John Chrysostom
Concerning him and Tychicus we know from the book of Acts (Acts 20:4) that Paul took them with him from Judea, and that they were always with him, perhaps because they were more zealous than the others.
"Trophimus," he says, "I left sick in Miletus." Why did you not heal him, but leave him so?
The Apostles could not do everything, or they did not arrange everything by grace, lest anyone think more of them than what he saw.
The same thing, as we see, happened also to the blessed and righteous men before them, for example, to Moses. He was slow of speech. Why did God not heal his slowness of speech?
He often fell into sorrow and despondency, and he did not enter the promised land. God permitted many things in order to show the weakness of human nature.
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Indeed, if even then the senseless Jews said, "Where is Moses, who brought us up out of the land of Egypt?" (Ex 32:1), what would they not have done if he had brought them into the promised land?
If God had not allowed him to feel fear before Pharaoh, would they not have recognized him as a god? The inhabitants of Lystra, as is known, did the same with Paul and Barnabas, whom they took for gods.
But they "tore their garments and rushed into the crowd, crying out and saying, 'Men, why are you doing these things? We also are men of like nature with you'" (Acts 14:14-15).
Likewise Peter, when he healed the man lame from birth and all were amazed at what had happened, answered: "Men of Israel, why do you marvel at this? Or why do you look at us, as though by our own power or piety we had made him walk?" (Acts 3:12).
Listen also to what blessed Paul says: "A thorn in the flesh was given to me, an angel of Satan to buffet me, lest I be exalted" (2 Cor 12:7).
But you will remark that he said this from humility. No, it is not so. The angel of Satan was not given to him so that he might be humble, and he did not say this only from humility, but for other reasons as well.
See, God does not answer him: "My grace is sufficient for you," so that you may not be exalted. What then? "For My power," He says, "is made perfect in weakness" (2 Cor 12:9).
Thus two aims were achieved. Events were disclosed, and everything was attributed to God. Therefore the Apostle also says elsewhere: "We have this treasure in earthen vessels" (2 Cor 4:7).
That is, we have it in bodies that are weak and subject to sufferings. For what purpose? "That the surpassing power may be attributed to God and not to us."
If their bodies had not been subject to sufferings, everything would have been attributed to them. In another place we see how he grieves over illness, when he says of Epaphroditus: "For he was sick near to death, but God had mercy on him" (Phil 2:27).
He was also ignorant of many other things, with benefit both for himself and for the disciples.
"Trophimus," he says, "I left sick in Miletus." Miletus is near Ephesus. Consequently this was either when he sailed to Judea, or at another time.
After he had been in Rome, he went to Spain. Whether he returned from there again to these regions, we do not know. Thus, as we see, he was abandoned by all.