Life and Death

How long had we been waiting? I glanced at my watch. Nine PM. Nine hours. Anticipation was palpable, and my feet were getting numb as I sat tense upon a stool. I felt guilty for feeling uncomfortable as I glanced at Renai, a young mother who had been laboring for a day prior to seeking help at the clinic.

The building was empty except for the laboring mother, two Sudanese women, three nurses, and Benjamin, our Mabaan health worker. A hot day had melted into a muggy evening; moist heat caused the little gnats to stick to skin. Lizards and spiders dodged about on the concrete walls and enjoyed an endless menagerie of insects; bugs drawn inside by mesmerizing light.

My attention returned to the bed beside me as Renai silently endured another contraction. Baby was still not progressing and the mother was tiring. In an effort to encourage their young friend, the Sudanese ladies joked about their delivery experiences... which were plentiful, with twenty-one children between them!

A nurse phoned Dr Rob to give an update, I started an IV to provide hydration and energy for the laborer, and Renai drifted to a much-needed sleep.

The following morning, an Oxytocin drip was initiated to help increase the strength of Renai's contractions. Baby's position seemed to be fine, the heart rate was good, so we waited for the new little somebody to make an arrival.

Four hours later, we held a healthy and sturdy 9.3lb baby boy. The baby's father beamed with pride as he held his first son. And after receiving her child, Renai's stoic features softened into a beautiful smile of discovery.

Meanwhile, the other five stations at the clinic buzzed with activity as people were unaware of the new life that began just behind the blue curtain.

* * *

After a full and rewarding day at the clinic, I prepared for my weekly afternoon Bible club with the local children. Praying that Jesus would provide the wisdom and energy needed, I set out for the Nutrition Village. Along the way, groups of children skipped around me and shouted, "Ban Keegin!" Which literally means "Village of Children", although the actual name of where we meet is the "Ban Keeyin", or "Village of Hope". Besides the weekly kids' club and an occasional Sunday School class, there are no activities for Mabaan children.

The Nutrition Village is a recovery compound run by a missionary and helps children and families obtain the food, medicine and education needed for healing. One of the workers there, Isaiah, helps translate for me. The children recovering at the Village sometimes join the group of local kids for story-time and coloring.

After singing together in Mabaan and kicking around the new soccer ball, the children settled in the shade of a tree to hear the story. We were working through the book of Exodus, and reached the description of the Tabernacle. I prayed, then described Israel's portable dwelling place for God. Having previously told about the golden calf, I explained how God provided a way for the people to see God's presence within their village so they would remember Him; God wants a relationship with His people and He makes Himself accessible. Describing the altar and the golden laver, I explained how God sent Jesus to live a perfect life here on earth. Then Jesus willingly died on the cross to pay the debt for everyone's sin. And, like the laver signified, we can be washed clean if we accept His sacrifice and surrender our sin.

I paused and asked if any of the 'keegin' had any questions. A few boys asked if they could have a "relationship with Jesus too". I was so thrilled!!! So I explained Jesus' love for each of them again and the group prayed together.

Toward the end of the prayer, we were thanking Jesus for His love and forgiveness when one of the children suddenly started hitting the others. Philemon seemed uncontrollable in his abusive actions, so I had Isaac bring him away from the group to talk. Philemon had been increasingly agitated, mischievous, and abusive to others over the past few weeks. When I asked him why he hurt others, he didn't know. I considered his family as we talked. Philemon's grandfather was a godly man, but his grandmother and father follow tribal beliefs. Combined with conflicts of faith, the family dealt with the effects of Sudan's political upheaval. Like all the other families in Doro, they escaped during heavy warfare of the past decade, survived as refugees, and relocated home four years ago. God gave me compassion to glimpse the struggles, the lonliness, the confusion that six-yr-old Philemon must have to endure through his family life.

I gave Philemon a hug and told him how Jesus loves him and wants to have a friendship with him. We talked about how special each person that God created is, and how it hurts Jesus when we sin and hurt others. I asked him if he wanted to have a friendship with Jesus as well, and I'll never forget the nod "yes" and his calm demeanor as we prayed. A new life was born! As Paul observes in Romans 8, "if you live according to the flesh you will die; but if by the Spirit you put to death the deeds of the body, you will live," (vs. 13).

That night at the compound, I was pretty elated about the new baby and my little brothers who trusted Jesus. I was sharing the exciting news with other missionaries when we heard Grace urgently summon Joanna to the Nutrition Village. We later learned that a little boy, severely malnourished and suffering the late stages of a complicated illness, was struggling to hold onto life. The mother had taken him to the witch doctor previously and nothing helped. We prayed that the child would be healed and that God would receive the glory; that the child's mother would see God's healing power and would trust Him. How this mother survived emotionally is a wonder; she was a day's walk from home in a foreign area, two of her children had died previously, she had another sick child at home and her tiny boy was dying. We gave medicines and prayed.

I awoke during the night to the sounds of wailing women and I knew. Sometimes God doesn't answer prayer in the manner that I expect is "right". But I can have confidence that He loves His creation, His people.

Reading further in Romans 8, I was encouraged by this observation on life, death, and suffering; "For I consider that the sufferings of this present time are not worthy to be compared with the glory which shall be revealed in us. For the earnest expectation of the creation eagerly waits for the revealing of the sons of God. For the creation was subjected to futility, not willingly, but because of Him who subjected it in hope; because the creation itself also will be delivered from the bondage of corruption into the glorious liberty of the children of God. For we know that the whole creation groans and labors with birth pangs together until now. Not only that, but we also who have the firstfruits of the Spirit, even we ourselves groan within ourselves, eagerly waiting for the adoption, the redemption of our body," (vss. 18-23).

Life is found in dying to this mortal self, that one may gain what is Eternal.

This Moment

Palm trees cast lengthening shadows across the airstrip, yet heat still radiated from the red gravel path. With no breeze to cool the evening, I felt like I was jogging through a sauna. Murram crunched beneath my feet as I ran the length, then returned again, back and forth. Routine. My mind was not on the jog, but on dinner in the charcoal oven, on the evening duties. The airstrip was a treadmill of red dust that stretched to the distant trees. Bored and sweaty, I flipped through my music player and found "Don't Miss Now" by Downhere. My feet beat out a rhythmic "crunch, crunch" as they carried me another length of the airstrip; my conscious mind became lost in the lyrics...

The life you chose -
There's never a list for it
Of cons and pros
You find what you love, and you commit

And you're looking so far down
The road so well
That you could forget your crown
Isn't just somewhere else

You get bumped and bruised and worse
For choosing the road less traveled
You know the reward is rich
If you persist through the darkest battles

Open your eyes,
Your prize is right before you, somehow
Whatever you do, just don't miss now

All that you're working for
Could blind you to the treasures all around you
So don't miss these moments, please
The joy before the crown you seek

The song faded and the next cycled into my earpiece, but my mind was still processing. I suddenly felt more alive, more conscious of the presence of God as I enjoyed the peaceful jog and the magenta sunset that played upon the canvas of clouds. Every second brought about a new brush-stroke, a spectacular hue, as the equatorial sun sought the horizon. I could not have anticipated the beauty of the evening when I set out on my sweaty venture, but I was pleased to have received such a gift. I thought that likewise, I cannot see what the God's plan is, but I can be assured that it is better than what I could expect. Indeed, He has a way of taking my breath away; the past few weeks have been especially meaningful...

There are approximately thirty leprosy patients that come to the hospital for follow up, and in order to treat them, we had to have the ok from the govt to get the meds. Just this week, the doctors who specialize in leprosy treatment came to establish our program. God provided the leprosy medications that we've been needing for two years! Its thrilling to see the dear people get the treatment that they've been waiting for!

I was on call this past weekend, and a 7-year-old boy was carried by donkey-cart to the clinic. He had suffered for a month with a severe ear infection that resulted in meningitis. A pus pocket bulged from the side of his face, and his swollen meninges rendered him temporarily lame. He showed quick improvement on antibiotics, but I remained concerned about the lump on his head. Thankfully, the leprosy docs were on hand this week and performed a small surgery to drain pus from an abscess on his head. If the boy or the docs had come at a different time, Simon wouldn't have healed properly because I couldn't have done facial surgery to drain pus. God also provided a full-time Sudanese pastor (named Bolus, or Paul), and he has been a wonderful asset in counseling patients and sharing the gospel with the crowds that wait for treatment.

I most enjoy developing relationships with the families of inpatients as they reside at the clinic. This month, we've had a tiny infant boy named after our physician, "Dr Rob". The baby became infected at birth, most likely when the umbilical cord was cut with dirty scissors. After several weeks of treating the infant with antibiotics and IVs, the mom and grandmother still trust God's perfect outcome. They sit day after day in the back of the clinic, waiting in the heat, waiting for life or death for their adorable boy. Week after week, day in and day out, I check his temperature, redress the wound that ever seeks to claim the tiny abdomen.

Saphina watched me as I assessed her only child, her first baby. Knowing my ministrations are meager, I smile, pray with her, and offer a simple Mabaan phrase of encouragement. I have confidence that God can work a miracle and reverse the infection if He chooses. Sometimes the difficult journey can become a blessing because of friendships that are forged along the way. Saphina and I were sitting together at the clinic chewing gum and laughing over my Mabaan pronunciations, when she paused and thanked me for the care that the nurses were providing. Then she said that she wanted to name her next child "Julia". I suddenly realized the significance of a smile.

Julia, a local Mabaan teenager, has been close to my heart since I arrived in Doro. A few weeks ago, I had a GI bug and was feeling lousy in the middle of a scorching Saturday. I remember debating whether I should drag my drenched self from bed to answer the knock at the tukul door. I'm so glad that Phil 2:20-21 and Romans 12:1-2 came to mind and God gave me the strength I needed. Julia came for a surprise visit and presented me with a gift... a wide beaded bracelet that is usually worn by Mabaan women for celebrations. I was very touched by her gesture, especially when she gave me a hug (uncharacteristic), and said "I love you" in English.

Life is lived in routine. However, each grain of sand makes a difference in an hour-glass, each training session affects the outcome in a race, and every mundane moment that I live to worship Jesus, I live for eternity.

I'm on my last lap down the airstrip, and after these reflections, I am grinning. I'm suddenly aware of a presence at my side; some Mabaan ladies are running with me. This is life.

Something Beautiful

Although darkness has fallen, the city outside is far from sleep. Even as I write this, campaign trucks wind through the streets; loudspeakers pronounce views on the upcoming Referendum here in Kenya. I am in Nairobi for my mid-term rest/resupply period before returning to Sudan. I’ve enjoyed having time to reflect on God’s goodness through the past weeks at Doro, as well as prepare for the next four months.

Caring for critically ill patients at Doro has shown me the beauty of God’s sovereignty. The arduous recovery periods and outcomes have taught me to trust in His healing. And being a nurse has given me the privilege of sharing Jesus’ love with some extraordinary people. When I consider the journeys of Una, Stephen, and Kaywaye, I see beauty.

Una didn’t start out with a beautiful story. She presented to the clinic with a hand rotting from infection. A family member had bitten her after a drunken dispute, and three days after the incident, Una was very sick. It was determined that the affected finger would need to be amputated, but the doctor only had a few hours before his plane was scheduled to arrive! Despite time constraints, the lifesaving surgery was successfully performed, and Una faced a long recovery period. Una lived at the clinic for a week as she received IV antibiotics and dressing changes. During her convalescence, she listened to the Bible study, the worship songs, the prayers shared every morning in the clinic. She was eventually strong enough to go home and return to the clinic for periodic wound care. On one such day, I was cleaning the place where her finger had been, and we discussed her story. She told me how she went to church as a young girl, but didn’t understand Jesus’ love for her. She eventually married a man who loved alcohol. Through family struggles, substance abuse, and divorce, she had long forgotten God. After she was bitten by the family member and the infection spread, she felt a hopeless darkness closing in on her, as if death was imminent. However, as she awaited surgery, her mind cleared and she realized God’s love for her in providing a doctor to save her life. With eyes radiating light and joy, Una praised God for using a bite on the hand to bring her to Him. She says that the days of hearing the God’s Word encouraged her, and now she wants to live for Jesus.

Stephen lay listless in his mother’s arms; his eyes were swollen closed with infection and he had a terrible fever. Screaming with pain whenever he was moved, Stephen was found to have meningitis, (an infection in his brain), and an advanced eye infection. The baby, malnourished from months of illness, seemed too weak to recover. His eyes appeared cloudy and I didn’t know if he could see. However, God answered prayer, and the child recovered and went to the Nutrition Village to gain strength. A month later, I checked on Stephen on the eve of his planned discharge from the Village. His eyes were still closed, but he otherwise appeared healthy and was gaining weight. Just then, the baby’s father came to the Village and wanted to take his family home immediately. He explained how he had arranged a cleansing ceremony for the mother with a witch doctor. I shared the gospel with Stephen’s father; explained how healing comes through the power of God. The father’s defensiveness disappeared after hearing about Jesus. He thanked us for helping his family, but said that this was something he must do. Another nurse and I prayed for him, and he left with the family. The father allowed his family to return for check-ups, and although I never saw the father again, Stephen continued to improve. The last time I saw him, the baby’s bright eyes were assessing the faces that smiled at him.

Kaywaye’s story is the most challenging; the most beautiful. The four-year-old boy was brought to the clinic by his road-weary parents. Weeks before, a stranger had given the family a large sum of money to bring their sick son to a hospital. The thankful parents had traveled far from their home in Nuer territory seeking healthcare. The child’s abdominal tumor was advanced, and each clinic referred Kaywaye to another facility. I was on-call when Kaywaye’s family arrived. That Saturday, there were two listless children with IVs at the clinic and pneumonia spreading at the Village. However, all distractions melted into the background as I assessed Kaywaye; I felt a deep sadness at how the tumor dominated his abdomen, stealing nutrients and sapping the tiny boy’s strength. The father’s eyes were lined with exhaustion but still watched with hope. There was nothing a team of nurses could do for the boy, so we phoned our doctor and developed a plan. A flight to a surgical hospital was arranged for the family. Over the next few days, the boy’s strength waxed and waned, and we prayed for God’s will to be done as we fought to keep Kaywaye alive. Just days before the scheduled flight, the boy went home to Jesus. The community health workers and a few nurses provided a funeral service, and he was buried in Mabaan soil. After the ceremony, I served chai to Kaywaye’s parents, and a group of us sat together in the shade of the new clinic to escape the burning sun. I would have understood if the parents were angry or disillusioned. After all, they had been traveling for weeks after receiving a miraculous financial gift. And at the Doro clinic, a flight was scheduled so Kaywaye could get surgery. Surely God would heal their son! But their response surprised and deeply encouraged me. The father, eyes misty with tears, thanked us for caring for them. He told us how the other clinics didn’t seem to care, but the family experienced the love of Jesus at Doro. Furthermore, he explained how he trusts God, but being illiterate, he can’t study God’s Word for himself. Hearing the truth of the Bible at the clinic encouraged his walk with the Lord and deepened his faith. I was amazed how the father so quickly and implicitly trusted God’s providence. Like Job, he praised the Lord; “The Lord gave, and the Lord has taken away; blessed be the name of the Lord, (Job 1:21).”

I described the experiences as beautiful because of Jesus’ work in each situation. Una recognized the love of her Savior, Jesus opened Stephen’s eyes, and Kaywaye’s family demonstrated faith in His love. Beauty is found in trusting Jesus and developed by the testing of faith. The Apostle Paul explains that “we also glory in tribulations, knowing that tribulation produces perseverance; and perseverance, character; and character, hope,” (Romans 5: 3-4). Although the experiences are difficult to comprehend from a mortal perspective, I can be confident that He is faithful to complete His good work. His love is infinite, and His plan is perfect! I won’t always get the privilege of seeing how He is weaving something beautiful, but the joy of experiencing prayers fulfilled through His people has been a special blessing.

I will be in Loki tomorrow, and finally back home in Doro on Monday. I’m looking forward to the months ahead, confident that God will complete His good work in Sudan. Please pray that I will keep Christ my purpose and delight so that He can love through me. Please pray for the peace of Sudan, and for the Mabaan people who have been displaced for so long and are now rebuilding their lives. Also pray for the local church and the missionaries; for wisdom and unity. Thank you also for remembering Una as she seeks to grow in Jesus; for Stephen’s father’s salvation; for Kaywaye’s family.

Thank you again for your prayers and support! “Now may the God of peace Himself sanctify you completely; and may your whole spirit, soul, and body be preserved blameless at the coming of our Lord Jesus Christ,” (1 Thess 5:23).

Illustration in the Sky

The brilliance of an unblemished sky captivated me that first night in Sudan. The stars were individual points of light, so numerous, they merged to form sparkling waves across the heavens. As if reuniting with an old friend, my eyes naturally sought out a pattern of seven stars in the Northern sky. Ursa Major, or more specifically, the Big Dipper had always been my favorite constellation. Why? It was the easiest to pick out, its a reference to other constellations, and I liked the notion of God placing a kitchen utensil in the sky. I was accustomed to viewing the Dipper from the States where it rested in a lateral position, as if some unseen Hand was holding it under a faucet to be filled. But viewed from equatorial Africa, the Dipper is straight up and down; its contents spilling into the infinite black ocean of night.

Appreciating an allegory, I found myself reciting something that Paul had written to Timothy; "I am already being poured out as a drink offering," (2 Tim 4:6). Feeling parched from the heat of the day, I began to think more deeply about the purpose of a dipper; how refreshing a cup of water would be right then. A scene from the film Ben-Hur flashed in my mind: the enslaved hero has been forced to march through the desert and is denied water by his captors. Weak and without hope, he collapses to the sand. But just when he wants to die, Someone dips into the well and offers him a drink of life-sustaining water. After satisfying his thirst, Ben-Hur gazes into the loving eyes of his Savior, and he is captivated. I considered how I had been filled in the States for so many years; filled with Bible stories from childhood, theology studies in college, filled by the godly counsel of many. Standing beneath the tilted Dipper, I eagerly asked God to pour out what He had infused in me on this Sudanese soil: the True Living Water.

My first two months at Doro passed too quickly. At first the pouring came easy; I had mornings to study Mabaan and afternoons to learn the clinic. I was purposeful about developing relationships; played with kids and drank chai with local ladies. But then I moved into my role at the clinic and settled into routine. And after a child with cancer died, I began to feel like my well was going dry. Long hours in the clinic, children passing into eternity from preventable conditions, inability to communicate in the local dialects, and the steep cultural learning curve all sapped my energy. I would come back from a day at the clinic in time to help with dinner, perform a few tasks, then turn in. Time's hourglass buried my plans in ceaseless sands; each day I was getting further behind in my outreach and language-learning goals. And still there were more children suffering from malnutrition, seizures, malaria; more tiny lives silenced in tireless sleep.

How could I continue being poured out? After all, sharing Jesus’ love is not a matter of location, it’s a unending lifestyle, a commandment, an honor that He has given. How then was I to be filled? I found renewal by “looking unto Jesus,” Hebrews 12:2.

Two stars on the front of the Big Dipper’s cup point up to Polaris, the North Star. Since the earth’s North Pole points to Polaris and the earth rotates around the poles, Polaris remains a constant point in the sky. The Big Dipper appears to rotate around the North Star, and it can serve as a 24-hour clock. The constancy of the North Pole captivated me. Whatever the position of the Big Dipper; whether being poured out or filled, at all times, it looks to the consistent star.

I am currently in Nairobi for an opportunity to rest and resupply. And although my ladle is in a more recumbent position, I see the Truth in the Creator’s heavenly illustration. It doesn’t matter where or when I am, if I perceive myself as being filled or poured out, my purpose is to point to Christ. He is the Source of Living Water, the Constant One.

After speaking about being poured out, Paul finishes his thought to Timothy in verses 7 and 8: “I have fought the good fight, I have finished the race, I have kept the faith. Finally, there is laid up for me the crown of righteousness, which the Lord, the righteous Judge, will give to me on that Day, and not to me only but also to all who have loved His appearing.”

What is Good...

I had a wonderful birthday today. After getting up at 6 and taking a jog on the airstrip, I had a bucket shower, then headed for devotions. To my surprise, the screened-in cafeteria had been transformed into a breakfast party, complete with streamers and balloons! We celebrated Amy’s and my birthday with pancakes dressed with strawberries and/or Nutella. After cleaning dishes, we dispersed to our respective jobs, some with the water project, some maintenance, some teaching health students, and the nurses to the clinic. I spent my 7-hour day diagnosing, studying, and working with the Mabaan community health workers (CHWs) at the clinic. There were many good things today; one highlight was untangling a difficult diagnosis and giving the suffering man antibiotics to fight an H. pylori infection. The other highlight was playing with little Doman who had been discharged from the Nutrition village. The toddler was grinning and running in the clinic as his parents consulted with a CHW. How wonderful to see him healthy and happy!

The small villages of Tukuls gathered along the path to the compound were busy with activity as usual this afternoon. Mabaan men, women, and children were cooking, patching walls, herding, planting and playing. They called out greetings or stopped to chat. Afternoon sunlight bathed the world in golden light; the red dirt path appeared bright against the dense green foliage. Although spectacular, the people who live here are what give this land its beauty.

A DC-3 landed on our red dirt airstrip today. The huge plane brought Dr Rob (my uncle), and my cousin Tim, a team from Scotland, and several tons of building supplies. Several of the nurses left on the flight for rest-time in Nairobi. It seems like a holiday here when a plane arrives, because it brings people, yummy foods that we can’t get here (chocolate), and letters from home. Additionally, the local people stop their work and line the runway to watch the gigantic metal bird lift off the ground to disappear into the horizon.

Four of us nurse gals traveled to Boonje in the afternoon. The Arabic market town is only 3 km from Doro, and the open-air booths offer fresh produce, clothing, and an unpredictable conglomeration of other supplies from Khartoum. We stopped for Coca-Cola in the shade of a bamboo stall, chatted with Mabaan and Arabic friends, bought nail-polish for the moms in the nutrition village (a fun way to connect with the ladies), and selected vegetables for dinner.

We had a large outdoor pot-luck tonight with the new team-members. Although the day was a steamy 100-degrees, the evening cooled off with thunder clouds in the distance. A gentle breeze rustled the leaves of the huge baobab tree; wind brought down the humidity with the temperature. We sat outside at a long table and enjoyed a refreshing time of fellowship and delicious food.

After reading the devotion from “Jesus Calling” this morning, the verse Micah 6:8 was filling my thoughts all day; “He has shown you, oh man, what is good and what the Lord requires of you. But to do justly, and to love mercy, and to walk humbly with your God.” He has shown me what He has created me to do; His faithfulness never ceases! Indeed, it is more evident with every passing year.

Living Water

This afternoon, I sat with a group of Mabaan ladies under a tree at the nutrition village. Amy, another SIM nurse, was leading a Bible study with the people who live at "Ban Keeyin" as their children gain nourishment. I considered the story of the Samaritan woman as our interpreter read from John 4. The Samaritan, like so many of the Mabaan, had lived a difficult life. But when she met Jesus, the Son of God, on her way to draw water, her life was changed. Instead of getting a simple drink that can only temporarily quench thirst, she received living water. Jesus sacrificed His perfect life so that all people can live forever if they accept Him. As I care for patient’s physical health at the clinic, I need to keep foremost the need for spiritual life, for living water.

Mary, the child I held on my lap, was paralyzed with tuberculosis of the spine. Her mother, Sadiah, had been near death last week, but revived with IV fluids and medications. The tall Sudanese woman had been only 32kg, but she has gained 12kg since and is caring for her children again. They need meds to treat TB, but mostly, they need the Lord Jesus. During the Bible study, Mary rubbed my hand. She was looking to see if the white came off.

I watched the ladies’ faces as they listened to the truth of Jesus’ love for them. I thought about Una’s story, and how she recognized God’s saving love for her. Una came to the clinic last week with a severe bite to her hand. Dr Rob evaluated the hand and saw that the infection would kill Una if he didn’t amputate the finger. He only had one hour to perform the operation before his plane arrived to take him to Kenya. Una was given IV antibiotics, placed under sedation, and the surgery ensued. I monitored Una’s oxygen level and administered meds during the procedure. Nurse Amy assisted Dr Rob in removing the necrotic finger. Since the procedure, Una has been living at the clinic so her progress can be monitored. Her hand healed enough to be sutured, and she has been receiving daily dressing changes. We gave pain medications before yesterday’s dressing change, and we chatted while waiting for the analgesic to take effect. Una said, “Before the surgery, I knew that I might die, and I know that God cares for me because the doctor was there. I told God that I would trust Him with my life.”

Yesterday was very busy at the clinic; another nurse and I saw about 60 patients. We were at the clinic for about 12 hours and admitted two very sick children. One was a malnourished 6-mo old infant who only weighs 4 kg; his mother brought him to the clinic because he has always been sickly. It was a difficult day diagnosing the many conditions that the child suffers from. He was badly de-conditioned and had difficulty breathing, so we placed him on oxygen. After evaluating symptoms, we discovered that the infant has meningitis that may have resulted from badly infected eyes. The infection is so severe that his eyes are opaque with ulcers. He also has bowel disease due to receiving contaminated water. I was unable to find IV access, so I placed the feeding tube so he could get fluids. Today, his eye infection is clearing up and he is receiving strong antibiotics. His mother is so sweet; unlike the other long-term patients, she has no one to support her or help her care for the child. The other child is severely malnourished as well, but with fewer complications. I started IV fluids and he is strong enough now to drink a rehydrating formula.

In the midst of a busy day dispersing meds and performing tasks, it was a welcome rest to study God’s Word with the Mabaan ladies. The Samaritan woman, like Una, realized her need for Living Water. I needed the reminder to provide the opportunity for people to receive the Living Water, Spiritual Life in Jesus, rather than mere physical healing. Please pray for the families at the clinic who need the Lord Jesus so desperately. Thank you also for praying for me and the Doro team!

First Day in a New World

Writhing and screaming, the toddler recoiled in fear from the needle that the “khawaja” (white foreigner) held. He couldn’t know that the medication would relieve the pain radiating from the infection in his hand. He was too young to understand what would happen while the anesthetic was in effect. The child’s mother sat beside the procedure bed, her hands knotted in her lap. An interpreter conveyed to her that Dr Rob would make a cut to drain the pus, and I hoped my smile offered some reassurance. As the Ketamine took effect and the boy’s cries subsided, my mind drifted twenty-four hours earlier. Could it be that I had only been here for a day?

One-hundred degree heat enveloped me as I stepped off the plane onto the red dirt of Doro’s airstrip. A group of local people had gathered to witness the arrival of the aircraft; their broad smiles, hand-shakes, and evening greetings helped me feel like I was among old friends. SIM missionaries showed me around the compound that I would call home for the next six months. After an evening meal shared with everyone on the base, I settled into my tukul (hut with mud walls and grass roof) that I shared with another nurse. My first night in Doro was spent mostly awake; the lizards rustling the grass roof, the humidity, and the mosquito net all were new distractions. It was excitement, however, that made every sense electric; the excitement to finally be in Sudan.

May 28 dawned overcast with rumbles of thunder. The plane that had carried me from Nairobi left early that morning, and as I watched it angle South, I felt very small in an alien land. I wanted to get acquainted with the people and customs in this new world as soon as possible. A wise nurse instructed that “to truly know a people, one must speak their language”. Back at the compound, I pulled up a chair to Tabitha, a Mabaan lady who was making lunch, and asked her how to say things in the local language. Our laughter at my pronunciations brought some attention, and a missionary gave me a book on learning Mabaan. I was relieved to have a foundation for learning the language, and a new friend.

I joined my tukul-mate, Amy, for a visit to the nutrition village later in the morning. She had nine malnourished children living there with their mothers, and they remained in the village as long as they required care. Amy’s responsibility was to ensure the health of the children. She oversaw the diets, medications, and daily weights of the children. We communicated with the mothers and children with the aid of Community Health Workers, (Mabaan men who went through health education training). As we were evaluating a mother with twins, one of the kwashiorkor toddlers walked up to us and held up a pitcher for his milk. Doman’s swollen face and large brown eyes gave him the appearance of a Cabbage Patch Doll, and he was adorable.

After lunch on the compound, I was eager to see the clinic where I would be working. I followed the path there with the SIM nurses that ran the clinic: Amy, Sandy, and Christiane. We passed the church, the nutrition village, and groups of tukuls along the way. Pigs, goats, dogs, and chickens wandered as they pleased and grazed in the open spaces between palm plants and wide Baobab trees.

The clinic consisted of a one-room building with a door on each end; the room was divided into five examining areas with one procedure bed, or “Emergency Area”. The room was alive with activity. Community Health Workers (CHWs) were seeing patients in all the stations; the nurses oversaw the CHWs, diagnosed, evaluated treatments and administered medications. Dr Rob examined more critical cases and taught the staff about how to diagnose certain conditions. Meanwhile, a crowd of people rested in the shade of trees as they waited patiently to be called to the clinic. There were over a hundred Mabaan and Falatta people to be seen that day.

I listened, asked questions, and absorbed as much as possible. Observing the assessment and diagnosis process was facilitated by the Mabaan language-learning book and a manual on tropical disease. One family in particular touched my heart. Sahdia was a skeleton curled up in one of the examining stations; she was too weak to lift her head or speak. Her malnourished daughter, Mary, sat listlessly beside her. Sahdia’s sister had journeyed to their village and brought them ten miles to the clinic. Sahdia was ill likely with tuberculosis, so she had seen the village witch doctor, Yaya. Yaya told her patients not to eat, so the emaciated people eventually came to the clinic with complications. Sahdia and her daughter were admitted to the nutrition village as inpatients for care. I reminded myself to check on the pair’s progress in the morning as a commotion from the emergency area drew my attention.

Dr Rob was evaluating the toddler’s hand that had swollen with infection after being poked by a wire. I held the toddler still as he received an antibiotic injection, Tetanus Toxoid, and the Ketamine. The boy drifted to sleep swiftly and Dr Rob, my uncle, made a small incision in the palm. As the doctor explored the wound and drained the infection, he explained how to avoid cutting nerves. I was fascinated by the process, and so thankful that the clinic had a fresh supply of Tetanus prophylaxis, which was not usually available. The procedure was over in a few minutes and the boy awoke soon thereafter. With the child in his mother’s arms, the family was prayed with, and my prayer was that they would know the love of Jesus. The body only lasts for so long, but the spirit is forever.

What a joy nursing is, and how wonderful to care for people with no other opportunity for medicine. But what a tragedy it would be if that’s where the care stopped! The greatest joy of all is a relationship with Jesus, and I left my first day at the clinic determined to keep His saving love as my priority. A physical cure is temporary, but only Jesus saves the soul and gives eternal life.

Pictured is a brother of a child being treated at the nutrition village. After seeing the picture of himself, the little boy laughed and laughed.