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Advances in Care
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1 Advancing Cardiology and Heart Surgery Through a History of Collaboration 20:13
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On this episode of Advances in Care , host Erin Welsh and Dr. Craig Smith, Chair of the Department of Surgery and Surgeon-in-Chief at NewYork-Presbyterian and Columbia discuss the highlights of Dr. Smith’s 40+ year career as a cardiac surgeon and how the culture of Columbia has been a catalyst for innovation in cardiac care. Dr. Smith describes the excitement of helping to pioneer the institution’s heart transplant program in the 1980s, when it was just one of only three hospitals in the country practicing heart transplantation. Dr. Smith also explains how a unique collaboration with Columbia’s cardiology team led to the first of several groundbreaking trials, called PARTNER (Placement of AoRTic TraNscatheteR Valve), which paved the way for a monumental treatment for aortic stenosis — the most common heart valve disease that is lethal if left untreated. During the trial, Dr. Smith worked closely with Dr. Martin B. Leon, Professor of Medicine at Columbia University Irving Medical Center and Chief Innovation Officer and the Director of the Cardiovascular Data Science Center for the Division of Cardiology. Their findings elevated TAVR, or transcatheter aortic valve replacement, to eventually become the gold-standard for aortic stenosis patients at all levels of illness severity and surgical risk. Today, an experienced team of specialists at Columbia treat TAVR patients with a combination of advancements including advanced replacement valve materials, three-dimensional and ECG imaging, and a personalized approach to cardiac care. Finally, Dr. Smith shares his thoughts on new frontiers of cardiac surgery, like the challenge of repairing the mitral and tricuspid valves, and the promising application of robotic surgery for complex, high-risk operations. He reflects on life after he retires from operating, and shares his observations of how NewYork-Presbyterian and Columbia have evolved in the decades since he began his residency. For more information visit nyp.org/Advances…
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Kandungan disediakan oleh Jacob D. Gerber. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh Jacob D. Gerber atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.
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A Daily Journey Through the Unfolding Story of the Bible Based on the M’Cheyne Bible Reading Plan
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×Bible Readings for February 23rd Exodus 6 | Luke 9 | Job 23 | 1 Corinthians 10 In Exodus 5, we saw that the pressure of leadership was beginning to get to Moses. In frustration, Moses asks why Yahweh has done evil to Israel by sending him, since Pharaoh had only increased his cruelty since Moses had come. While Yahweh’s response in Exodus 6 doesn’t immediately resolve the conflict with Pharaoh, Yahweh nevertheless answers Moses’s prayer by giving him all the assurance that he was seeking—and more. Yahweh insists that he will absolutely send his people out of the land of Pharaoh with a strong hand (Ex. 6:1). Yahweh hasn’t gotten distracted or changed his mind. He proclaims his perfect resolve to do exactly what he said he would do. Really, this was all Moses was asking to know. But the second thing we see in Exodus 6 is that Yahweh says more . In fact, Yahweh gives an insight that he had not given anyone before—not Abraham, not Isaac, and not Jacob. Specifically, Yahweh tells Moses his name . Now to be clear, it isn’t as though none of the patriarchs who went before Moses had heard the name Yahweh. There are many reasons to believe that all the people of God knew the name of Yahweh, including the fact that the name of Moses’s own mother was Jochebed (Ex. 6:20), which means “Yahweh [ Yah ] is glory [ chebed ].” 1 All the patriarchs knew that God’s name was Yahweh. More importantly, however, we should see that Yahweh doesn’t say, “I did not make my name known.” Instead, he says, “ by my name Yahweh I did not make myself known to them” (Ex. 6:3). In other words, Yahweh didn’t reveal the significance of his name in practical terms. In the Bible, “name” is more than what someone is called. Instead, “name” refers to someone’s character. We say the same thing when we talk about “clearing my name.” Moses was going to see the character of Yahweh in action. He was going to see Yahweh’s outstretched arm redeem Israel out of Egypt with signs, wonders, and “great acts of judgment” (Ex. 6:6). Even more, Yahweh would take Israel as his people and be God to Israel. The word “take” in Exodus 6:7 is the word that would describe the way a man “takes” a woman to be his wife—Yahweh is entering into an intimate, covenantal relationship with Israel. But while Moses saw Yahweh’s covenantal love partially through the redemption of Israel out of Egypt, we have a better vision. We get to see that Yahweh, out of covenantal love for his people, took on flesh, died on a cross, and rose from the dead, redeeming his people from sin, death, and the devil. And so it is that through the great acts of God’s redemption in Jesus we come to know the significance of Yahweh’s covenant—keeping name—until he returns to reveal himself to us fully, face to face. 1 Allen P. Ross, “Did the Patriarchs Know the Name of the LORD?” in Giving the Sense: Understanding and Using Old Testament Historical Texts , ed. David M. Howard and Michael A. Grisanti (Grand Rapids, MI: Kregel, 2003), 323–39. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 22nd Exodus 5 | Luke 8 | Job 22 | 1 Corinthians 9 When Moses proclaims to Israel all that Yahweh has called him to do to lead Israel out of Egypt, we read that “the people believed; and when they heard that the LORD had visited the people of Israel and that he had seen their affliction, they bowed their heads and worshiped” (Ex. 4:31). Moses had accomplished the hardest part of his task by getting the people of Israel on board with the mission, right? Not quite. Moses, you see, did know that Pharaoh would refuse to let Israel go (Ex. 3:19), and Moses even knew that God would harden Pharaoh’s heart against letting Israel go (Ex. 4:21). What Moses didn’t know, however, is that Pharaoh would turn the tables on Moses by making the Israelites’ work harder by requiring them to gather their own stubble instead of providing them straw, arguing that the people of Israel were idle. And in fact, it is very possible that the people may have stopped working as hard (or perhaps they might have even stopped working completely) as they waited to be liberated. 1 So, the Israelites attacked Moses and Aaron with harsh words after they had emerged from a disappointing conversation with Pharaoh: “The LORD look on you and judge, because you have made us stink in the sight of Pharaoh and his servants, and have put a sword in their hand to kill us” (Ex. 5:21). Moses and Aaron had done everything God had asked them to do, and they faced opposition not only from Pharaoh himself but now also from the people who had been so encouraged the night before. What do you do, then, when you have sought to obey Jesus, but you find yourself in a worse set of circumstances than before? Moses’s response to this situation is instructive: he prays. In fact, we don’t read that he prayed the sweet, sappy, angelic prayer of a saint who is troubled by nothing in this world—instead, we see one of the angriest prayers against God in the whole Bible in Exodus 5:22–23: “O Lord, why have you done evil to this people? Why did you ever send me? For since I came to Pharaoh to speak in your name, he has done evil to this people, and you have not delivered your people at all.” What we must see in this story (which we will pick up tomorrow) is that God doesn’t rebuke Moses for this prayer—quite the opposite, actually. Instead, God responds right away to Moses’s angry prayer by assuring him that now (Ex. 6:1) is when God would act to save his people. God hears our angry prayers, and he answers them. The question isn’t whether God can handle your venting to him—the question is whether you trust him enough to pray to him what you are actually feeling. 1 Douglas K. Stuart, Exodus , TNAC, vol. 2 (Nashville: Broadman and Holman, 2006), 162–63. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 21st Exodus 4 | Luke 7 | Job 21 | 1 Corinthians 8 We should not judge Moses too harshly for his fear of confronting Pharaoh to declare God’s word. Moses makes up a variety of excuses in Exodus 4:10 about being less than eloquent and slow of speech, but even when Yahweh reminds Moses that he himself is the one who created the mouth in the first place, Moses finally pleads simply, “Oh, my Lord, please send someone else” (Ex. 4:13). Yahweh refuses Moses’s request, but we should recognize from this story that the fear of inadequacy is a real experience for those called to serve the living God. What, then, can we learn about our fear from Exodus 4? First, we should recognize there are good reasons for us to be frightened when God calls us to follow him. In this story, Moses is called to do nothing less than to rebuke the most powerful king on the planet by demanding that he free thousands of his enslaved workforce. What person wouldn’t be afraid of undertaking a mission like that? Second, we should also keep in mind that, while the world may threaten us to some degree, we face the greatest danger by disobeying God, not by defying the world. In this passage, God holds Moses to a higher standard because of Moses’s call to be the leader of God’s people. So, even after Moses begins to obey and starts his journey toward Egypt, we read that Yahweh meets “him” to put “him” to death (Ex. 4:24). The language is ambiguous, so that the “him” being put to death could refer to either Moses or a son whom Moses had not circumcised. God had commanded that every male in Israel be circumcised, and when God’s leader failed to circumcise his son, God actually comes to put him (Moses or Moses’s son) to death, and he does not relent until Moses’s wife, Zipporah, circumcises the child (Ex. 4:25–26). Shouldn’t the people of God be terrified, then, when God calls us to serve him? Yes and no. On the one hand, it is a serious and weighty thing to serve the living God, and we should not take such a calling lightly. But on the other hand, we should notice in this story the way that God graciously provides a helper and a companion to Moses in Aaron. God is compassionate toward us to meet us where we are even when we struggle to believe that we can do what he asks of us. More than that, God promises to walk with us every step of the way, providing for us everything needed for what he requires us to do—even when he sends us straight into danger and persecution. Meditate on the words of Jesus: “All authority in heaven and on earth has been given to me….And behold, I am with you always, to the end of the age” (Matt. 28:18, 20). Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 20th Exodus 3 | Luke 6 | Job 20 | 1 Corinthians 7 Exodus 3 is a critical passage for understanding how God’s holiness and his love fit together. In this encounter, God both approaches Moses and tells Moses to keep his distance. So, when Moses turns aside to see how a bush could burn but yet not be consumed, God calls out to Moses, warning him, “Do not come near; take your sandals off your feet, for the place on which you are a standing is holy ground” (Ex. 3:5). This scene raises a question: If God’s presence is too holy for Moses to come near, then why does God come near to Moses in the first place? The answer to this question comes as soon as God begins to speak—quite simply, Yahweh approaches Moses because of his love for his people. God explains that he has heard the outcry of Israel and that he will surely rescue them from out of Egypt. This will not be a simple mission, since Pharaoh will not let Israel go unless he is “compelled by a mighty hand” (Ex. 3:19). God therefore promises he will do exactly that: “So I will stretch out my hand and strike Egypt with all the wonders that I will do in it; after that he will let you go” (Ex. 3:20). It is important that the way we think about God captures both sides of what God does here—on the one hand God comes near to Moses out of love for his people, but on the other hand God instructs Moses not to come near, since God is holy. First, we need to recognize the seriousness and severity of God’s holiness—that is, we need to honor the do not come near nature of God’s holiness. The holiness of God is a blazing, consuming fire (Heb. 12:29), the kind of consuming fire that melts mountains like wax before him (Ps. 97:5). If we are the people of God, then we should not trifle with his furious holiness. But second, we should also recognize that God’s deep love for his people compels him to pursue them and redeem them. God’s holiness and his love, then, fit together. In fact, the goal of God’s love is to make us holy precisely so that we may come near to him to dwell with him in holiness—so that we can become his holy people and so that he can be our holy God. To make his people holy, however, will require far more than for God simply to lead his people out of Egypt. In fact, our holiness will require nothing less than the crucifixion of God’s own Son, so that in Christ, we might become holy, just as God is holy (1 Pet. 1:13–16), and so that we may with all confidence come near to God in the holy places (Heb. 10:19–22). Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 19th Exodus 2 | Luke 5 | Job 19 | 1 Corinthians 6 The early life of Moses includes both high drama during his first forty years and then quiet obscurity for the next forty. He escapes being executed as a male Hebrew infant through a basket (literally, an “ark,” the same word that is used for the ark that had rescued Noah) floating in the Nile River. When Pharaoh’s daughter discovers him, she adopts him and pays Moses’s mother to nurse him (Ex. 2:6–10). But we also aren’t given an idealized, sanitized version of Moses’s story. When Moses is older, he murders an Egyptian to protect an Israelite and then spends forty years of his life, from age 40 (Acts 7:23) to age 80 (Ex. 7:7), as a simple shepherd with a family in Midian. Despite the fact that Moses distanced himself from the suffering of Israel for decades while they were groaning under the burden of their slavery, here’s the important thing to remember: “God heard their groaning, and God remembered his covenant with Abraham, with Isaac, and with Jacob. God saw the people of Israel—and God knew” (Ex. 2:24–25). The reason for Moses’s unconventional rise to leadership, then, is simple: God was raising Moses up to rescue his people out of Egypt by leading them as a shepherd. God had heard their groaning, he remembered his covenant, he saw his people, and God knew . And well in advance of actually calling Moses to be the shepherd of Israel, God had been preparing Moses for precisely this role—to know something of how to approach Pharaoh through childhood familiarity with Pharaoh’s courts, to gain experience defending the people of Israel against their Egyptian oppressors, and to learn how to lead the flock of Israel in the wilderness after leaving Egypt through time spent shepherding actual sheep. God works in our lives in the same way, even if he doesn’t ever call us to be great leaders. God takes the seemingly disconnected threads of our stories and weaves them together into a tapestry for his overarching purposes in the world, and he does so in ways that we do not understand—in fact, that we cannot understand—this side of glory. Make no mistake, however: God is causing everything to work together for good for those who love him and who are called according to his purposes (Rom. 8:28). And if our God can redeem the broken life of Moses to stage an extraordinary redemption out of Egypt—and especially if he can redeem the brutal execution of Jesus Christ on the cross to stage our redemption—then God can use even your life and mine to further his purposes in this world. Even when our lives are quiet and seemingly insignificant, God is at work. Your life is not a mistake. If you are in Christ, then you are a strategic piece of God’s mission in this world. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 18th Exodus 1 | Luke 4 | Job 18 | 1 Corinthians 5 Exodus 1 explains the transition between the story of Joseph and the story of Moses. When Joseph died at the end of Genesis 50, he was the second most powerful man on the planet, a man seated at the right hand of the pharaoh of Egypt himself. As such, Joseph’s brothers and their families (the entire nation of Israel at the time) received preferential treatment in the Egyptian kingdom. But Exodus 1:8 tells the story of how this special place in Egypt fell apart: “Now there arose a new king over Egypt, who did not know Joseph”—and worse, a king who hated Joseph’s family. With that change of guard, Israel was quickly demoted from a position of power and privilege to one of great weakness and vulnerability. Making matters worse (humanly speaking) is the fact that the population of Israel has begun to explode, so that we read five times in the first chapter of Exodus (v. 7, 9, 10, 12, and 20) about the rapid increase of Israel—an increase that only exacerbates the new pharaoh’s hatred of Israel and his desire to subjugate them. In fact, Pharaoh’s revulsion toward Israel grows so great that he orders all male Hebrew children to be cast into the Nile River to die (Ex. 1:22). So in Exodus 1, we see the fulfillment of two sides of the promises that God has been making to his people since the days of Abraham, Isaac, and Jacob. On the one hand, it is here in Egypt where God begins to multiply his people and to make them a great nation. And yet, it is also here in Egypt where God causes his people to pass through a cauldron of suffering, just as he had sworn to Abraham in Genesis 15:13: “Know for certain that your offspring will be sojourners in a land that is not theirs and will be servants there, and they will be afflicted for four hundred years.” But why does it have to be both ? Couldn’t God have multiplied his people, making them into a great nation, without handing them over to suffering? In fact, Israel’s multiplication and their suffering must necessarily go together. Through this entire story, God will protect and preserve his people, growing them numerically even as they pass through the valley of the shadow of death. And in the fullness of time, God himself will redeem his people out of Egypt with a mighty hand and an outstretched arm, displaying his power in the sight of all the nations and taking Israel to be his special people in all the earth. And in doing so, God foreshadows the way he will ultimately redeem his people through Christ, conquering sin, death, and the devil—not only through Jesus’ own suffering on the cross but also through raising Jesus up from the dead on the third day. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 17th Genesis 50 | Luke 3 | Job 16 – 17 | 1 Corinthians 4 As we talked about in the meditation for Genesis 45, Joseph evaluates the suffering he endured in his lifetime in a surprising way. Rather than seeing himself as a victim of thoroughly unfair treatment (which he certainly was), Joseph understood that God had sovereignly orchestrated the events in his life in order to put Joseph in charge of helping Egypt to survive through the seven-year famine, going so far as to say to his brothers, “So it was not you who sent me here, but God” (Gen. 45:8). And in today’s reading from Genesis 50, Joseph articulates the same perspective. When his brothers begin to worry about whether the death of Jacob might have removed the only protection that was keeping Joseph from seeking revenge against them, they make up a story that Jacob had asked on his deathbed for Joseph to forgive his brothers. When they throw themselves before Joseph, begging for his mercy, he assures them he has no intention of harming them, saying, “As for you, you meant evil against me, but God meant it for good, to bring it about that many people should be kept alive, as they are today” (Gen. 50:20). This is astonishing faith, but Joseph is bearing witness to the complicated relationship between God’s sovereignty and our responsibility. Joseph doesn’t ignore what his brothers have done, but he holds them accountable as having committed evil (Gen. 50:20). He certainly forgives his brothers, but he doesn’t downplay the significance of their treachery. Joseph simply refuses to label his entire life’s experience as evil. Rather, he looks at what has happened and sees the sovereign hand of God—and he evaluates God’s sovereign decrees as good . While the Bible never fully untangles this mystery of how God’s sovereignty fits in with our responsibility, we do see a rich understanding of this problem that helps us to avoid two opposite errors. On the one hand, the Bible takes evil very seriously—so seriously, in fact, that God’s own Son had to die to confront all the furious powers of hell at the cross—but on the other hand, the Bible also insists that God is sovereign over the affairs of this earth. He himself never commits evil, even when people like Joseph have to undergo significant evil in their lives. In his sovereignty, he causes all things to work together for good for those who love him (Rom. 8:28), even if each of the specific events along the way are not necessarily the result of good in this world. The pressing question from this story is not so much to figure out how exactly God’s sovereignty works for good in and through human evil. Instead, the pressing question is this: Will you and I trust God like Joseph did through all the evil that we will face? Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 16th Genesis 49 | Luke 2 | Job 15 | 1 Corinthians 3 Genesis 49 records the final words of Jacob before the patriarch is gathered to his people in death, buried in the same cave as Jacob’s grandparents Abraham and Sarah, Jacob’s parents, Isaac and Rebekah, and Jacob’s wife Leah (Gen. 49:29–33). The bulk of Genesis 49, however, focuses on the blessing Jacob gives to each of his sons in verses 1 to 27. Now, remember that this kind of blessing on his deathbed is more than kind wishes for the future success of his sons. When Isaac blessed Jacob instead of Esau as he had intended back in Genesis 27, Isaac had no blessing of value left over for Esau. These are actual prophetic declarations from the men with whom God had made his covenant, and the most important promise comes to Jacob’s son Judah. Here’s the crucial verse of what Jacob says concerning Judah: “The scepter shall not depart from Judah, nor the ruler’s staff from between his feet, until tribute comes to him; and to him shall be the obedience of the peoples” (Gen. 49:10). This vivid verse conveys one idea in many ways: out of Judah, God would eventually raise up kings, and the scepter will never depart from these kings from the line of Judah. Someone from the line of Judah will reign as king, and not only will he rule over his brothers (Gen. 49:8) but Judah will even command “the obedience of the peoples”—that is, the peoples of the whole world. For a long time after this scene, Israel will have no king at all. God himself will rule over his people directly, first through the leadership of Moses, then through the leadership of Joshua, Moses’s assistant, and then finally through the leadership of various judges. Not until we get to 1 Samuel will we see any kind of king reigning over Israel, and, strangely enough, the first king, Saul, comes not from the line of Judah but from the tribe of Benjamin (1 Sam. 9). But as it happens, God will eventually reject Saul and instead select a boy named David from the tribe of Judah to anoint as his king (1 Sam. 16). And to David, God will make this promise: “When your days are fulfilled and you lie down with your fathers, I will raise up your offspring after you, who shall come from your body, and I will establish his kingdom. He shall build a house for my name, and I will establish the throne of his kingdom forever” (2 Sam. 7:12–13). Accordingly, when Jesus Christ was resurrected from the dead in glory, he was exalted and given an everlasting kingdom, to receive glory and honor and praise forever—not only from Israel, but from all peoples. And in this way Jesus became the Lion of the Tribe of Judah who has conquered (Rev. 5:5), just as Jacob had prophesied . Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 15th Genesis 48 | Luke 1:39–80 | Job 14 | 1 Corinthians 2 In Genesis 48:5–7, Jacob formally adopts Joseph’s sons, Ephraim and Manasseh. There is a solid, practical reason for Jacob to do so: by adopting Ephraim and Manasseh, Jacob gives those sons direct portions of his own inheritance. So, rather than giving Joseph’s family only one portion of Jacob’s inheritance (which would then be split in two for Ephraim and Manasseh), now both Ephraim and Manasseh command an equal share of the inheritance along with all the other brothers of Joseph. From this point forward, Ephraim and Manasseh are considered tribal heads in Israel along with Jacob’s immediate sons like Judah, Levi, and the others. Additionally, Jacob insists upon blessing the children of Joseph—his own, adopted children—before he dies. But strangely, Jacob crosses his arms to lay his right hand on Ephraim rather than on Manasseh, the firstborn (Gen. 48:13–14). When Joseph realizes what is happening, he tries to stop his father, but Jacob replies, “I know, my son, I know. He [Manasseh] also shall become a people, and he also shall be great. Nevertheless, his younger brother [Ephraim] shall be greater than he, and his offspring shall become a multitude of nations” (Gen. 48:19). And indeed, when the census is taken in the beginning of the book of Numbers, Ephraim commands over 25 percent more people than Manasseh, 40,500 to 32,200 (Num. 1:32–35). In the Scriptures, God nearly always chooses for his purposes the people who are most undervalued for whatever reason, whether they are weak, foolish, poor, or barren. For example, God often favors the younger son over the older son, just as he does here in Genesis 48. In addition to choosing Ephraim over Manasseh, Isaac was chosen over Ishmael (Gen. 17:18–21), Jacob was chosen over Esau (Gen. 25:23), and Joseph was favored over the rest of his brothers(Gen. 37:3). Eventually, God will even choose David as his anointed king instead of David’s seven older brothers (1 Sam. 16:6–13), and it is from the line of David that God would later raise up Jesus to reign forever as King. In choosing the weak instead of the strong, God magnifies his own power, so that the strong cannot boast in their own strength. As Paul reminds the church at Corinth (a group of people who were obsessed with displays of their own strength and power), “God chose what is weak in the world to shame the strong…so that no human being might boast in the presence of God” (1 Cor. 1:27, 29). And why would God do that? So that we recognize that God “is the source of your life in Christ Jesus, whom God made our wisdom and our righteousness and sanctification and redemption. Therefore, as it is written, ‘Let the one who boasts, boast in the Lord’” (1 Cor. 1:30–31). Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 14th Genesis 47 | Luke 1:1–38 | Job 13 | 1 Corinthians 1 As we discussed yesterday, the last few chapters of Genesis are setting up the story we will read in Exodus—a story of God’s redemption of his people that lives at the heart of the rest of the Scriptures. Genesis 47 charts three key events that establish the foundation for the storyline we will encounter in Exodus. First, God establishes his people in Goshen. Joseph displays his characteristic wisdom in leading Pharaoh to settle the nation of Israel into the land of Goshen, which was decent land for shepherds. Goshen is a good land, although it’s no Canaan. Second, God uses Joseph’s administrative leadership to put an incredible amount of power and wealth in the hands of Egypt, making Egypt the most powerful nation in the known world. Given the choice of starving or giving up their lands, the people of Egypt (and even the people who live throughout Canaan) willingly trade away their livestock and their lands to Pharaoh in exchange for food (Gen. 47:13–19). In the process, all these people become the servants of Pharaoh, plowing Pharaoh’s fields and paying Pharaoh a heavy tax from their crops (Gen. 47:21, 23–26). There is significant irony in this plot wrinkle. In Exodus, Pharaoh will boast as though he himself had built his empire, his power, and his wealth. So, when Moses comes to Pharaoh, claiming that the God of the poor, oppressed Hebrew people has told him to let Israel go, Pharaoh scoffs at their request. But in Genesis 47, we realize that the source of Pharaoh’s wealth and power is actually Joseph, a son of Israel and a servant of the Living God. Everything Pharaoh had was a gift from God, despite the fact that Pharaoh saw it as clear evidence of his own power and glory. In the same way, it can be a convicting exercise for us to audit the blessings we have received from the hand of God in order to discover the places where we have misattributed God’s gifts as evidence of our own abilities, goodness, and hard work. Third, when Jacob asks for his bones to be buried in Canaan, God establishes hope that the people of Israel will only live temporarily in the land of Egypt. Although they will dwell in Egypt for a time, Jacob trusts that God will be faithful to keep his promise and to bring the whole nation of Israel back to the inheritance that God had promised to Abraham, to Isaac, and to Jacob. So as you yourself dwell as a sojourner in this current world, here’s a question for you to consider: Is your hope set on the blessings of your Goshen, or, like Jacob, is your hope set on the fact that one day God will bring you to the eternal inheritance he has promised you in Christ Jesus? Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 13th Genesis 46 | Mark 16 | Job 12 | Romans 16 What an incredible scene it must have been to see Jacob reunited with his son whom he had believed to be dead for so many years: “[Joseph] presented himself to [Jacob] and fell on his neck and wept on his neck a good while” (Gen. 46:29). This is very similar language to the way that Jacob’s reunion with Esau was described back in Genesis 33:4: “But Esau ran to meet [Jacob] and embraced him and fell on his neck and kissed him, and they wept.” Jacob the prodigal brother has become the father who is reunited with his lost son. Importantly, God explicitly authorizes Jacob to leave Canaan and go down to Egypt in Genesis 46:3–4. When God met Jacob at Bethel as he was fleeing from Esau, God had promised to bring Jacob back into the land of Canaan (Gen. 28:12–15), but this time, God promises something different. This time, God promises that Egypt would be the place that God would make Israel into a great nation after Jacob is dead—and only after Jacob’s death would God bring the nation of Israel back to the land of Canaan. In this, God is explaining what he told Abraham in Genesis 15, which is that Abraham’s offspring would necessarily pass through suffering in a foreign nation for four hundred years before God would free them from their bondage. In Genesis 46, the story of that bondage begins as the whole nation of Israel moves to dwell in Egypt. From Genesis 46, we should recognize two things. First, we should recognize that through everything God has been doing in the lives of Abraham, Isaac, Jacob, and Jacob’s sons, he has been working everything together for their good, just as he has promised. No matter the ups and downs of their lives, God has sworn that he will make them great and bless them and that he will bring them into their inheritance, and he will absolutely keep his promise. But second, we should recognize that sometimes God’s sovereign plans take his people through Egypt—places of deep suffering. Although Joseph is now the second most powerful man on the face of the earth, a time will come when a new pharaoh will not remember Joseph (Ex. 1:8). It is critical, therefore, both that we take hope in the fact that God is working all things together for our good (Rom. 8:28) and also that we steel ourselves with the understanding that even though all things together will be good, that does not mean that all the events in our lives will be “good” in and of themselves. Suffering is an unavoidable part of the journey as God brings his people to glory. If even Jesus had to suffer before his exaltation, why should we imagine that we would be exempt from suffering on our road to glory? Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 12th Genesis 45 | Mark 15 | Job 11 | Romans 15 I love to imagine what must have been going through the minds of Joseph’s brothers when he revealed himself to them. All we are told directly is that “his brothers could not answer him, for they were dismayed at his presence” (Gen. 45:3). What could they possibly have been thinking when they discovered the brother they had wanted to kill—the brother they had sold into slavery—had become the second most powerful person in the world, seated at the right hand of Pharaoh himself? But before they are able to compose themselves to formulate a response, Joseph assures them of his forgiveness, explaining that everything they had done had been part of God’s plan to send Joseph to Egypt to preserve a remnant on earth through the famine (Gen. 45:4–8). It is here that we understand a part of how Joseph was able to look past the offenses of his brothers to forgive them—he understood that everything that had happened to him was completely in the control of his sovereign God, so that his life had happened not by chance but according to God’s own purposes. We will look more at this concept when we come to Genesis 50, when Joseph expands on this idea. Certainly, Joseph’s brothers must have been overwhelmed with guilt and shame when the person whom they had sinned most against in their lifetimes stood before them. But they also must have felt great fear. They had hidden their sin for a long time, but now their sin was exposed by their victim—a man who now had the power to punish them in whatever way that he desired. In many ways, this scene foreshadows Peter’s sermon on the Day of Pentecost, when Peter had announced this grim reality: “Let all the house of Israel therefore know for certain that God has made him both Lord and Christ, this Jesus whom you crucified” (Acts 2:36). When the people heard what they had done, we read that “they were cut to the heart,” asking, “Brothers, what shall we do?” (Acts 2:37). Just like Joseph’s brothers, they realized that the Jesus whom they had betrayed and executed was seated at the right hand of his Father in heaven, having been vindicated from his death by being named both Lord and Christ. They crucified this Jesus! But the gospel according to Joseph accurately foretells the substance of the good news of the gospel of Jesus. Even though my sin caused Jesus to suffer and die on the cross in my place so that I crucified Jesus with my sin and rebellion against the holiness of God, Jesus nevertheless extends forgiveness, mercy, and grace to me , a sinner. Just as Joseph threw open his arms to the brothers who had sinned against him, so Jesus also opens up all the glory of heaven to me—and to you. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 11th Genesis 44 | Mark 14 | Job 10 | Romans 14 By Genesis 44, Joseph has spent considerable time with his brothers. He has interrogated them, imprisoned them, and feasted with them. It does not seem as though anything Joseph has done—even at the points when he treated them roughly—has happened out of malice but rather out of a sincere desire to reconcile with his brothers. But to reconcile well, Joseph needs to discover whether his brothers have changed at all since they sold him into slavery. So, Joseph organizes a test. Like before, he puts all the money back into the grain sacks of his brothers as they begin their journey home. This time, however, Joseph also places his silver cup in the sack of Benjamin, Jacob’s beloved son. When confronted with the accusation of having stolen Joseph’s silver cup, the brothers flatly deny that any of them had done such an outrageous thing, even saying that “Whichever of your servants is found with it shall die, and we also will be my lord’s servants” (Gen. 44:9). When the cup is discovered in Benjamin’s sack, they are devastated. So it is no small surprise to see Judah step forward to fulfill the promise he had made to his father in Genesis 43 to protect Benjamin, even at the cost of his own life. Clearly, something significant has changed in Judah, since his willingness to sacrifice himself in place of his brother stands in marked contrast to his earlier suggestion to sell Joseph into slavery (Gen. 37:26–27) and his hiring his daughter-in-law Tamar as a prostitute (Gen. 38). Doing everything in his power, Judah pleads that Joseph would detain him, letting Benjamin return to their father, Jacob. D. A. Carson writes this about Judah’s transformation: This is the high point in what we know of Judah’s pilgrimage. He offers his life in substitution for another. Perhaps in part he was motivated by conscience; if so, the genuine heroism grew out of genuine shame. He could not know that in less than two millennia, his most illustrious descendent, in no way prompted by shame but only by obedience to his heavenly Father and by love for guilty rebels, would offer himself as a substitute for them (Mark 14). 1 All of a sudden in the narrative of Joseph, the typology has changed. In Genesis 44, we do not see Joseph demonstrating what Jesus would be centuries later. Here, Joseph plays the role of God the Father, demanding justice. Instead, it is Judah who foreshadows the Lord Jesus Christ, and it is fitting that he would do so. While Joseph is a righteous man, it is not for Joseph to become the human ancestor of Jesus Christ—that honor belongs to Judah, so it is necessary that at some point Judah begins to play the part. And that’s exactly what we see happening in Genesis 44. 1 D. A. Carson, For the Love of God , vol. 1 (Wheaton, IL: Crossway Books, 1998), February 11. Today’s meditation is based significantly on Carson’s meditation on this text. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 10th Genesis 43 | Mark 13 | Job 9 | Romans 13 When the first measure of grain runs out for Jacob and his sons, Jacob instructs his sons to return again to Egypt to buy more grain. Judah not only reminds Jacob that Joseph had told them not to appear before him without Jacob’s youngest son, Benjamin, but Judah also pledges Benjamin’s safety to Jacob. We will look more at Judah’s willingness to sacrifice himself to secure the safety of Benjamin in tomorrow’s meditation. Although Jacob is not thrilled to send his beloved son Benjamin into jeopardy, he eventually relents, sending his sons with double their money and with gifts to bring to the Egyptian who was selling them the grain. Instead of needing a bribe, however, Joseph treats his brothers to a feast—a gesture of no small value during the middle of a famine. Consider the magnitude of Joseph’s grace toward his brothers up to this point. Significantly, Joseph had not executed his brothers on the spot when he first met them. Even though Joseph now held all the power in their relationship—a reversal of the time when they stood over him in the pit—Joseph refused to seek direct revenge. But Joseph also did not even allow himself to take indirect revenge, as would have been his right, by declining to sell grain to his brothers during the intense famine. In fact, Joseph had gone so far as to replace the money that they had paid in their bags before they had left in Genesis 42:25. When they confess that they somehow ended up with the money for the first installment of grain, Joseph dismisses their statement, insisting that he had received the money (Gen. 43:23). That is when Joseph sets the feast before his brothers. Although Joseph was not able to eat with his brothers because of cultural norms, Joseph fed them (to their astonishment) directly from his own table, giving Benjamin five times the portion of any other brother. And despite the fact that they had no idea why they were being treated so well (and despite their ignorance of what they actually deserved), they feasted with merriness before Joseph. Do you see in this a glimpse into the magnificent grace that Jesus extends to us? Even though we have sinned against him in such a way that contributed to his brutal execution at the cross, he nevertheless takes it upon himself to supply all of our needs according to his riches in glory, and he provides out of his own treasury to set a table before us, even in the midst of our enemies. The next time you come to the Lord’s Table to feast with him, remember Joseph and the feast he ate with his brothers. Just like Joseph’s brothers, we are no longer estranged betrayers of our Lord but honored guests whom he invites into his presence. Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
Bible Readings for February 9th Genesis 42 | Mark 12 | Job 8 | Romans 12 In Genesis 42, we read the first installment of how Joseph reconciles with his brothers after many years since they had sold him into slavery. Although the brothers do not recognize Joseph—how could they possibly imagine that their brother had ascended to the right hand of Pharaoh himself?—Joseph recognizes them, and he decides to test them to see if they have matured and changed since he last saw their faces. But even though Joseph’s brothers don’t recognize him, they clearly remember what they had done to Joseph. In fact, the memory of their treachery seems to hang over them, so that at the first sign of difficulty to purchase bread, they are convinced that their problems are arising as a direct consequence of their guilt toward Joseph (Gen. 42:21–22). It is difficult to know exactly what is going through Joseph’s mind through all of this. Does part of him want to seek revenge, and is that why he speaks to them roughly and treats them like strangers (Gen. 42:7)? Is he laughing on the inside at the humor of his huge practical joke? Is he afraid, deep down, that his brothers will still reject him if he reveals his identity to them? Is he willing to forgive, but only on the condition that his brothers are able to demonstrate that they have made significant improvements? What does his weeping (Gen. 42:24) signify? Most likely, the Bible doesn’t provide us much insight into Joseph’s psychology during this encounter because something more important is happening. Rather than isolating the full meaning and significance of this story in the person of Joseph himself, this story is much bigger than that, providing us a picture of what it might look like for us to be reconciled to God himself. In this story, we see ten of the tribes of Israel standing before the righteous servant of God, who had suffered even though he was innocent but is now exalted to the right hand of the king. What’s worse is that this righteous servant of God had suffered innocently because of these Israelites, so that his suffering came directly because of their sin. The million dollar question, then, is this: How will the righteous servant of God react and respond to those whose sin had caused him such suffering? The narrator of Genesis 42 doesn’t resolve the tension just yet, but once again, we are meant to see in this story a seed of the story of Jesus Christ himself. One day, Israel will stand along with all the nations of the earth before the exalted Lord who suffered innocently because of our sin. On that day, what will you do? What will you say? And more importantly, how will Jesus respond? Scripture quotations are from The Holy Bible, English Standard Version copyright © 2001 by Crossway Bibles, a division of Good News Publishers. Used by permission. All rights reserved.…
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