I think the moderator may want me to start a new thread on the topic of Lutheran views on the Eucharist. But to answer JonNC first. A friend had serious heart surgery some years ago. He and I were EMT’s together for years, so when he developed weakness and chest pains, he called me. Two days later, he was scheduled for cardiac surgery again. The hospital is just three blocks from the church, so my wife and I took communion to him after the early service. We discussed the matter with his surgeon, who said that he could have no solids on his stomach. We gave him the wine, to his great surprise, since he is Baptist. He went into surgery with a smile on his face and has made a good recovery. As ELCA Lutherans, we believe that God comes to us in the sacraments. From where I stood, my friend was in need of knowing God was with him and communion was the best way to do it.
Now Andrewstx, if that is the most un-Lutheran thing you ever heard, you need to hang around Lutherans more often. We can do much worse. One of the problems of the dispute between Luther and Zwingli was that it was presented as an either/or matter. You either believed that Christ was truly present in the elements, or that it was only a commemoration. The modern thinking is that it is both and more. Further, it is humanly impossible to be worthy of receiving the body and blood of Christ, so it is a matter of grace that we do. This is why the document I cited was called The Use of the Means of Grace.