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Praise for
Ive Seen the End of You
Dr. Lee Warren has a rarified vantage point, for he makes a living by entering the most secludedand most sacredpart of a person: the human brain. The patients in this book have stories worthy of a novel, and Dr. Warren does them justice, describing their medical crises in gripping prose while also facing the questions that emerge to test his faith.
P HILIP Y ANCEY , author of such books as Whats So Amazing About Grace? and The Jesus I Never Knew
Is this book worth your time? A few questions will help you decide: Do you appreciate fine writing? Are you willing to have your faith stirred? Would you like to eavesdrop on the thoughts of a brilliant surgeon? Could you benefit from some warm, vibrant, incisive contemplations about this difficult, untidy, wonderful thing called human life? If you answered yes to any or all of these, you are holding the right book. Enjoy it. I certainly did.
M AX L UCADO , pastor and best-selling inspirational author
In beautiful, haunting, powerful prose, Ive Seen the End of You will inspire you, make you cry, and ultimately help you see God and suffering in a new way.
D ANIEL G. A MEN , MD, physician, psychiatrist, best-selling author, and founder of Amen Clinics
With the death rate still at 100 percent, we all will face hard conversations and experiences with ones we love. The pain will always come. But having someone who can explain the painphysical, emotional, and spiritualfrom the inside is invaluable. Ive Seen the End of You gives us that kind of help. Its a difficult read at times because of Lees honest wrestling with the questions we face at these momentswhich is why we can trust him as a guide. He even helps us with the tough conversations with God because hes been there too. As a hospital chaplain who has conversations every day like the ones Lee describes, Im grateful for what this book teaches me and those of us who face death daily.
D R. J ON S WANSON , chaplain at Parkview Regional Medical Center, socialmediachaplain.com
As I lay nearly lifeless on a gurney in early April 2005 in Balad, Iraq, God used Dr. Warrens expertise, tenderness, encouragement, grace, and love to save my life. And now, in this book, Dr. Warrens words are not only encouraging but also thought provoking as he helps us all understand our individual purpose on this amazing journey of life. I urge you to read Ive Seen the End of You because your life will be forever changed.
S COTTY S MILEY , author of Hope Unseen and CEO of Bellator Asset Management
Dr. Lee Warrens book is so well written that it is hard to put down. It will challenge you and encourage you to live life to the fullest, never doubting that we have a great Creator who has a remarkable purpose for us all. A must-read!
T IFFANY S MILEY , president of Hope Unseen, founder of More Than Me, and advocate for veterans and caregivers
I VE S EEN THE E ND OF Y OU
All Scripture quotations, unless otherwise indicated, are taken from the Holy Bible, New International Version, NIV. Copyright 1973, 1978, 1984, 2011 by Biblica Inc. Used by permission. All rights reserved worldwide. Scripture quotations marked ( ESV ) are taken from the Holy Bible, English Standard Version, ESV Text Edition (2016), copyright 2001 by Crossway Bibles, a publishing ministry of Good News Publishers. All rights reserved. Scripture quotations marked ( KJV ) are taken from the King James Version. Scripture quotations marked ( MSG ) are taken from The Message. Copyright by Eugene H. Peterson 1993, 1994, 1995, 1996, 2000, 2001, 2002. Used by permission of NavPress. All rights reserved. Represented by Tyndale House Publishers Inc. Scripture quotations marked ( NCV ) are taken from the New Century Version. Copyright 2005 by Thomas Nelson Inc. Used by permission. All rights reserved. Scripture quotations marked ( NLT ) are taken from the Holy Bible, New Living Translation, copyright 1996, 2004, 2007, 2013, 2015 by Tyndale House Foundation. Used by permission of Tyndale House Publishers Inc., Carol Stream, Illinois 60188. All rights reserved. Scripture quotations marked (Voice) are taken from The Voice. Copyright 2008 by Ecclesia Bible Society. Used by permission. All rights reserved.
Hardcover ISBN9780525653219
Ebook ISBN9780525653226
Copyright 2020 by W. Lee Warren, MD
Cover design by Kelly L. Howard
All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher.
Published in the United States by WaterBrook, an imprint of Random House, a division of Penguin Random House LLC.
W ATER B ROOK and its deer colophon are registered trademarks of Penguin Random House LLC.
Library of Congress Cataloging-in-Publication Data
Names: Warren, W. Lee, 1969author.
Title: Ive seen the end of you : a neurosurgeons look at faith, doubt, and the things we think we know / W. Lee Warren, MD.
Description: First Edition. | Colorado Springs : WaterBrook, 2020.
Identifiers: LCCN 2019010274 | ISBN 9780525653219 (hardcover) | ISBN 9780525653226 (electronic)
Subjects: LCSH: Christian life. | LifeReligious aspectsChristianity. | NeurosurgeonsReligious life.
Classification: LCC BV4501.3 .W37115 2020 | DDC 277.3/083092 [B]dc23
LC record available at https://lccn.loc.gov/2019010274
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Dedicated to
Elmer, the first friend to become my patient
Mike, the first patient to become my friend
Mitch, for teaching me how to grieve and still laugh
Philip, for encouraging me to write this
Patty, for a life well lived
Lisa, for showing me the way forward,
no matter how dark the path sometimes is
Contents
Authors Note
The stories in this book are true. Ive changed the names and some details of all the patients and most of the physicians I discuss. In addition, some of the patients are composites of several real people in order to illustrate aspects of their care without risk of identifying them. Conversations are reproduced from my memory, and the dialogue is true to the spirit of the conversations, even if the actual words I use have been changed. Pastor Jon is an amalgam of numerous hospital chaplains, and Drs. Stinson, Grossman, Grimes, and Jackson are wholly fictitious representatives of colleagues.
Prologue
Life Gets Messy
After all they had endured, they remembered that God, the Most High,
was their Rock, their Redeemer.
P SALM 78:35, Voice
The most difficult and dangerous surgery Ive ever performed, I wasnt trained for. I had to do something no surgeon would ever do in the operating room.
I had to learn on the job.
In the story that follows, you will learn that the title of this book refers to a kind of brain tumorglioblastoma multiformethat is almost 100 percent fatal. My experience with this tumor made me ask questions about how I could honestly pray for my patients or give them news with any credibility or integrity when I already knew they would die. This moral dilemma put me in touch with my spiritual mentor, Philip Yancey, who encouraged me to write about it.