeps returning to the idea of blood, shed in sacrifice, used to cleanse, save, and heal in a spiritual sense. In the Old Testament, animal blood was painted on doorposts at Passover as a sign of protection from judgment, and sprinkled ritually on the altar as a sacrifice for human sin, restoring relationship with God.  

On Good Friday, Jesus himself shed (and sweat) his blood, sacrificing his life on the cross to “wash our souls” once and for all. Millions of Christians across the world take a sip of communion wine each Sunday in commemoration of this act. It’s a beautiful gift, coming with a promise that the shed blood will “preserve thy body and soul unto everlasting life”, through the forgiveness of sins. It’s no wonder then that churches love to sing about this blood. “Would you be free from the burden of sin? There's pow'r in the blood, pow'r in the blood,” goes one hymn, while another simply says, “Your blood has washed away my sin, Jesus, thank you”.  

“God’s intention for blood isn’t gory—it’s beautiful! And I’m certainly not offended or scared by it,” writes Kyle. “Rather than question how little blood I can get by with, I’d rather stand under the cross to be covered in all that I can get!” Thank God for the fountain of forgiveness that flows from Good Friday. 

  

Celebrate our 2nd birthday!

Since March 2023, our readers have enjoyed over 1,000 articles. All for free. This is made possible through the generosity of our amazing community of supporters.
If you enjoy Seen & Unseen, would you consider making a gift towards our work?
Do so by joining Behind The Seen. Alongside other benefits, you’ll receive an extra fortnightly email from me sharing my reading and reflections on the ideas that are shaping our times.
Graham Tomlin
Editor-in-Chief