A tired man in a checkered shirt resting his head on his folded arms over a closed laptop at an office desk.

The Jethro Protocol: Triage in the Middle

Suffering
Hope
Mental Health

You are in the middle.

Your mother can no longer entirely manage her own appointments. The nursing home decision sits unmade on the kitchen counter. You have spent more Saturdays than you can count driving across the city to sort out something at her flat that nobody else was going to sort out. Your work is, by any reasonable measure, two jobs. The church you serve, formally or informally, has needs nobody else seems available to meet. A friend is going through a hard year and needs more than a fortnightly text, and you know it, and you have not had the energy to give it.

You are doing your best, and it is not enough.

You can feel that it is not enough. The hours do not add up. The energy does not add up. You have started doing the small mathematics in your head and it keeps coming back the same way: no version of this week exists in which all of these people get what they need from me. And somewhere underneath, you have been conducting a quiet trial of yourself for that.

You are not failing. The structure is impossible.

What Jethro saw in a day

Moses, the most senior leader Israel had, was buckling under the load. His father-in-law arrived on a visit, watched him work one full day, and was blunt about it.

"What is this you are doing for the people? Why do you alone sit as judge, while all these people stand around you from morning till evening? ... What you are doing is not good. You and these people who come to you will only wear yourselves out. The work is too heavy for you; you cannot handle it alone" (Exodus 18:14-18).

He did not say try harder. He did not say you should have more faith. He did not say the Lord will give you strength. He looked at the mathematics of one human being against the size of the load and said, with the plainness of an old man who had seen exhaustion before, that it was impossible.

That is the first move. Naming the load. Putting it on the table and refusing to keep pretending the impossible queue can be cleared by working harder.

What only you can do

Jethro's second move is the one most caregivers find hardest. He told Moses to filter. "You must be the people's representative before God and bring their disputes to him. Teach them his decrees and instructions, and show them the way they are to live and how they are to behave. But select capable men from all the people ... and appoint them as officials" (Exodus 18:19-21).

Moses kept what only Moses could do. Everything else got distributed.

Applied to your own list, the filter is one question. What can only I do?

You are the only child your mother has, or one of a small few. There is a kind of being-known that only her actual son or daughter can give her, especially as her memory thins. Other people can manage logistics and fill out forms and drive her to appointments. Only you can sit in the room as the person she still recognises.

A small number of other relationships have your name on them and no substitute. A spouse. A close friend of thirty years. The one person you would call at 3 a.m. who would answer. These cannot be outsourced, because part of the value is that it is you.

Outside that core, the jurisdiction is not yours alone. The community project you have been quietly running can be run at eighty percent by someone else. The committee you chair can be chaired by a person who has been ready for the role for a while. The midnight administrative decisions can go to someone whose name you have been carrying for six months without asking. The friend going through a hard year may need more than a text, and may not need it from you specifically. They may need three or four people dividing the carrying between them.

Triage is not deciding what is important. Everything on the list is important. It is deciding what only you can do.

The balls that are glass

The hard part, for a competent professional, is watching things fall short of what you would have made of them. You know how to run the church programme well, and the new lead will run it less well for the first year. You know how to write the proposal in a way that wins it, and your colleague will write a version that maybe wins it. Twenty years of built competence does not easily tolerate the eighty percent version of itself.

The alternative is worse. You keep doing all of it, and the irreplaceable things get the leftovers of your attention.

The mother who needed you to sit on the bed and not check your phone got you, and you were checking your phone.

The spouse who needed an unhurried evening got a distracted one. The old friend who tried to call got voicemail for the fourth time, because the work needed you.

Brian Dyson put it into a commencement address thirty years ago and it has circulated ever since: some of the balls you are juggling are rubber and some are glass. The work projects bounce. The community programmes bounce. The reputation for excellence mostly bounces. The relationships that hold your life together do not. Triage is the deliberate decision to let the things you are good at fall short, so that the things that cannot be redone do not.

Sanctuary, not selfishness

Once the distribution is done, the sanctuary has to be defended.

Redistribute the load but leave your door open to every minor crisis, and the queue reforms inside a week. The committee comes back to you for decisions the new chair could make. The staff keep emailing questions the deputy could resolve. The project mysteriously begins needing your input again. The load rebuilds itself.

So triage is a posture rather than an afternoon. It means saying, kindly and firmly, that this is no longer yours to decide. It means a quiet hour in the morning that nothing in the inbox can touch. It means a Sabbath you actually honour, with a phone that is actually off, in a room the queue cannot physically reach.

That structural quiet is not selfishness. It is the maintenance of a load-bearing wall, and a wall that cracks takes the house with it. Jethro saw it in one day of watching. "Six days you shall labor and do all your work, but the seventh day is a sabbath to the LORD your God" (Exodus 20:9-10) says the same thing at the level of a whole life.

The middle you are in is real and the load is heavy. The answer was never to carry harder. The hour you protect on Tuesday morning is what keeps the rest of the week standing.

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