My patient is an elderly man with end-stage congestive heart failure, kidney failure and now an infected dialysis line, and he is unlikely to live more than six months. The Bible lies on his bedside table next to his hospital breakfast tray and the morning newspaper. I wonder if I should pray with him.
A neurosurgeon I know often prays with his patients prior to operating on their brains to remove a tumor or on their backs to relieve a herniated disk. In the pre-op holding area, he stands near the gurney and, with the patient’s permission, clasps his or her hand and recites a prayer. He usually concludes the prayer with “in the name of our Lord, Jesus Christ.”
My friend the neurosurgeon is unusual in this regard. Although studies show that 40 to 60 percent of hospitalized patients want their doctors to pray with them, fewer than 5 percent of doctors say they often or usually pray with patients.
As a doctor, I understand this. Although I am comfortable asking patients about their faith when I question them about their profession and their family or social support structure, I feel awkward, even squeamish, about praying with my patients. That may be because I was never taught how to pray with my patients in medical school, nor did I see my mentors praying with patients. Also, I am of the Jain faith, an Eastern religion based on the principle of nonviolence and the practice of meditation, and most of my patients are of the Christian or Jewish faith. In addition, at times I have seen religious beliefs compromise a patient’s health: One young patient of mine died in my intensive care unit because she refused blood transfusions based on her religious beliefs.