Understand what we thirst for

Whether for water or meaning, it’s a primal force.

Helen Cowan

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

A child wearing a wool hat holds a glass and drink water from it.

Johnny McClung on Unsplash

Quenching thirst is a global problem. It can also be profoundly personal, impaired by illness. For nurses, it can be ethically and emotionally difficult, when treating dying patients. But is there ultimate relief?

Thirst is the subjective sensation of a desire to drink something that cannot be ignored. The world is thirsty; globally, 703 million people lack access to clean water. That’s 1 in 10 people on the planet.

Thirst is a life-saving warning system that tells your body to seek satisfaction through swallowing fluid. It works in partnership with other body processes - such as changes in blood pressure, heart rate and kidney function - to restore fluid, and salt, levels back to where they belong. Failure of any part of this beautifully balanced system leads to dehydration (or water intoxication), and perhaps to seizures, swelling of the brain, kidney failure, shock, coma and even death.

Sometimes it’s difficult to quench thirst, because of problems with supply. According to the World Health Organization, at least 1.7 billion people used a drinking water source contaminated with faeces in 2022. Sometimes in war, water is weaponised, with systematic destruction of water sources and pipes. Water laced with rat fur, arsenic and copper has meanwhile been reported in prisons across the USA.

At other times, there may be “water everywhere, but not a drop to drink” because of individual problems with swallowing. As a nurse, some of my most heartbreaking moments have been when I have been unable to fulfil a need as basic as a patient’s thirst; when even thickened fluids have led to intense coughing and distress, and a realisation that I can only moisten mouths and give so-called “taste for pleasure”: very small amounts of a favourite liquid or taste using a soft toothbrush, or a circular brush gently sweeping around the mouth and lips to release some of the liquid - even, and especially, at the end of life when the patient is unconscious.

Difficulties in drinking are common in dementia when fluid can seem foreign and swallowing a surprise to the system. It’s thought that over 50 per cent of people in care homes have an impaired ability to eat or drink safely; 30 to 60 per cent of people who have had a stroke and 50 per cent of those living with Parkinson’s may struggle to swallow.

Other conditions that may affect swallowing include multiple sclerosis, cerebral palsy, and head and neck cancers. Diabetes is characterised by a raging thirst owing to problems with insulin (diabetes mellitus) or an imbalance in antidiuretic hormone levels (diabetes insipidus). In intensive care, patients are predisposed to thirst through mechanical ventilation, receiving nothing by mouth, and as a side effect of some medications. But thirst is a “neglected area” in healthcare, writes palliative care researcher Dr Maria Friedrichsen.

“Knowledge of thirst and thirst relief are not expressed, seldom discussed, there are no policy documents nor is thirst documented in the patient’s record. There is a need for nurses to take the lead in changing nursing practice regarding thirst.”

Is there another thirst that is also being missed in nursing, and in life in general – a spiritual thirst, beyond the physical desire to drink? In his book, Living in Wonder, writer Rod Dreher argues that humans are made to be spiritual, and that a critical sixth sense has been lost in a “society so hooked on science and reason”. We humans crave love in our deepest selves; we have an insatiable thirst for everything which lies within – and beyond – ourselves. Auschwitz survivor Viktor Frankl, who was later appointed professor of psychiatry at the University of Vienna, became convinced that human beings have a basic “will for meaning.” “The striving to find a meaning in one’s life,” he wrote, “is the primary motivational force in man.”

In the harsh sun of a Middle East day, an ancient story of a man and a woman encountering each other at a water well illustrates this dual thirst for water and meaning. The man, Jesus, thankful for a drink of water given to him at the well by an outcast Samaritan woman, said that “Everyone who drinks this water will be thirsty again, but whoever drinks the water I give them will never thirst. Indeed, the water I give them will become in them a spring of water welling up to eternal life.” In that midday sun, such imagery made a powerful statement.

Being mindful of spiritual thirst when drinking water is something also captured in a Ghanaian proverb and pictured perfectly in the many birds that drink by gravity, so tipping their heads back when they swallow.

“Even the chicken, when it drinks,

Lifts its head to heaven to thank God for the water”.

Unsatisfied thirst is part of the human condition, we long for something more; it’s living proof of our immortality, says French poet Charles Baudelaire. Despite his Olympic success, athlete Adam Peaty said that society didn’t have the answers he was seeking, and that a gold medal was the coldest thing to wear. He “discovered something that was missing” when attending church for the first time, and now has a cross with the words “Into the Light” tattooed across his abdomen, symbolizing his spiritual awakening. We are more than mechanical machines with physical needs. We are rather gardens to tend in a dry and thirsty land, with souls in need of intensive care.

Explainer

Creed

Weirdness

1 May 2024

4 min read

Those unexpected angel stories

Shedding a strange light on a disenchanted world.

Graham Tomlin

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

An almost abstract image with overlays of colour over a group of people standing.

Jr Korpa on Unsplash.

Unlike Robbie Williams, who sings about them, sometimes I preach about angels. When I do something always happens – people start telling me their own angel stories.

There was the one a soldier friend told me. During an army climbing expedition to Mount Kenya, one of his team had fallen to his death from a sheer rock face. Caught up in the drama of the moment, my friend found himself stuck on a ledge, unable to move up or down, paralyzed by fear and frustration. Suddenly, in an inaccessible part of the world, where they had seen no-one for days, on a mountain where they were the only registered group present, a climber appeared out of nowhere, moved onto the ledge where he was standing, tied a rope into his harness, lowered him down the rockface to safety before disappearing up the face never to be seen again.

Or the story of a pastor who got into trouble in an airport. A stranger walked by and asked if he could help, and remarkably fixed a seemingly intractable problem. The grateful passenger took a selfie of himself and the stranger, but when he looked at the phone later on, there was a picture of himself, grinning into the camera, with his arms around… nothing.

Why do so many stubbornly believe in angelic beings, when a materialist view of the world laughs scornfully at the idea as a bit of pre-modern superstition?

These are not just modern stories. In the second century, a young man called Justin from Asia Minor was working his way through the various schools of Greek philosophy. One day, he was walking along the beach at Ephesus, wondering, as young people have always done, about the meaning of life in general and his own life in particular, when a mysterious old man came alongside and joined him in conversation. As they walked together, the old man spoke about the philosophers and how none of them were quite able to answer the deepest mysteries of life. He advised Justin to read the Old Testament prophets, before disappearing into the distance. Justin did so, became a Christian and went on to become one of the greatest early theologians of the Church and one of its early martyrs for the faith – hence the name he is remembered by today - Justin Martyr.

Was it an angel? Or a real, yet mysterious old man? Are angels real? And if so, what is the point of them? Surveys tell us that 30 per cent of British people believe in angels. In the USA that figure rises to 70 per cent. Why do so many stubbornly believe in angelic beings, when a materialist view of the world laughs scornfully at the idea as a bit of pre-modern superstition? After all, the cynic might say all these stories can be explained - these were just ordinary people who turned up unexpectedly.

The encounter opened the eyes of the person in the story to another realm, a world unseen yet just as real as the seen.

The word angelos in Greek simply means messenger – and it can mean either a human or an angelic one. In the Bible, angels don’t usually appear with glowing white clothing and wings sprouting from their shoulder blades. When they come to people with a message, they often appear in the guise of ordinary people. In fact, it’s often hard to tell whether you have been visited by an angel or just another human.

The point, therefore, is not so much about the angels, but about the message that they bring. They tend to turn up when there is something particularly important to announce, something like the birth of Jesus, when an angel appears to the young Mary to tell her the news that she will give birth to the Son of God, her, and then quite a few of them turn up to sing to the shepherds, an indication that something big was happening.

In each of the stories above, the encounter opened the eyes of the person in the story to another realm, a world unseen yet just as real as the seen. An inexplicable encounter with what just might have been an angel has the capacity to open our eyes to the fact that the world is bigger than we often assume – that as Hamlet says to his dull, practically minded friend: “There are more things in heaven and earth, Horatio, than are dreamt of in your philosophy.”

The Nicene Creed, the classic summary of Christian faith, speaks of God as the ‘Creator of all things seen and unseen’. We are all used to what we can see, yet some of us only have space in our world for things that can be seen, touched or measured. Yet there are surely those unseen realities – things we cannot see or measure, like love, compassion, holiness, miracles, God and - yes – angels.

A random sermon on angels elicits hushed stories that people feel almost embarrassed to speak. Such mysterious experiences are far more common than we realise, as Dan Kim points out elsewhere on this site. Yet these experiences are not an end in themselves but are perhaps a way of God getting our attention when we refuse to listen to more ordinary approaches. These experiences open our eyes to a dimension of reality that is as real, if not as visible as the one we deal with every day – and become a gateway to a journey of discovery of an unseen world alongside the seen, that sheds a strange but welcoming new light onto a disenchanted world.