Lauren Shurson Lauren Shurson

Keeping Silence: Reverence in the Exam Room

Reverence may seem out of place in modern healthcare, yet research shows that silence, presence, and sensory stillness can create the conditions where patients finally feel safe to speak the truths they have been carrying alone. Let Mortal Flesh Keep Silence offers a language for this posture, and the exam room becomes its own sacred threshold when clinicians listen long enough to hear the story beneath the symptoms, create quiet that heals rather than isolates, and offer presence close enough for connection but calm enough for clarity. In a system full of noise, fragmentation, and digital distance, reverence becomes a form of clinical skill that restores dignity and brings the human voice back to the center of care.

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Lauren Shurson Lauren Shurson

Embodying the Clinical Story: Incarnation and the Practice of Presence in Healthcare

Burnout, compassion fatigue, fragmented care—these are not abstract terms. They are the daily reality of modern medicine. Clinicians are stretched thin, patients often feel unseen, and both sides of the stethoscope carry the weight of disconnection.

And yet research keeps showing something striking: when clinicians practice presence—full attention, attunement, and availability—something changes. Patients heal better, and clinicians themselves find resilience. Anxiety can fall in as little as forty seconds of compassion (Fogarty et al., 1999). Pain responses shift under fMRI when care is patient-centered (Sarinopoulos et al., 2013). Even symptoms of post-traumatic stress are lower after medical crises when patients experience care as compassionate (Moss et al., 2019).

The medical literature calls this therapeutic presence—a way of being that goes beyond proximity to embrace mindful awareness, relational depth, and attentive listening. Theological language goes even further. “The Word became flesh and dwelt among us” (John 1:14, ESV). The Incarnation reveals God’s healing nearness. What clinical science describes in terms of lowered anxiety and improved adherence, theology frames as the very grammar of divine love: God heals by drawing near.

Presence, then, is not an optional extra. It is constitutive of healing itself. When clinicians show up with compassion, they echo the deepest pattern of healing in the universe—and they often find that what they give is also what sustains them.

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