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director of the Josephine Ford Cancer
Center at Henry Ford Hospital in
Detroit, keeps in mind that for those
who practice a religion, there is a univer-
sal belief in an "almighty power."
Therefore, his prayers are kept as generic
as possible, unless the patient asks him to
say something in particular.
"I'm very comfortable holding the
hand of a patient and leading them in a
prayer," said Dr. Nathanson, who
acknowledged that the difficult part is
when his patients want him to talk about
Jesus.
As a patient, Duben is not so con-
cerned with the religion or faith of those
who want to pray with or for her during
hospitalizations, particularly the hospital's
chaplains. "I believe that God hears all
prayers," she said.
Physicians who incorporate prayer and
spirituality discussions into their patient
care say they do so for a number of rea-
sons, including the powerful connection
between body and mind.
"I think that as a physician seeing
patients, you need to treat the whole per-
son and that includes who they are,
where they're from, their medical history,
labs and spirituality," said Dr. Zaks, a
member of Adat Shalom Synagogue. "I
don't discuss or force my faith into the
patients' lives, but if they ask me to pray
for them I will. The best way I can
explain my being drawn into spirituality
is that my patients were so accepting of
their own notions of the interplay
between spirituality and health."
Dr. Nathanson concurs, and he main-
tains that further proof that patients want
doctors to address their spiritual needs
comes from the popularity of alternative
medicine.
"People who turn to alternative medi-
cine do so because that's where they get
attention. With (traditional) medicine,
there can be less interaction, less compas-
sion and less touching of the patient. I
think you can relate that to prayer and a
patient's desire to incorporate prayer into
their healing," he said.
Dr. Nathanson grew up in an
Orthodox Jewish family in South Africa.
During his adolescence, he discovered
and cultivated a passion for science. He
"returned" to religion in his early 30s
after concluding that science could not
provide answers to all his questions.
"I think that physicians, as a rule, may
not address spirituality because they don't
necessarily use their own spirituality or
even know about it," said Dr. Nathanson,
now a member of Temple Shir Shalom.
"The focus in a physician's training is
directed toward what is technical.
Physicians are reluctant to reveal their
own beliefs, let alone explore their

patient's beliefs."
Dr. Zaks says few of his colleagues
incorporate similar discussions in their
patient care. Not only are his peers shying
away from such discussions but interns
and residents often balk at the notion of
discussing spirituality or praying with
patients. "It is ironic," said Dr. Zaks, con-
sidering Providence Hospital is a Catholic
institution where nonsectarian prayer is
frequently offered during meetings and
each morning and evening over the hos-
pital public address system.
Not all physicians see a role for reli-
gion and spirituality in medicine. There
are a number of studies refining the ben-
efits, making the topic somewhat contro-
versial.
Dr. Zaks' daughter Lisa, a fourth-year
medical student atWayne State
University in Detoit, said prayer and spir-
ituality have come up during a few lec-
ture series, but mostly outside the school
setting. Specifically, some of the attending
physicians who work with students make
a point to have a chaplain talk to them.
Lisa Zaks said she would consider
addressing a patient's spiritual needs in
appropriate situations. She also thinks
that some of the more religious students
in her class may also incorporate prayer
into their practices.

Healing The Healers

Patients are not the only ones who bene-
fit from prayer. Health care providers
turn to prayer for their own emotional
healing. Wendy Winkler is a pediatric
nurse with Angela Hospice in Livonia. At
any given time, her patient load consists
of five to 10 patients, from newborns to
those in their late teens and sometimes
beyond. All her patients have one thing
•
in common they are dying.
Winkler's job is to provide care to
these patients and support to their fami-
lies. Often crying with the parents, she
never misses a funeral. While she likes her
work, it is not easy. With each death,
Winkler turns to prayer to help cope
with the loss.
A friend gave her a copy of a prayer
from the book Wrestling with the Angeh
Jewish Insights on Death and Mourning.
The prayer, written for health-care
providers, asks God to bring eternal peace
to the patient, comfort to grieving family
and friends and strength to the health
provider.
"Through hospice, we work very
intensely with people and when they die,
we mourn their loss too. When I read a
prayer like this, it gives me a way to make
sense out of my feelings of grief and loss,"
Winkler said. El