Sunday, December 27, 2009

Thank you CCBC!

Our team was so pleased to receive your most recent gifts!

Andy and Kari say thank you for their coffee! The kids, Josiah and Elizabeth really liked their new toothbrushes, Lightening McQueen is Josiah's favorite!

Scott and Lee were amazed at their HUGE bag of M&Ms!

Ever the chocoholic, Dave was so pleased with his goodies. I'm sure he'll share with Patsy:-)

Jumbo bag! Danny and Frances will be snacking on their Reeses for quite a while!

The kid's ornaments were great! I didn't quite have room on my mini-tree, so they are cheerfully decorating my living room instead:-)

I feel as though I write the same words every time, but they are genuine. Your faithful friendship has been such an encouragement and a blessing during my time in Cameroon and in particular, during this holiday season. My team is impressed by your love for me and so appreciated your kindness toward them as well. What a lovely family you are. I look forward to seeing you in the new year.

God bless you as you have blessed me, Sarah

Wednesday, December 16, 2009

Merry Christmas

There is no one like Him. Not a new concept, perhaps, but one that was driven home during my time in Africa.

What did I learn? What did God teach me? That He is to be praised, adored, honored and glorified. That He is worthy of this praise, because there is no one like Him. He created a way back to Himself, we are reconciled to Him.

What an incredible gift. Nothing else compares.

On my face in praise, overwhelmed with gratitude and His loveliness, all I can manage is to sob out “Hallelujah”

Hallelujah.

I have seen patients who should have died, pull through and live. Their healings were nothing short of miraculous, God saved their lives. Others have been delivered from the demons that tortured them with waking nightmares and fear.

Still others found the truth of Jesus and it changed their lives as nothing else ever could.

God has intervened in my own life during this time. He has provided for my needs in overwhelming ways, proving to me His love, His ability as my Father. He has demonstrated His faithfulness by showing me my sinfulness and areas that He wishes to heal, with the divine purpose of restoring me to Him, restoring me to the woman he intended me to be.

He has comforted me when I faced difficult choices, when I faced the poverty, suffering, illness and death surrounding me.

But none of this compares with who he is. WHO HE IS! What an astounding, perspective changing, life altering realization, His beauty, His power, His goodness.

Him.

Beautiful.

Hallelujah.

Friday, October 30, 2009

Greetings, earthling...

This morning, before the start of our staff meeting I approached Dr. Jacqueline. I was hoping to ask her to see one of my patients before she left the hospital that day. However, rather than launching right into my request, I stopped myself and said “How are you?”

She laughed and both she and the nursing supervisor stated that I was truly “Cameroonian”:-)

One of the most difficult things for me to learn about living here was the importance of the greeting. In the states a simple “Hi how are you?” while breezing past someone will suffice, but not in Meskine.

Here it’s “Hi, how are you? How’s your health? How’s the fatigue? How’s your family? How’s the work? How’s the heat/cold.” and on, and on, etc.

A few important points;

When greeting, it is preferable to stop walking, stand still and say hello.

When swapping salutations with one person in a group, all of the group needs to be addressed.

Before requesting something, one must greet.

When I burst into the wards in the morning, wanting to get the rounds started as soon as possible, I grit my teeth, and consciously remind myself to slow down and say hello to everyone before getting the workday rolling. When I am running like a chicken with my head cut off and someone stops me in the hallway, it takes all my strength and concentration to stand still and focus my attention on that person.

It has taken some practice, and it doesn’t come naturally, but I can appreciate the need to recognize the presence of another, to take a moment to say hello.

Monday, October 19, 2009

Aissa

Last May, while passing by the pharmacy, I noticed a woman and small child. The child's head was wrapped in a dirty rag and she was covered with flies. Knowing that this case was serious, I asked the woman to bring the girl to my office.

Upon removing the rag, I found a huge sore extending from the eye, which was swollen shut, down to the jaw and from the corner of the lips back to her ear. She was quickly hospitalized.

Aissa had been abandoned by her parents. She was brought in by her grandmother and uncle, who were currently caring for her. At 7 years old she weighed only 24 pounds. She was diagnosed with cancrum oris, an illness which starts with a simple infection, like an abscessed tooth and once neglected begins to eat away at the face.

She was admitted on a Friday, and her uncle promptly left to look for money to pay the hospital bills. By Monday her grandmother, who did not speak the local language and who had stayed with the child all weekend alone, without food, was thoroughly discouraged. That morning as I was passing by the pediatrics ward, I encountered the grandmother, crying. She had Aissa on her back as she packed up her things and carried them outside, intent on going home immediately. The uncle arrived on the scene and it was a tense 20 minutes as I attempted to find a translator and convince them to stay. A crowd had gathered, and in the midst of this mess, I turned and saw Aissa out of the corner of my eye, a miserable little bag of bones, completely powerless as we discussed her future and survival.

We finally convinced the uncle to stay with Aissa and that evening removed the infected portions of her face in the OR, placing a nasogastric tube so that she could be fed. The following day, she was placed on the “poor fund” meaning that her care would be completely covered by the hospital. In addition, she and her uncle are being provided with food on a daily basis.

Since her arrival, Aissa has made amazing progress! Her anemia is completely resolved, her nasogastric feeding tube has been removed, her appetite is enormous, and she has been putting on weight! Her facial sore has been clean for a number of months now, and it has significantly decreased in size. All of us have been amazed at her truly miraculous recovery. She is so different from the emaciated, miserable creature who came to us 4 months ago!

She is a favorite of the staff and a well known fixture at the hospital. The Cameroonians often give her little gifts of money, food and clothing which she joyfully displays. She has come to love the missionaries and calls and waves to the doctors in the morning on their way to work. One afternoon, as I was walking on the path heading to our missionary compound, I heard something behind me. I turned and there was Aissa, running after me, legs churning, arms pumping, silent yet determined to catch up. I rewarded her with a hug and soft words and we stood enjoying each other for a few moments before I put her down and she skipped away.

The staff has confided to some of our missionaries that they have been touched by the love that Aissa has been shown. She has been a very great blessing to us all and God has proven once again his faithfulness and power.

Aissa will be leaving for reconstructive facial surgery next spring. Mercy Ships, which will be docked in Togo has agreed to conduct the operation. Thanks to the generosity of Calvary Chapel Battle Creek, we are putting together a little goodie bag for the plane. Aissa has gained so much weight during her time here that all of her clothes were much too small! We had some new dresses made for our little "baby doll". Trying everything on... Buttoning the last button... Taadaa! Aissa's little cousin, who stays at the hospital to help out with her care, was also badly in need of some new clothes. He was thrilled with his new duds. Getting organized and packing up to head back to the hospital. Would you please pray for Aissa and her family? Pray that the surgery this spring would be successful and that this experience might help Aissa's family to accept the love and salvation offered by God.

Thank you.

Friday, September 25, 2009

Thank you Calvary Chapel of Battle Creek!

Thanks again to Calvary Chapel of Battle Creek for your amazing generosity! The gifts you sent for the pediatric patients were a huge hit! Each packet included a toothbrush and toothpaste, school supplies, 30 days of multivitamins, snacks, coloring pages and crayons and a stuffed animal!

Aaron and Rabea, missionary kids on our compound and their teacher Marike helped to put everything together.

Ready to go!

This is Aissa, the reigning queen of pediatrics:-) She has been with us since May when she came in with an infection that had eaten away her entire right cheek. Near death at the time of her admission, she has made a miraculous recovery and is the favorite of all the hospital staff. Lord willing she will be leaving for Togo this spring for reconstructive facial surgery thanks to Mercy Ships.

Sweet Aissa and her cousin, Marla.

Aaron handing out gifts.

Sweetpea in bed 5:-)

Smiles:-) Everyone was so pleased to get a treat.

Rabea handing out stuffed animals. This is probably the nicest toy most of these children have ever received.

Waiting their turn...

Rabea

Aaron armed and ready with a sack of stuffed animals:-)

I think they were laughing at my Fulfude...

I tried my best - Mi habdi way!

This mama requested we take her picture:-)

She had the loveliest smile.

Have teddy, will travel.

Once again you have provided laughter and smiles during a difficult period in the lives of these kids and their families. Thank you. May God bless you as you have blessed us.

Saturday, September 19, 2009

Thank you Calvary Chapel of Kalamazoo Valley!

Your packages arrived at the beginning of this month! It was like Christmas as I pulled office supplies, snacks and candies, lotions and soaps out of the box. Your generosity is amazing and I am greatly enjoying my goodies! The letters from the kids were especially sweet. Please assure them I am quite safe from all of the wild animals:-) Me with all my loot:-) I requested hand sanitizer and nice smelly soaps and you delivered! I am now the cleanest person on the planet...

How wonderful it was to hear from all of you, how comforting it was to remember home. Your care packages came in the midst of a difficult time for me, and I was greatly encouraged by your efforts. May God bless you as you have blessed me, and I will see you soon. Love, Sarah

Sunday, July 12, 2009

Thank you CCBC!

Thank you CCBC!

The last gift distribution in the pediatrics ward at the end of May was a real hit!

This month's packets included color pages, school supplies, dental care items and of course, candy!

Rachel, a visiting medical student from England and Josie, a nursing student from the states helped to distribute your gifts to the kids.

This is a photo of one of our neonatal patients who was brought in just after birth with an extensive, pustular skin infection. Apparently two siblings before him died of a similar illness and his mother, desperate not to lose a third child, came in right away.

During his stay with us, the infection ate away at his scalp, leaving the bone exposed and subsequently causing necrosis, or death, of a portion of the skull. We were unsure whether or not the necrosis would continue, thereby affecting the brain and central nervous system. Fortunately, with antibiotics, regular dressing changes and prayer, the infection cleared, the skull remained intact and the OR team was able to perform a skin graft. After spending a few tense months in our pediatrics unit, our little patient and his joyful mother were able to return home!

Rachel and I, using candy to bribe this little one for a smile:-)

This patient burst out in a belly laugh when he saw all his goodies!

Thanks again so much for your time and effort. Your gifts have brought such joy and excitement to the patients and their families. May God bless you as you have blessed us.

Tuesday, June 23, 2009

For I know the plans I have for you...

About a month ago, while heading out of the dispensary, I spotted a very ill woman waiting to get her vital signs taken. When I returned, she was sitting outside the doctor's office, head propped on the doorway, obviously exhausted.

Not wanting her to wait long, I found her medical chart and brought her to my office. Her abdomen was hugely swollen, greater than that of a 9 month pregnant woman, her belly was tight and she had difficulty breathing. The rest of her body was skin and bones, and I was amazed that she could still walk upright.

She had visited the hospital a few months previous and her condition had improved with medications, but she did not return for her follow-up visit and subsequently ran out of meds. She stated she simply did not have the money to return.

This swollen-belly condition is called ascites. There are different causes, but in her case the cause was liver failure. Her liver was no longer making the protein needed to keep the body's fluids in check, and consequently, all the fluids pooled into her abdomen.

I wanted to hospitalize her but learned in amazement that she had come completely alone. I had no idea how she had made it on her own. I asked her to call her family and have them come and wrote up admission orders in her chart, hoping to put her in the women's ward the next day.

That week her teenage son arrived, and she was admitted. She was still extremely fragile and the doctor in charge of her set about the task of draining the ascites. When I arrived the following Monday to start rounds on the women's ward, they had already removed eight liters of fluid from her belly.

Most relatives staying with a sick person are responsible for caring for the patient's practical needs such as bathing, doing laundry and preparing food. However this woman's young son didn't have a clue how to perform these tasks. So the patient wore the same outfit for two weeks, slept on a plastic mattress without sheets and ate food from the restaurant out in front of the hospital. When his sister finally arrived, I gently prodded both of them to help wash their mother, change her clothes, make her bed etc.

At one point, I asked the son not to give his mother salt, as this causes water retention and worsens the problem of ascites. He proceeded to stop feeding her, as food from the restaurant had salt in it! When I found out I was quick to clarify, stating that salted food was better than no food at all and that she needed to eat!

During that week, she developed a very high fever. I was concerned that perhaps the liquid in her abdomen had become infected. We ran a few tests, started her on some antibiotics and I lifted her in prayer to God. At this point in her recovery, fever and infection was a very serious threat.

Shortly thereafter, when she had barely enough strength to walk to the bathroom, she started vomiting and stopped eating.

Her son then came to me and said he didn't have enough money to continue his mother's treatment. I had just prescribed a few more days of the antibiotic she had been taking, and this news was heartbreaking. I knew that she was nowhere near ready to go home, and I urged the young man to speak with hospital administration about their financial difficulty.

He did and received credit, a buy-now-pay-later system, but quickly became nervous when the bill exceeded what he thought he could realistically repay. He came to me again, and I suggested he speak with the hospital chaplains to be placed on the “poor fund” which means the hospital would then assume financial responsibility for his mother's care.

The finances were finally sorted, her fever broke, the vomiting stopped and her abdominal swelling had been greatly reduced by the second and third week of her hospitalization. Her eyes were brighter and I could tell she was feeling better. She was out of the woods.

However, perhaps the biggest victory was her salvation.

The chaplains, who were now in relationship with this family informed me that she had accepted Jesus during her stay with us. Her face had changed from a mask of exhaustion and pain to one of joy. Her transformation was truly amazing, and I am privileged to have witnessed it. By our standards, her body is still weak, and there is little else that we can do other than pray.

But now she has hope.

Today, while passing by the pharmacy, she called to me, stating she was going home and would be back for a follow up in 1 month. Her face was so lovely, her smile so warm and she asked me to wait while she went and fetched her younger daughter so we could meet. I shook the timid girl's hand and greeted her, and said goodbye to this sweet woman, praising God for his faithfulness, asking him to bring her back to me in a month.

Her stay was long and grueling, her care was complicated by poverty, she and her family required much energy and effort, and there were times when it wasn't clear whether or not she would survive.

But God had plans for her, and the look on her face today was worth it all.

Sunday, June 21, 2009

Update - Hamidou Goni

In a recent blog post on May 17th, I thanked Calvary Chapel of Battle Creek for their generosity in providing school supplies and multivitamins to our pediatric patients.

I also mentioned Hamidou Goni, a malnourished infant who was hospitalized at the time.

With the loving involvment of one of our missionaries, the boy's caretaker Amagaena was taught how to use formula to feed Hamidou Goni. Since this time he has plumped up considerably and is lovely, playful and alert.

Tuesday, May 26, 2009

Go Fish

This afternoon a couple came bustling into my office carrying a well-looking yet irritable child. They promptly produced xrays from the nearby regional hospital and stated that the baby girl had swallowed a coin.

The xrays did indeed show a coin stuck in the esophagus so I escorted the anxious trio to the OR. Once the mother and child were comfortably settled in the examination room, I spoke with Barbar one of our skilled technicians and Carsten our resident surgeon. After perusing through the xrays, Barbar casually tossed them back onto the table and announced that the cure for this particular problem was a urinary catheter. “A what?” I replied, somewhat incredulously.

When a catheter is placed in the bladder, a small balloon is inflated to hold it in place. Apparently someone figured out that when you place a catheter into the esophagus, just past the swallowed foreign object and inflate the balloon you can simply yank the whole thing back out, coin and all.

Genius...and you were expecting an expensive scope? TIA folks...this is Africa.

Barbar then speculated that she had swallowed 50 franc piece. I wagered that it was a 25 franc coin, although I am sure I lost that bet. The anesthetist promptly interjected that no matter what the value, if he was fishing it out, he got to keep it:-)

Sunday, May 17, 2009

Thank you Calvary Chapel of Battle Creek!

Calvary Chapel Fellowship of Battle Creek, led by my good friends Rick and Chris Gorham has partnered with the Medical Centers of West Africa for the second time by sending gifts of school supplies, multivitamins and toys for the patients in the pediatrics ward. Their generosity is such a blessing. Below is the thank you letter I sent them.

Thank you Calvary Chapel of Battle Creek!


The last boxes stocked with goodies for the pediatrics patients arrived in record time! As usual it was wonderful to hear from you.


We were in the middle of the dry season when your gifts were delivered. During this time of year the pediatrics ward remains almost completely empty. Problems and illnesses inherent to rainfall such as contaminated wells or mosquitoes and malaria are less common. Therefore, we waited until the rains started back up again and the peds ward was full before distributing your gifts. Thank you for your patience.


Approximately 6 months ago a new surgeon and his family arrived from Germany. I asked Annett the wife and mother of this household if she wanted to help me with this project. She readily agreed. So, one afternoon, we spread out on their porch and together with the help of Annett's children and Andrea, the kids schoolteacher, we put together packets of 10 crayons, 5 color pages, a pencil, extra eraser and pencil sharpener along with over 3 weeks worth of multivitamins and a stuffed animal for each child!

Contents of each package.



That same week we gathered everything and headed over to the hospital with Annett's daughter Rabea and son Aaron.

Rabea and Aaron ready to go!



Upon entering the ward, we waited as patients who had been sitting in the nearby courtyard came streaming back to their beds, wanting to get in on the excitement. Martin, one of our hospital chaplains explained to the parents that the gifts had been sent by my friends at a church in America for their children. They were quite pleased and began softly murmuring “useko” thank you.

Martin addressing the Pediatrics ward.

Annett handing out a stuffed animal.



Hamidou Goni was perhaps the smallest patient on the ward that day. At 2 months old he weighs approximately 5 pounds. His mother died after he was born and he was sent to his fraternal aunt to be raised. Amagaena, his aunt is a warm and dedicated mother to her 5 children and has been eagerly caring for her nephew. However, a combination of chronic infections and his caretaker's unfamiliarity with infant formula has put Hamidou at a disadvantage.



The hospital is currently purchasing formula for Hamidou, and Kari one of our missionary nurses has taken an interest in this family. She has instructed Amagaena on how to feed Hamidou and after his most recent hospitalization, he is home and feeding well. The gifts you sent to Amagaena will most likely be used by her older, school aged children, but you provided us with an opportunity to bless and encourage a family that is currently struggling, thank you.

Amagaena with Hamidou Goni.



At the end of the gift distribution, we were left with a number of stuffed animals! They were given to Dr. Jacqueline Koster who was thrilled to receive them. As coordinator of the vaccination clinics conducted at the hospital, she uses the toys as prizes to coax mothers to bring their infants in for their immunizations. These toys are hugely popular and a great motivator.



As always I am impressed by your faithful friendship and encouragement. Thank you all so much, may God bless you as you have blessed us.

Wednesday, April 29, 2009

Plucking Party!

Yesterday on my way home from work I passed one of my coworkers sitting amongst a flock of chickens. Since this is a fairly abnormal sight on our missionary compound, I asked him what he was doing. He told me he had just purchased the chickens in town as food for the upcoming Labor Day celebrations on Friday. Labor Day is a hugely popular holiday here in Cameroon complete with downtown parade and an employee dinner.


I cringed at the thought of the massacre, preparing chickens isn't as easy as going to the frozen food section of the local grocery store. Each bird is first slaughtered, then boiled, plucked, beheaded and disemboweled. The macabre affair began that afternoon as the men dispatched of their unsuspecting victims and delivered them to the women. The rest was up to the ladies. As I left for prayer rounds in the hospital around 6:15 that eve they were hard at work, making their way through a pile of about 50 birds!


When I returned from the hospital, there they were in the dark, surrounded by piles of feathers. I thought to myself that if I can learn to drive a stick shift and speak a little Fulfude, I can certainly pluck a chicken. So to the great amusement of the ladies, I spread out a towel, took off my shoes and sat down with the group. I made them a deal, if they would teach me the ropes, I would help out.


Plucking was much easier than I thought and while I didn't much like their skinny little necks, I had tossed three corpses into the pot for braising over the fire before the pile was finished. I helped to sweep up basins full of feathers and carry them to the burn pile before retiring for the evening. I don't suppose 3 birds out of 50 was much of an accomplishment, but I felt quite bold and the ladies appreciated the show:-)

Monday, March 30, 2009

Vacation!

One year of work had passed and I was ready for my first official vacation! So, after making plans with some friends in the south of Cameroon, I packed up and headed to the capital city.


I'll admit I was a bit nervous to use a Cameroonian airline, but God was faithful and my plane trips went quite smoothly. Everything went off without a hitch and even though I was still tempted to look out the window and make sure no screws were coming loose from the wing of the plane, I was delivered safely to Yaounde.


The airport was impressive and probably the most modern structure I have seen since arriving. I was picked up by a hospitable, kind taxi driver and we set off. Immediately I noticed the difference between Meskine and the capital city. A cool humidity hung in the air and absolutely everything was green. I had flown into the rain forest! This lush backdrop obediently made way for the chaos that is the city and makeshift, sherbert colored, clapboard hair salons, grocery stores, and bike shops all aggressively pushed their bellies up to the road, vying for attention. People and taxis were everywhere and traffic rules simply do not exist. I sighed a prayer of relieved thanks when we rolled to a stop in front of my friend's apartment complex where I settled in and waited for her to get home from work. All of a sudden I heard thunder and great dark clouds blustered in...rain! I had not seen a drop of rain in 7 months and I stood at the screen door watching the storm in awe.


The following week was filled with wonderful fellowship as I met friends new and old in the missionary community of Yaounde. I went to a grocery store for the first time in over a year and was overwhelmed at all the choices. I greatly enjoyed worship at the SIL missionary church held at the Hilton hotel and as I entered the lobby, was amazed to realize I hadn't seen carpet since my arrival. It was an excellent time of great comfort, both spiritual and physical.


During the second week of my vacation, I packed up and headed to the beach with a missionary couple, Kathy and Bruce. They filled me in on their ministry in a remote village of Cameroon and I continue to be amazed at their resilience and quiet dedication


We indulged in daily dips in the Atlantic ocean, I took walks along the shore, collecting beach glass, we visited the falls and ate freshly cooked shrimp oceanside. Our last evening we gathered around a movie with some other missionaries who had come that same week.


The vacation was much needed and truly blessed by God. However, being outside of my usual surroundings and routine, going in and out of airports has made me think of home. I miss my family. I am praying for contentment and peace and I understand that while God's plans for our lives are always good, they are not always easy. I trust Him and know He will be faithful to comfort me.


So home again, home again... It is good to be back.

Wednesday, February 18, 2009

Moussa

I saw Moussa (a patient from my previous entry entitled "Moussa") again today during one of his visits to the hospital. He was walking without crutches and told me that his leg and foot were doing great.

If I wasn't familiar with his medical history, I never would have known he was wearing prostheses.

He then hopped on his bike and rode home:-)

Sunday, February 1, 2009

Healings

Just recently a friend asked me for more stories of God's healings at the hospital. Here are a few accounts which took place after last Thursday's prayer rounds.

Last week a woman was hospitalized whose chest xray showed significant infection in the base of both lungs. We suspected fluid accumulation but a needle aspiration of the lung was not successful. Her tests for TB were negative. Treatment for possible heart failure was initiated along with aggressive antibiotic therapy. I had been conducting rounds in her ward that entire week and from Monday to Wednesday she remained extremely short of breath with a high fever. I wanted to place her on oxygen, but the machines were all in use. Concerned about her status, I placed her on my “attention!” list for the doctor on call. That evening, the team made their prayer rounds from room to room, and after returning home I presented her to God during a private time of prayer. The next morning, she was no longer short of breath, her fever had broken and she stated she felt much better, and that she had slept very well.

That same evening, a young man returned from the OR after undergoing a bladder stone removal. I was told he had been placed on oxygen, which is highly unusual for a young, otherwise healthy patient healing from this type of operation. Upon arriving in his room, he was in obvious distress, his chest heaving and his abdomen sucking in with each effort to breathe. He was spitting out bloody foam every few seconds. Keeping him on oxygen, turning him on his side so he wouldn't inhale his saliva, I requested we administer an immediate dose of IV steroids, suspecting a reaction to the anesthesia. I turned the case over to the doctor on call and returned home. That eve upon returning for prayer rounds, he was still on oxygen, bringing up a large amount of saliva and struggling to breathe. We prayed for him, and that evening on my own, I placed him in the hands of God.

The next morning when I returned to the ward, I headed directly to his room. He was sitting up in bed and while a bit weak, no longer had any difficulty breathing. I was able to remove his oxygen.

Currently hospitalized is a gentleman who was diagnosed with HIV quite a number of weeks ago. However, unable to accept the diagnosis, he kept his illness hidden from his wife and refused to be placed on treatment. Subsequently his health took a turn for the worse, and his family brought him to us. Struggling with multiple infections due to his decreased immune status as well as the symptoms associated with HIV, he remained in denial during his two week hospitalization. I had been praying for justice for his wife, and as a team we prayed that he might come to terms with his diagnosis and accept treatment.

That evening, during a visit by the prayer round team, he confessed that he had received an amulet, a form of witchcraft, for protection and that it frightened him. He confessed this, asked two of our missionaries and our chaplain to take the amulet and burn it. That same evening, he accepted his diagnosis, shared it with his wife and has since begun treatment. He is not yet out of danger, but God delivered him spiritually and he now has peace.

Praise be to God.

Saturday, January 24, 2009

:-)

This morning one of my patients came in complaining of pain on the right side of her body after she fell from a camel approximately one year ago.

This was the second “fall from a camel” complaint I have received:-)

Tuesday, January 20, 2009

Miracle

Yesterday while conducting rounds in the men's ward, I came across a 16 year old boy who was shockingly ill. He lie on his bed, trembling uncontrollably, saliva pouring from his mouth, as his sweet father looked at me pleadingly, not understanding what was happening to his son.

He stated his son, Fidele, suddenly collapsed in his room that morning and began to convulse. He lost control of his bowels and bladder and was subsequently rushed to the hospital.

I requested that Fidele be undressed, gave him a head to toe examination and found no evidence of rabies or tetanus. Given his constricted pin-point pupils and the quick onset of symptoms, I suspected intoxication, that he had taken or been given something that was causing a violent reaction.

He was placed on IV fluids and was given medications to control his saliva and seizures. After finishing the round, I went to begin work in the clinic, reminding myself to return to see the results of his lab exams and check his progress that afternoon.

Approximately 2 hours later, a nurse came to find me stating that the young man was not breathing well and they had placed him on oxygen. I requested another physician to come with me and found Fidele lying on his back, gasping for air, stomach caving in with each attempt. A second listen to his lungs revealed that the saliva he had produced earlier was now lodged in his upper airways. I consulted with the other doctors, wrote additional medications, left him on oxygen and returned to the clinic.

Not long after, the nurses came to find me, stating that Fidele's condition was desperate, that he simply was not breathing well. Upon arriving, we found a thick, yellow foam coming from his nostrils. A member of the surgical team came to suction his airways, although this did not significantly relieve his suffering. I presented his case to the physician on call and went home, not optimistic that he would survive the night.

That evening, Dr. Jacqueline Koster visited Fidele and found that although he had been responding throughout the day, he was now unconscious.

While at Fidele's bedside, I prayed for God's wisdom and intervention. Upon arriving home, I prayed that the Lord would save his life. He received prayer from his family during the night, from Jacqueline, and our women's group prayed for him the following morning.

The next day upon arriving in the men's ward, I found Fidele, conscious, alert sitting next to his beaming mother. He had no complaints, his lungs were completely clear and he wanted to go home! I convinced him to stick around another day or so, just so we could keep an eye on him:-)

God saved his life. Praise be to God.

Thursday, January 1, 2009

"As an atheist, I truly believe Africa needs God"

This article, written by Matthew Parris for "The Times" December 27th, 2008 is stunning. I thought I would share it with you.

Before Christmas I returned, after 45 years, to the country that as a boy I knew as Nyasaland. Today it's Malawi, and The Times Christmas Appeal includes a small British charity working there. Pump Aid helps rural communities to install a simple pump, letting people keep their village wells sealed and clean. I went to see this work.

It inspired me, renewing my flagging faith in development charities. But travelling in Malawi refreshed another belief, too: one I've been trying to banish all my life, but an observation I've been unable to avoid since my African childhood. It confounds my ideological beliefs, stubbornly refuses to fit my world view, and has embarrassed my growing belief that there is no God.

Now a confirmed atheist, I've become convinced of the enormous contribution that Christian evangelism makes in Africa: sharply distinct from the work of secular NGOs, government projects and international aid efforts. These alone will not do. Education and training alone will not do. In Africa Christianity changes people's hearts. It brings a spiritual transformation. The rebirth is real. The change is good.

I used to avoid this truth by applauding - as you can - the practical work of mission churches in Africa. It's a pity, I would say, that salvation is part of the package, but Christians black and white, working in Africa, do heal the sick, do teach people to read and write; and only the severest kind of secularist could see a mission hospital or school and say the world would be better without it. I would allow that if faith was needed to motivate missionaries to help, then, fine: but what counted was the help, not the faith.

But this doesn't fit the facts. Faith does more than support the missionary; it is also transferred to his flock. This is the effect that matters so immensely, and which I cannot help observing.

First, then, the observation. We had friends who were missionaries, and as a child I stayed often with them; I also stayed, alone with my little brother, in a traditional rural African village. In the city we had working for us Africans who had converted and were strong believers. The Christians were always different. Far from having cowed or confined its converts, their faith appeared to have liberated and relaxed them. There was a liveliness, a curiosity, an engagement with the world - a directness in their dealings with others - that seemed to be missing in traditional African life. They stood tall.

At 24, travelling by land across the continent reinforced this impression. From Algiers to Niger, Nigeria, Cameroon and the Central African Republic, then right through the Congo to Rwanda, Tanzania and Kenya, four student friends and I drove our old Land Rover to Nairobi. We slept under the stars, so it was important as we reached the more populated and lawless parts of the sub-Sahara that every day we find somewhere safe by nightfall. Often near a mission.

Whenever we entered a territory worked by missionaries, we had to acknowledge that something changed in the faces of the people we passed and spoke to: something in their eyes, the way they approached you direct, man-to-man, without looking down or away. They had not become more deferential towards strangers - in some ways less so - but more open.

This time in Malawi it was the same. I met no missionaries. You do not encounter missionaries in the lobbies of expensive hotels discussing development strategy documents, as you do with the big NGOs. But instead I noticed that a handful of the most impressive African members of the Pump Aid team (largely from Zimbabwe) were, privately, strong Christians. "Privately" because the charity is entirely secular and I never heard any of its team so much as mention religion while working in the villages. But I picked up the Christian references in our conversations. One, I saw, was studying a devotional textbook in the car. One, on Sunday, went off to church at dawn for a two-hour service.

It would suit me to believe that their honesty, diligence and optimism in their work was unconnected with personal faith. Their work was secular, but surely affected by what they were. What they were was, in turn, influenced by a conception of man's place in the Universe that Christianity had taught.

There's long been a fashion among Western academic sociologists for placing tribal value systems within a ring fence, beyond critiques founded in our own culture: "theirs" and therefore best for "them"; authentic and of intrinsically equal worth to ours.

I don't follow this. I observe that tribal belief is no more peaceable than ours; and that it suppresses individuality. People think collectively; first in terms of the community, extended family and tribe. This rural-traditional mindset feeds into the "big man" and gangster politics of the African city: the exaggerated respect for a swaggering leader, and the (literal) inability to understand the whole idea of loyal opposition.

Anxiety - fear of evil spirits, of ancestors, of nature and the wild, of a tribal hierarchy, of quite everyday things - strikes deep into the whole structure of rural African thought. Every man has his place and, call it fear or respect, a great weight grinds down the individual spirit, stunting curiosity. People won't take the initiative, won't take things into their own hands or on their own shoulders.

How can I, as someone with a foot in both camps, explain? When the philosophical tourist moves from one world view to another he finds - at the very moment of passing into the new - that he loses the language to describe the landscape to the old. But let me try an example: the answer given by Sir Edmund Hillary to the question: Why climb the mountain? "Because it's there," he said.

To the rural African mind, this is an explanation of why one would not climb the mountain. It's... well, there. Just there. Why interfere? Nothing to be done about it, or with it. Hillary's further explanation - that nobody else had climbed it - would stand as a second reason for passivity.

Christianity, post-Reformation and post-Luther, with its teaching of a direct, personal, two-way link between the individual and God, unmediated by the collective, and unsubordinate to any other human being, smashes straight through the philosphical/spiritual framework I've just described. It offers something to hold on to to those anxious to cast off a crushing tribal groupthink. That is why and how it liberates.

Those who want Africa to walk tall amid 21st-century global competition must not kid themselves that providing the material means or even the knowhow that accompanies what we call development will make the change. A whole belief system must first be supplanted.

And I'm afraid it has to be supplanted by another. Removing Christian evangelism from the African equation may leave the continent at the mercy of a malign fusion of Nike, the witch doctor, the mobile phone and the machete.