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Friday, June 24, 2016

a normal thursday

Many people ask, "Tell me what a 'normal' day is in Mozambique." First off, I usually laugh because it feels like there is no normal.

Let me tell you about my Thursday, as "typical" as a Thursday can be.

Thursdays are my day to "go in the bush." I drag myself out of bed at 645am. No matter what I'm doing, that's too early. Chad's already up with coffee waiting. Nede's usually bouncing around in her pajamas, chasing her dogs. Well, not this week, it was rainy and cold. I contemplated do we go out? Are the roads going to be muddy? What if we got stuck or, chose not to drive and have to walk in pouring rain. Awe, well, the clouds aren't that dark. We'll go.

By the time 8 o'clock rolls around I've gotten myself ready, filled our 20 liter water buckets in the house, had my breakfast, packed my backpack and the pickup with our makeshift mobile office/clinic. I meet my 3 colleagues we fill our bags with the necessities-- Tylenol, wound care supplies, soap and toothpaste. We pray and off we go.

Five patients on our agenda for today. Our first stop, a toddler who's been affected by malaria. Family, belonging to a church that doesn't believe in going to the hospital, left a malarial fever too long. Our little friend suffered a huge seizure leaving him without sight, with one-sided weakness and with little hearing, he's now requires total care. Family struggles and a new born baby makes it hard for a young mother to feed and care well for her children. We assess, encourage, pray and treat as able. Off to the next visit.
We joke about the challenges the next one brings.  A young mom, full of fears, misunderstanding and stubbornness to face the reality that she has HIV and needs to take medicine daily to prolong her life.

Today's no different, our battle continues, she refuses to swallow the tablets. Her two children watch on as their mother makes choices that will greatly affect their future. We feel we've made no progress after weeks of talking and praying. It seems there'll have to be a miracle to move this mountain.

On we go. Cruising down the dirt road, I make a quick stop to check out a snake I've seen in my rear view mirror. We stop to contemplate and get a good look. Seems like a gaboon viper or a puff adder. Awe well, let's keep going...

Next stop, a new patient we've only seen once. A tumor distorting her face, I can't imagine the pain she must feel and the social rejection that could be hers. We stop at the cellphone antenna as we had been instructed, got out of the truck and started asking where we'd find this woman's house. "Can we walk there?" we ask. It was meant to be near.

"No, lets go in the truck." It's down the valley, "close."  Two young boys we've just met climb in the back of the pickup. But...before we go another elderly woman stops us. She tells us she has a growth on her back. She's in much pain. Can we help? We go behind a building, she lifts up her shirt...gulp. I can't believe my eyes. I've never seen such a thing. Deep breath. Okay, where is your house? We'll stop there after and get more information.

Off we go down the valley, in our truck on what appears to be a foot path. The trail gets skinnier. I get more nervous. If it starts pouring...will I be able to maneuver this vehicle up the hill? I pray a lot.

Finally, I park the car because we can't drive any further. Thankfully the walk is only a few hundred meters. We sit and hear her story. We then educate on how to take the medicine and I sit in adoration of the ruralness, the trees that have not been logged away to China. It's beautiful. As long as you're healthy, this is paradise.

After counseling another man on how to take the medicine the hospital gave him for his dizziness, we're off up the hill to meet the new patient. Phew...we made it.

There's one thing I love about a cold rainy day in Mozambique (they are few and far between). Sometimes, to get out of the cold and wet, you're invited inside their home. Modest would be a generous adjective. We entered this woman's mud brick home and listen to her story. Yes, she would be happy for us to do surgery on her! Whoa, whoa, whoa...let's back up and explain our program. We will not be performing any surgeries! :)

Okay, this day is not what we expected it to be but let's keep pressing on.

Next stop, a patient that we've been seeing for months. Here we all feel quite victorious. Our patient has been improving now that we have him on the proper medications. We join him and his family in their "cooking house", two fires are going. We find ourselves quite cozy-- singing and praying, I could stay all day!

Next stop, to discharge a teenage boy. Much to my surprise, not to heaven but to a long-full life, I pray. We did not find him at home. A young man who used to not be able to walk, if he did hobble around, it was definitely with 2 sticks and a lot of effort. Today we hear he now has a "shop" in the near village where he's selling dry fish and bread. A little entrepreneur found hope, health and happiness.

We popped down to the village to give our love and blessing to this young man. On the way we run into family members of others we've cared for. We greet the community health worker. I wave at the "Mama" of the village-- the lady you want on your side when you're in need. Thirty miles off the dirt road this little village is in my heart and I feel comfortable here. We buy some bolos (fried dough similar to flat bread). The girls know "sister Dara" likes hers with sugar. We take off for home. It's only 2 in the afternoon. I feel like I ran a marathon. We bounce home after stopping long enough for the girls to make their tuna sandwiches in the backseat. They're tired to-- the Thursday afternoon giggles have set in. We all look forward to a long weekend.

By the time I arrive home I'm beat. I can't think another thing as I'm processing the worlds I know-- life in America, life in my "tiny house" in Nhambia with my family and then the life that's such a part of mine up the dirt road. They each feel so vastly different from the other. I'll wrestle with it tonight-- how to live between the three. What an honor it is to be involved in so many different life styles.

And so there it is, I heat my kettle of water on the stove, ready my bucket bath, put on some warm clothes, sip my Chai tea and reflect on my "normal" day. Grateful I don't have to cook supper tonight as we'll be joining our Irish counterparts.

If you actually read this to the end and it felt long, yes, so did my day. This is my normal Thursday.
If you think of it, Dara and her team could use some extra prayers on these normal Thursdays.





Tribute: All He was Meant to Be

We didn't get to know him long. No, we really knew nothing about him. But, we knew enough.
No matter WHAT happened in the past, no matter whose back you stabbed or how many friends you've betrayed, this is NO way for a human being to live at the end of their life.
No, this was not okay.
So, we did all we could. We gave within the limitations of our project, always believing that we will never say, "there is nothing we can do."
And, the next week all was different.
A bit of love,
A lollipop,
Hope of eternal salvation with a Storyteller.
The 3 best things we find healing, more than any other.

And, the next week,
he was gone, crossed over to the other-side. 
Into Glory I pray.

I can only hope that he had been reminded, through hearing God's word, that he was loved,
That he knew again, he deserved more,
And he entered into the fullness that he deserved, and now, 
He is all that He was meant to be! 

Sweet man, I hope to see you in paradise! 
Where you belong! 
You've been forgiven. You are loved.
He promised.

Monday, June 20, 2016

celebrating 6 years

From day one she was a blessing, 
even though I called my friend and said,
"she's here, now what do I do?"
(June 2010)
It helped when we finally figured out how to speak the same language,
(June 2011)
And you kept blessing everyone that you met,
(June 2012)
 And then the time came when 2 of us got the privileged to be your parents,
(August 2013)
And, all the happier I was
Together we could face all the challenges with significantly fewer tears!
(June 2014)
Then, we got to build a new house together,
and you get to be where you were with your first momma,
(June 2015)
 And it's here where we'll all keep growing together,
Where you'll speak your mother tongue,
And daddy and I will try.
Where we get to care for your people,
And give them the Word in a language they best understand.
And you become more beautiful every day,
And we'll watch as God unfolds miraculous plans for your life.
And, you keep blessing everyone who gets a chance to know your face.
(June 2016)
We couldn't love her more
Or be more blessed to have had the last 6 years together.
And praise Him for ALL HE HAS DONE! 

Sunday, June 12, 2016

office underway

"We are simply God's servants, by whom you were led to believe. Each one of us does the work which the Lord gave him to do...for we are partners working together for God, and you are God's field. You are also God's building. Using the gift that God gave me..." 1 Corinthians 3
Blessed to dedicate this land...
With these hands,
And these people...

The Mvura Ya Upenhu Palliative Care office is underway. We praise the Lord for the provisions to enter this next stage. We pray that the we continue to respond to what he has called us to and  joyful serve Him with what we have. Pray for protection as they build and wisdom as we grow. Thank you for being with us! xoxo

Saturday, June 4, 2016

discharged with hope

It's something your taught never to do, in the hospice world, don't predict how much life some has left. We don't know the number of breaths one will take. But, I suppose, after being in the field of death and dying for sometime, you've seen enough to start to feel you know when someone is nearing death.

Well, I guess there are many things that have surprised me in working with the palliative care program here. Many things have been heart-wrenching but this one thing has been amazing. Nothing short of miraculous.

We're in the process of discharging 5 of our patients (that's a third of our census. We're wee.) Discharging them because they are no longer declining. They no longer seem near death. That's great you might say but the thing you have to get is that almost every patient we start on our program is ill-- VERY, very ill. Typically we don't start anyone unless we feel they are going to die in the not so distant future, unless there is major intervention from the Lord. But, far more often than I ever expected, it's looking different. And, it surely isn't from amazing medical interventions we provide! Oh, no. It's been about love, about education, about consistent visits that gives value to a previously unvalued life. It's reminding them and showing them that there is always hope. I think if you sat with 5 of our dear patients they would tell you a story that you'd find hard to believe...

...one's a story of a boy, 6 years old with osteogenesis imperfecta (ie brittle bones). He used to cry in pain. By getting regular Tylenol and simple teaching with his family on how to care differently for a child with this disease, he got a wheelchair and in is in school for the first time in his life...

...She's HIV + and had TB. A stroke put her in the hospital with right-side hemiparesis. For a long time the family struggled with "embarrassment" that she was totally dependent in her activities of daily living. I'm pleased to say that her sister-in-law took it upon herself to give this woman the medicine she needed, keep her clean and feed her. She's now borderline overweight and cared and loved by her family. Her tears have been turned to laughter...

...We still don't understand the situation with this teenager, at some stage he had severe abscesses which lead him to several operations "taking out bone" leaving him with deformed extremities-- walking only with sticks. I can't explain what happened with him-- regular Ibuprofen, a Story teller (audio device with stories and songs), weekly Bible stories from a children's Bible, lots of laughs and friendship. He now is working with his uncle, hopes to go back to school next year and is walking WITHOUT sticks! Praise HIM!!!...

...Then there's a middle aged man that needed to be educated. He needed to understand his disease, the importance of medicine compliance and to be empowered to care for himself. Previously having gaping wounds on his legs, he's now often not home and we see him driving by on his motorbike...

...And finally, I remember taking this one on knowing we would not have long to care for her, she was so close to the end. With a wound on her inner thigh she could not walk. She had a flat affect, a malnourished child and a lack of hope. Wound care, disease education, songs and stories,  listening ears and words of life seem to be the cure for this dear woman. Life is now hers, may it be for many years to come...

We may not be seeing someone rise up and walk the moment after our prayer but we're seeing a lot as we walk with each of our patients. Whether they're discharged from the program or discharged into their eternity we are honored to share the Gospel, share words of life and share our love with them. And perhaps, the best thing about our job is that either way, we share hope!

Thank you Lord for your promises!