Friday, May 31, 2013

On a ship called Mercy . . .

Shore leave ended in Guinea roughly an hour ago . . .
Sometime within the next twenty-four hours (more or less)
A ship called Mercy will begin her sail
To Gran Canaria in the Canary Islands.
If you read this in the next five days or so,
Will you pause and prayer
For the health and safety of the crew and ship
as they "sail on"?
Thanks ever so much!

Wednesday, May 29, 2013

During the Guinea 2012/13 Field Service . . .

. . . the Africa Mercy had:
  •  237 Long-Term Crew (including children),
  • 572 Short-Term Crew,
  • 196 Guests and Visiting Staff (includes Mercy Teams, Vision Teams, Media Teams, Personal Guests, and visiting staff from IOC & National Offices),
  • 25 Contract Workers,
  • A total of 224 Day Workers were employed on-board.
That’s a total of 1254 unique individuals who have served on-board the AFM over the past 10 months!

And, the incredible thing?  Our God knows every single name...He knows every single heart...He called each one to come here and He accomplished His purposes through them.  He had work for each to do while the Africa Mercy was in Conakry, Guinea.  Each one played a part in God's work of bringing hope and healing through this vessel. 

Because these 1254 individuals were obedient,  God has accomplished much...
 
 
Other Incredible Numbers:
13,483 - Eye Evaluations & Treatments
45,168 - Dental Procedures
10,537 - People ministered to through Mercy Ministries
     192 - Bibles distributed
  3,835 - Individual Counseling session with a Hospital Chaplain

And, the incredible thing? Our God knows the name of every single patient (and He even knows how to pronounce it correctly!)...He knows every single heart...He sees every man, woman and child that was blessed by the presence of the Africa Mercy in Conakry.  Each one played a part in God's work by receiving the hope and healing He offered through this vessel.
 

To God be the Glory, GREAT things HE has done in Guinea...

Was it really just a year ago today . . .

that this handsome young man
and I traveled by ourselves to
Belgium, Togo, the Canary Islands, Spain and England
to serve aboard the good ship Mercy?
Oh, how it strengthened our relationship!
The stories he remembers and shares -
we're still having sock fights! -
it has been a delight!
What a joy that our Loving Father
gave us such a wonderful opportunity!

Tuesday, May 28, 2013

Giving . . .

You’d better find a translator quick – because Hasanatu has a lot to say.

Known affectionately by crew as Mama H, Hasanatu had surgery in January to remove a massive facial tumor. Pull up a chair, and she will tell you all about her favorite food (rice), her four children (boys), her disdain for air conditioning (she’s freezing), her journey here by taxi (prolonged), and her village in Guinea’s interior (it’s that way [points]).

But first, Mama H will tell you that it’s not just the hospital that makes surgery possible – it is the attitude of giving in the heart of each volunteer. Time, money, energy – whatever crewmembers can give, they will give. Because Mama H knows something that most people do not:  the crew of the Africa Mercy serves as the hospital’s blood bank.

Blood banking is an intrinsic part of every hospital system in the developed world – one that requires laboratory equipment, space and highly specialized technicians. On the world’s largest non-governmental hospital ship, there are still limited resources to store blood. But what the Africa Mercy hospital lacks in storage capacity, it makes up for in its steady supply of willing volunteers. Without our crew donors, surgeries like Mama H’s would not be possible.

“When you need clotting factors and platelets, you need the blood to come straight out of one person and right into the next,” Dr. Gary Parker, the Africa Mercy’s Chief Medical Officer, says. “The outcomes of many of our surgeries are possible because the crew is willing to share their blood with our patients.”

Due to the location of Hasanatu’s tumor on her head and neck, excessive blood loss during her surgery was inevitable. Before her operation, a message went out to volunteers with her blood type: “We need you.” Soon, nine Mercy Ships crewmembers had donated blood to ensure that doctors would be able to replenish whatever Mama H might need.

“I remember how excited she was about getting her surgery,” Mar Morales, a blood donor, says. “It is wonderful to be able to say that I contributed to her recovery!”

On the evening after her surgery, Mama H woke up in a hospital bed, finally free of the tumor she had carried for a decade. Emily Seamon – an ICU nurse and blood donor for Mama H – handed her a mirror.
“It was a unique experience, to be a caregiver in this way,” Emily says. “As a nurse, I understood the need for the blood donation and how important it was for Hasanatu … it was wonderful to care for my patient and to be a part of the picture from beginning to end, to see it come full circle.”

When Mama H saw her reflection, she smiled. For the first (and probably last) time in her life, she was unable to find words to say. It was a few days before she was back to her chatty ways. But, when she felt like herself again, she said to tell her blood donors “djarama” – thank you. In return, she would like to teach them Pular, her native language. That way, her stories won’t depend on a translator anymore.

“It’s amazing – so many patients over the years … they’re alive today because the crew of the ship shared their blood,” Dr. Gary says. “I can’t even start counting them now, but there are many, many, people we never would have started surgery on … so I’m grateful for everyone who’s given and who will continue to give in the future.”

Pull up a chair, and there isn’t a Mercy Ships patient who won’t steal your heart. Time, money, energy, blood – being a crewmember on the Africa Mercy means giving it all you’ve got . . . and loving every minute!


Hasanatu’s Blood Donors:
Amber Batson (Ward Nurse, New Zealand)
Esther Blaum (Patient Flow Manager, Germany)
Laura Coles (Ward Nurse, USA)
Mar Morales (Receptionist, Mexico)
Nicole Pugh (Human Resources Facilitator, USA)
Emily Seamon (ICU Nurse, USA)
Kevin Trapnell (Crew Physician, USA)
Lianne van den Dorpel (Galley, The Netherlands)
Josh Young (Sales Manager, USA)

Story by Catherine Clarke Murphy
Edited by Nancy Predaina
Photos by Debra Bell (and interior screening photo by Chris McCaffrey)




Little Jaka


 Today, 9-year-old Jaka is a patient on the Africa Mercy hospital ship, recovering from a free plastic surgery that released her arm and grafted skin. Deep burn marks cover her entire upper body – her head, neck, shoulders, back and arms – but no one notices because they are entranced by the little girl’s adorable gap-toothed smile.
Jaka, nine, fell into her aunt’s cooking fire when she was five years old.  In order to be seen by doctors, the hospital required a payment of 1.5 million Guinea Francs at the gate – just over $200. The family could not afford admission. When her wounds healed, her skin contracted, and her upper arm became stuck to her side.
Dr. Guido Kohler (Germany) and OR Nurse Allison Green (Texas) operate to release Jaka’s burn contracture.
The thing Jaka is most excited about? Her ability to clap!
Jaka and her mother, Fanta, onboard the Africa Mercy hospital ship after Jaka’s surgery. Fanta attributes Jaka’s happiness to Mercy Ships. “In this hospital, I’ve seen peace and joy and love and good luck,” she says.
Jaka and Courtney, a Mercy Ships physical therapist, practice exercises in the hallways of the Africa Mercy.

Bandage changes are part of the healing process.
Jaka is a little girl with a big smile. She loved playtime each afternoon at 2:30 when she was able to go up to Deck 7 for fresh air and a ride in the red wagon.
Sweeping, washing and fighting – these are the activities Jaka says she will get to do with her restored arm. Laundry might not be appealing to many, but participating in household chores is a normalcy Jaka has never known. “I am so happy,” Jaka says. “When I go home, I will work all the time because I can.” (Fanta admits she is glad for this enthusiasm.) Free of her deformity, Jaka will also now be able to go to school for the first time.

Monday, May 27, 2013

That was then, this is now . . .






In 2011 when we had the privilege of serving with Mercy Ships in Freetown, Sierra Leone, 
there was only one place to go for a field trip - Bureh Town Beach.
That was then . . .
 
This is the same area as shown in picture four.
This is s a close up of the area shown in picture four.

This is now . . .

This definitely looks the same, but just around the corner . . .

This absolutely does not - check out all the rocks that have moved into the picture!
 We had friends travel from the ship currently docked in Conkery, Guinea
to Sierra Leone and of course, they had to go to the beach! (:


Sunday, May 26, 2013

Oh, the people you'll meet . . .

Seriously, take a crew of over 430 from over 40 different countries and you will truly meet the most fun and interesting people on a ship called Mercy.  I don't remember when we met Bowie for the first time - it's at least been since Liberia '07.  What garnered my attention that first time was his beard - full of pony tail holders - yes, scrunchies!  Bowie is from the Netherlands.  Read his latest post and get a glimpse of all the fun we will have when we will all gather together in heaven . . .

Last week of this fealdservis coming up. It's strange to belief that we have been her for ten months already.
 
It's bean a lot of work.this spring. Mainly making ducting pipes for the air condition ombord. (the old pipes is rotten away). I also done some work on the reefer compressor for the freezer's.
 
After work I normaly go of the ship meeting up with local friends that I got to know here.So it vill be hard to leav them behind. But life most go on , a new seasen is comming. We are sailing to Gran Canaria and shipyard for maintenes before sailing down to Congo Brazevil were we will continue serving the pore and neady.
 
Sorry no pictures this time =( I got robbed last Tuesday on the dock. It was poring down raining and the power was out, so no light. Two guys comming up to me ,one holding my arms the the other one went in my pocket and got my camera.They got scerd wen I was screaming for help and run away . I run after them for some time but I lost them (it's not always easy to se the African's in the night)
So there my camera went with all my latest pictures =(
 
Dear Father, 
Bless our brother Bowie
with the right camera to replace
the one he had stolen from him.
Amen.  
 
 

Thursday, May 23, 2013

International Day to End Obstetric Fistula

And you just thought it was Thursday, May 23rd!  Nope, around the world, health organizations are recognizing May 23rd as International Day to End Obstetric Fistula.  Not only is this is the 10th anniversary of the UNFPA's Campaign to End Fistula, but also Mercy Ships 10th year of involvement to reduce maternal and infant mortality through fistula surgeries and education.  To read more, go to: 

https://www.mercyships.org/mercy-ships-10-years-of-focus-on-safe-motherhood-in-africa/

and then praise God that you live in a developed country where medical care is available and where it is not common for 13-year-olds to have babies before their bodies are ready!

Never Alone . . .

Laura, one of the nurses aboard the good ship Mercy, posted this yesterday:
 
Scars and strugles on the way
But with joy our hearts can say
Yes, our hearts can say
Never once did we ever walk alone
Never once did You leave us on our own
You are faithful, God, You are faithful.

I reflected on those words yesterday as the piano music faded and our nurses and day workers began to share stories of God's goodness and faithfulness throughout the outreach here in Guinea.

"They came hidden under shawls and wraps, eyes dropped in shame.  It has been amazing to see the patients blossom into confidence..."

"There was a certain man who was very difficult when he first came.  He would not eat the food because it had been prepared by Christians.  He would not even eat food from the market if it had been brought by Christians.  But before he left he chased after me and asked for a Bible..."

"We have had some patients who were close to death, but we have not lost even one in our hospital during this outreach.  There is one who almost died who is very happy now...she calls me often and sends her greetings to all the nurses and the doctors."

We've not walked alone these last months, and our patients have not either.  Patients and papas and brothers and cousins stood eagerly Sunday to share with us what God had done for them.  The testimonies went long past the planned close of the ward service and continued - testimonies of past shame and persistent search for help, stories of hope and promise for a future.

A, B, and C ward all stand empty and well-cleaned tonight, and D ward will soon follow.  My last few nursing shifts were a week ago: a busy set of evenings my friend Hannah (and many of my co-workers here) laughingly call "typical Laura Coles shifts." No quiet evenings for me...if I'm working it's pretty much a guarantee there will be excitement of some form or other, whether it's diagnoses of contagious illness, walk-ins, babies with difficulty breathing, pager calls, sending patients off to surgery, or taking restless kids out into the hallway to race each other until night shift arrives.  I soaked it in, savoring each minute of the controlled chaos and thankful for a distraction from the quickly approaching finish line: the end of the outreach, next tomorrow.  It's a bittersweet week, but not a week of goodbyes.

I don't want to say goodbye.

I'll say "see you later" instead, in any way and every language you choose...sampai nanti, au revior, auf wiedersehen, oohwuwo, a go se yu bak.

I've said it over the last few months, to the tiny cleft-whiskered babies with their heart-shaped nasal bolsters and their parents who love them so fiercely.  I whispered it to Kadi as she slept against my heart during ward church Sunday, and when she ran down the hallway her last night here with no pants, giggling hysterically at the nurse chasing her.  I hugged my au reviors to Halima as she shuffle-danced to the beat of her own drum and blew little sideways kisses on my cheek, and to Lamin with his pirate eyepatch and taped-on gloves and too-big surgical mask when he showed up to join in our cleaning shift yesterday.  I sang oohwuwo to Fodi and Nanfadema and Bala and Mariatou with their brand-new faces, their new confidence, and changed lives that lie ahead.

As our patients leave the ship and travel back to homes and villages across West Africa, they will not travel alone.  I pray they would see God's faithfulness and provision, and sing with joy despite their scars and struggles.  I pray their neighbors and families would notice a change and begin to wonder, to ask why the outcast devil baby no longer looks like a devil, and how the curse that caused a face to melt has been reversed.  I hope they ask why there is new life, new confidence, hope and a future...that they would ask and find the answers.

As our ship leaves Guinea and I fly home, I will not be walking alone either.  Never once will I ever walk alone...God is faithful to go before me and with me, so I can lift my hands in confident surrender to sing:
Carried by Your constant grace
Held within Your perfect peace
Never once, no, I never walk alone.

Sunday, May 19, 2013

Here's one . . .

This is nurse Allison's post on ward church this morning.  It was always a privilege to attend!

This morning I attended not your typical church service. There were no pews at this church. Every bed occupied by a patient, crew members on stools between the beds, and chairs crammed across the ward to fit the remaining patients left on the wards. We squeezed as many as we could since today was the last ward church in Guinea. Just a few days ago, I carried Kadiatou, as tears streamed down her face into theatre. Today she found a comfortable spot on my friend's lap and played with us until the service started. 

The dress is always Sunday best for crew, but the patients usually wear hospital gowns. I noticed Marietou, a long-term patient, in a dress and head wrap. She greeted me with a hug and with her new smile. When she was young, her face from her nose to upper lip was destroyed by Noma. After several surgeries, Dr. Gary created her a new face with extra skin and muscle from multiple areas and even a piece of rib to make a nose. It has been amazing to see the transformation the past four months in not only Marietou’s face, but also her personality shining after being shunned for most of her life. Today’s service was special because patients were asked to give their testimonies. So Marietou’s cousin, Jeneba, spoke on her behalf to thank the crew and everyone for changing her life. For taking care of her when no one else could do anything for Marietou. 
 
Next Morali, shared his story that started in Sierra Leone during the civil war. The rebels destroyed his face with glass bottles and placed a padlock in his nose that he carried around for years. Eventually, it was removed, but it had damaged his face so much that he could not breathe without pain. Just this past week, Morali had his final surgery to place temporary tubes in his nose in hopes of breathing again. 
 
The third patient, Thierno, shared that he traveled all over West Africa to find medical help. Theirno was a famous soccer player, so he had the funds to travel and find a dentist to remove teeth that were bothering him. However, the pain and “button” in his mouth started to grow and took over his mouth that he could not even eat. He would try to drink water and most of it would come back out. At screening, he was so frail at 40 kilos (88 lbs) with a tumor that started in his mouth was then threatening his sight as it pushed up on his eye. Thierno stayed on the ward until he was strong enough to have surgery to remove the first tumor and another one just a few months ago. This past week, I brought Theirno into surgery one last time so Dr. Gary could revise his scar and extra skin that once was covering a tumor.
 
Clemetine, our ward chaplain, had asked these three patients to share, but as she tried to end the service, more patients asked to say something. In between a few praise songs, patient after patient stood up and shared their experience on the ship. That God had brought them here and they are healed. A proud papa stood up and held up his son, Lamin. We all know Lamin because he rides he tricycle up and down the hospital corridors. He does pretty well not running over toes even though we had to remove a tumor in his eye. He’s the happiest of little boys on the ward and responds to every “Amen” said aloud at church. 
 
Another papa came to the front and shared with us about his baby son, Junior. My friend Sandra brought Junior and his father to the ship last week from Sierra Leone. I met them on the dock as they arrived and cuddled Junior everyday on the ward. He’s only six months old and has a cleft lip and palate. His grandmother told the father he was a curse because he was causing his mother to be sick and should be sacrificed. Sandra was able to find an orphanage for him to stay until he had his surgery. Last Tuesday, Sandra prayed over Junior at the bench and I brought him in to the OR for Dr. Gary to repair his lip. Today, Ibrahim, Junior’s father, stood in front of us, and said with confidence, “My son is not the devil, not a demon, but a human being.” Patient after patient shared their story of being accepted for the first time, feeling loved and cared for, and even being fed, but most of all they received healing. 
 
As I was trying to listen to all the testimonies and commit them to memory, I noticed the patient in the bed next to me. Hasanatou is the feisty granny on the ward that all of us know well. Hasanatou’s family placed in her a taxi, but it took her several weeks to make the day-long journey. With the help of a stranger, she made it to the ship to have her surgery in January. We are praying to find her family to escort her home. She motioned to the nurse during the service that she was in pain. So instead of a collection plate being passed at this church service, a little medicine cup with a pill was passed to Hasanatou. 
 
The last testimony came from a brother of a patient, Ibrahima. Ibrahima was our last patient to have surgery here in Guinea. Friday night I was on-call so I came back to the OR to take care of Ibrahima. My friend gave me a report and told me it was a miracle that he survived his first surgery to remove the jaw tumor. This was his third surgery and we pray his last as he recovers on the ward. His brother told us many times the family took Ibrahima to the mosque to pray for his life to end, for the misery to end. His mother eventually sent Ibrahima with his brother to find help on the ship. Ibrahima’s brother thanked us for giving him life again. As the ward church finished with one more song, I looked around with a grateful heart at the bandages covering our patients’ wounds and prayed that one day this will be true for each one of them…
 
“And I heard a loud voice from the throne saying, 
“Look! God’s dwelling place is now among the people, and he will dwell with them. 
They will be his people, and God himself will be with them and be their God. 
‘He will wipe every tear from their eyes. 
There will be no more death’ or mourning or crying or pain, 
for the old order of things has passed away.”
 Revelation 21:3-4

Here's the other . . .

Heather, a nurse from Canada, posted this on her blog today -

On Thursday, we had our last General surgery.

On Friday we had our last general surgery rounds, and discharged all of those patients home.  (You would think that means my job is done, but it's not, I still get to play with all the other not-yet-discharged patients that remain on my ward.)

This weekend was our last weekend with the hospital open.

And this Sunday we had our last ward church.... I'm not sure if I've talked about this before.  Every Sunday, the hospital chaplains hold a small worship time with a speaker, and it's normally on A or B ward.  All of the patients are invited, though not required to go (sometimes they are kinda surrounded in their beds though, if the service is happening in their area).  This Sunday... instead of a speaker, the patients were invited to tell their stories.  It started with two, told through 3-4 translators so as many as possible could understand.  Then more and more tried to tell their stories.  It was amazing, and heart wrenching, and beautiful.  To see this joy, these transformations, that's why we're here.

Many spoke of searching for years for help.  Problems that started as children, still affecting them as adults, and no one able to help.  Being told they are cursed, being ostracized.  One man went to almost every country in West Africa, searching for someone who could help... but no one could.  Another took his son to every hospital in the Sierra Leone for a growth on his eye, but they simply said he was cursed.  The stories kept coming, and each spoke of how their prayers were answered by a ship that does free surgeries.

One man spoke of his son, born with a cleft, called a devil by his mother and grandmother.  But a doctor gave the man hope, told him it was a medical problem, and she would find a surgeon who could fix it.  And so the baby was taken to a children's home, and the father waited.  When they could come here, finally, he sees the change in his baby. The lip is whole now, and the father wants more than anything to take his son home and show them that this is a human being.

Such a little thing.  Such a simple surgery.  And yet... it moves mountains.

Not all of our surgeries are simple.  Not all have perfect outcomes.  Many that spoke have gone through multiple surgeries.  There are many that we are praying for.  We pray that we will see a final, miraculous wound healing.

It is almost time to say goodbye, and it is when we expect the miracles.  We had 24hours of prayer a week ago for the plastic surgery patients, and most wounds had a sudden decrease in size.  Pray with us as we ask God for healing.  Pray for wounds to stop leaking, for wounds to shrink and disappear.  For infections to clear up, for patients to be ready (physically and emotionally) to go home.  We have until Friday.

Thursday, May 16, 2013

From Sailing the Seas to . . .

On the good ship Mercy last summer . . .

To apple trees!

 
Okay, so it's not an apple tree . . . 


 Congratulations to Matt on his new job at

Applewood Apple Orchard!

May it be a fun time of raking, planting and picking!

Tuesday, May 14, 2013

Surving the First Day

This is the latest report from Save the Children - "'Surviving the First Day; State of the Worlds Mothers 2013".  I read it on my friend Tommy Farrell's blog.  Tommy and his family were our next door neighbors on the good ship Mercy in Sierra Leone.  They're currently missionaries in Ethiopia. 

 

The most dangerous day of a child’s life is the day it enters the world—irrespective of where it is born. More than a million children a year die on the first day of life, 15% of all under-five deaths, according to a report by Save the Children, a charity. But by far the riskiest place to be born is sub-Saharan Africa. The region accounts for 12% of the world’s population, but 38% of first-day deaths.

A big reason for this is that many African babies are born too early—in Malawi nearly a fifth of babies are born prematurely, the highest rate in the world. Many more are born too light. In Mauritania and Niger around a third of babies are born underweight.  Poor maternal health and serious undernutrition are big reasons for this. The prevalence of underweight mothers in Ethiopia, Madagascar and Eritrea is particularly high.

To make matters worse, African women often marry and have children at a young age, when their bodies may be too underdeveloped for child birth. About half of all young women in Chad and Niger were mothers by the age of 18.

The report highlights the correlation between low use of contraception, high fertility and poor newborn outcomes. Across sub-Saharan Africa the proportion of women who use modern contraception is less than 16%. In Somalia and Chad it is only 1% and 2% respectively. Women, on average, have five children each.  Health care is woefully inadequate, largely because of a severe shortage of health workers. The region has 11 doctors, nurses and midwives per 10,000 people—less than half the 23 considered necessary to deliver essential care. In Guinea, Niger, Sierra Leone and Somalia, there are fewer than two health workers for every 10,000 people. In Ethiopia up to 90% of women give birth at home with no skilled care. And even in Nigeria, which could soon overtake South Africa as the region’s biggest economy, nearly one woman in five has nobody—not even a family member or friend—to help during childbirth.

The report’s Complete Mothers’ Index ranks 176 countries on five indicators: risk of dying during pregnancy or childbirth, under-5 mortality rate, education, income and female political representation. The ten worst-performing countries are all in sub-Saharan Africa; Congo comes bottom.

Praise God He is sending the Africa Mercy to the Congo in August.  

Friday, May 10, 2013

Happy Birthday, Sam!

Today just happens to be my sweet hubba's birthday and in honor of the occasion,  Micah baked the perfect cake for a man who loves to fish!  Enjoy the pics!

  
The happy baker!

Fantastic fish eyes!

Happy B'Day Daddy!

Add caption

 

Friday, May 3, 2013

On Ward D . . .

My Australian friend, Deb Louden, a nurse on the good ship Mercy, just posted the following on her blog.  It's a story of two different patients and their progress - definitely worth the read!

Whether I want to believe it or not, this 2012-13 Guinea field service is quickly coming to an end. We only have two more weeks of surgeries and then one week of the hospital open, before everything in sight is packed up, pulled off the walls, bleached and put away for the sail.
Just the thought of doing those things gives me an indescribable feeling of sadness.
Every bed in the hospital that is packed down, means goodbye to every patient. On D ward for the last few months we have had some of the same patients stay with us while they wait for their healing. It is so lovely to walk into the ward each day and be greeted by the same faces, to see improvement each day and to smile and rejoice with every step nearer to recovery. Of course there have also been plenty of bad days, days that we have cried out to God for help, because this is so out of our hands. Nothing I can do, even with medicine, can help someone sometimes.
This hospital only works because God is with us, going before us and behind us. He brings the patients to us, walks with them while they are here and then as we discharge them back to their homes, where we most often cannot follow, we only have God to go with them.
Let's have a look at some of the journey’s of my patients this year:
This man we looked after from the beginning of the field service, back in September.  He came in to the hospital for another procedure a few weeks ago.
I saw the back of a man as I walked up the gangway and my first thought was, That looks like Theirno! But he's solid and not skinny. When I reached him, I was right! It was this amazing man! And he was solid and looking so healthy and happy.
The following day as I walked into my evening shift, instead of being in surgery like he should have been, he was patiently waiting in his bed. My eyes caught my team leaders and I asked her without words, What's going on? Her eyes welled with tears. Oh no... my heart began to sink. It turned out we needed further scans to see clearer what they thought was the tumour growing back. Unfortunately, the scans were right. Our surgeon who has worked on board for 26 years has never seen a benign tumour grow back so fast.
He was taken to surgery two days later, covered in prayer, for the tumour that had grown back, to be removed in its entirity.
 I was really surprised about his tumour growing back, but the thing is, we can never guarantee anyone's sickness won't come back and even if we save their life with a surgery, we can't ensure they're not hurt on the roads or by a different disease. But we can offer them a hope and a sure future with God as their saviour.
This amazing man was with us in D ward for such a long period of time, he saw us as we worked, not just with him, but with each other and cared for our other patients.
During this admission, one evening, as I was standing next to another dear patient in bed 1, he walked over to join the conversation. Now this beloved woman in bed 1 had also been with us for months and was having a bad day. These two patients had both, at separate times, had similar struggles. Both had had a tracheostomy, therefore they'd had their voices taken away at the hardest times. Both had struggled to put weight on to get healthy. Both weren't able to eat for months and were fed through a tube. Both had had bad days where they couldn't bear the future. But one, this man, had survived and grown stronger, not only physically, but mentally, emotionally and hopefully spiritually too.
As we stood by her bed, this man, a translator and this patient's sister, we talked about the road ahead. I knew it was hard for this woman, but I tried to encourage her that this man had been through things just as hard. Then this man spoke up, he said to her, "Take courage! They fought for my life." After the translation registered in my brain, my pulse quickened. I had written in one of my blog posts back in October '12, "...as long as this road is, HE IS WORTH IT!  His life is worth fighting for! " But to hear those words out of his own mouth! He knew it! He knew his life was worth fighting for, HER life was worth fighting for.
Since then she has made a lot of progress! Look at her beautiful face now.
Just in case you don't remember her, this is how she looked before we began surgery in February.
 She still has another surgery planned for cartilage to be put in her nose to give it some height. It will also take some time for the scars to relax and movement to come to make facial expressions. But when I see her face, I just think about the amazing journey that she's been on here with us and I feel so privileged to have been a part of it!
 

Wednesday, May 1, 2013

The Faces of Noma

Anna Blauw posted this most beautiful blog about "The Faces of Noma".  Enjoy!

On D Ward we have a variety of patients ranging from large facial and neck tumor removal, cleft palates and lips, goiter surgery, facial reconstruction, etc. However few patients have captured my heart like each one of our Noma patients. Maybe its just because the Noma patients are generally on the ward the longest, but I think that is because of their character and disposition. Each one of the Noma patients has come from a different background, but all have been severely disfigured at an early age.  Even though they have had to persevere through taunting and abandonment, through shame and hurt, they have all come through the storm with joy and kindness. I have learned so much from my noma patients, and I have grown to love them!
 
For those of you who are tuning into my blog now, Noma is a disease that causes a gangrenous infection of the oral and nasal cavities. It eats away the tissue of the face, nose, and mouth leaving survivors permenatnly and severely disfigured. They come to Mercy Ships to reconstructive surgery and skin grafts. Repairing Noma usually requires multiple surgeries. It can be very difficult for the patients because they usually end up looking and feeling worse before they ultimately get better. Each stage of surgery can require up to 3 or 4 weeks of healing before the next surgery can be performed. It requires a lot of patience and perseverance.
  
Delamou “The Ladies Man”
 
Delamou is a 6 year old boy that came to us from the forest region of Guinea. When he first arrived at the ship he was extremely sick. He had malaria and other infections related to Noma.  He was in such poor health that we were not sure if he would be able to have surgery on the ship. He was admitted for a few days and then sent to the Hope Center in order to recover and receive proper nutrition in hopes that he would recover sufficiently to proceed with surgery.
   Delamou made a fantastic recovery and had 3 subsequent surgeries. He has to wait to have the final steps of noma repair until he is in his teens and has stopped growing. Mercy Ships will keep track of him and arrange for him to come back to the Ship when it is back in Guinea or a neighboring country.
   Delamou quickly became a ward favorite! Not only was he adorable, but he went from being a reserved, shy child to a wild ladies man. He is best known for his practical jokes, incredibly dance moves, and voracious appetite. He really is a charmer! He has a reputation for winning the hearts of female nurses everywhere, only to break them again! One day he will be so adorable, loving and cuddly and the next he will be fickle hearted, giving his love arbitrarily to another nurse! I see a heartbreaker in the making.

Fodi “The Life Long Learner”
Fodi is another patient who has completely stolen my heart! Fodi has been on the ward for a few months, patiently awaiting each surgery.  However, he has not let any of his time go to waste! Fodi is in his mid fifties, but because of his disfigurement as a child he was never sent to school. When he came to the ship he could not read or write. It is obvious however, that even in middle age Fodi has a thirst for knowledge. He has used his time convalescing wisely and has learned all of his letters and numbers. He spends hours each day perfectly copying words to practice his writing.  He can now read basic street signs and the names of cities in Guinea. He is learning more everyday.
    Not only is Fodi determined to make the most of his time in the hospital, but he is also incredibly kind! He is known to many of the other patients and day workers as Koto Fodi, “Uncle Fodi.” Fodi will reassure those who are nervous about their surgery, lend his flip flops to other patients to take a walk, hold crying babies, and make sure the other patients are doing their therapy exercises.
   What I love about Fodi so much is that he is not letting life go to waste. He is living each day to the fullest even from a hospital bed! His capacity for learning, his caring heart, and sense of humor make D ward a better place!
Bala “The Punk”
Bala is 19 years old. He’s a typical 19 year old, aka a punk. He is surly and resistant, but hilarious at the same time. I just can’t resist telling Bala that he is such a baller and thus singing him the many rap songs involving the word. When I explained to him that “baller” is lingo for someone who is generally known to be a totally awesome  bad-ass in the States, he conceded that he in fact was a Baller and that his name was fitting.
Bala and Fodi do their stick exercises with the help of Trudi and Brian
                                       Mariatou “The Perseverant Queen of Silent Humor ”
Mariatou has had another surgery to open up her mouth since this photo was taken
but I don't have a more recent picture. She will have one more surgery this friday to
graft a piece of bone into her new nose 
I have already prominently featured Mariatou in previous blog posts, so I’ll spare you the long story! Mariatou has been on the ward for almost as long as I have, about 3 and a half months. Through 5 surgeries, pain, vomiting, weight loss, a trach, and other complications, this special lady has never given up. Not only has her perseverance been an amazing inspiration, but her humor has been a blessing to us all. Unable to speak for most of her stay on the ship, Mariatou has become the queen of non-verbal jokes. A few weeks ago she put on a nursing scrub top, filled her pockets with tube feeds, syringes, and other necessities and pretended to walk out of the ward with her feeding pump and IV pole. She has also been caught wearing a crown on various occasions, dancing, “weightlifting” using IV fluids, and giving her cousin Djeneba a hard time.  Now that she can speak again it has opened up a whole new world and it has been such an amazing thing to see her personality blossom!

Kadiatou “The Cuddling Kleptomaniac”


Kadiatou had her first stage of surgery almost two years ago in Sierra Leone. Noma had completely eaten away Kadiatou’s nose, leaving her with no nose and no palate.  She came back to the ship this spring to have further surgeries.  Like Delamou, Kadiatou should not have her next stages of surgery until she is finished growing. However, her father said that he would not send her to school or let her be seen in public until she “had her face fixed.” In this culture, education makes or breaks your fate, especially for young girls. Doctors aboard Mercy Ships decided to continue surgery, and give her a slightly bigger nose than usual in hopes that she will grow into it with time. Kadi is an adorable and cuddly child, who can be likened to a clinging koala bear. She loves balloons, stickers, and bubbles, and has an infection little squeaky laugh.  However, she also has a talent for mischievously stealing things from nurses’ pockets.  Can’t find your pen? Somehow Kadiatou stole it from your pocket and is coloring with it in her bed. Is your ID badge missing? Kadiatou is most likely wearing it. Many missing things have been discovered underneath Kadi’s pillow. She is a tiny yet stealthy criminal.
Kadi the Koala

Nonfadima “The Giggler”
Nonfadima and translator Augustin
Nonfadima is another young girl who suffered from Noma in early childhood. Her Noma affected the entire left side of her face all the way up to her eye. She had no vision from her left eye because of extensive damage and scar tissue. Even so, Nonfadima’s laughter can be heard almost constantly through out the ward. She is so loving and trusting. She rarely has visitors come to the ship, but she never loses heart. When you greet her she is full of smiles and giggles. She laughs at the nurses silly sense of humor and is always game for fun. The only time I’ve ever seen her upset is when she didn’t know how to turn the sink off in the bathroom and accidently flooded 2 of the isolation rooms!
Each of these Noma patients has beet the odds already! 90% of children affected by Noma die. The same perseverance that allowed them to survive the illness is so evident in each of their unique personalities.  I am so thankful to have had the privilege to care for and get to know each one of these special patients! They have taught me so much about living and loving with abandon and humor. They have given me more than I could have ever hoped to give to them.