Thursday, February 26, 2015

Updates from the ship . . .

Today's post is reblogged from Jaclyn Vlievernicht's blog, "my life as a nurse on the Africa Mercy" because I enjoyed a quick visit with the patients and I hope you will, too!

Recently I have had the privilege of taking care of some awesome patients.

Billy is a sweet 12-year-old boy who had his cleft palate repaired.  He was pretty somber the first few days after surgery, having issues with some pain and nausea, but he has now just come to life.  I walked into the Ward yesterday for my shift and Billy ran over and gave me a fist pound, “doona”, with a huge smile on his face.  We kicked a small ball around in the hallway and played some Dominoes, after he did his cleft palate exercises of course!  These consist of saying sounds, moving the tongue repetitively to gain strength, and breathing through the mouth instead of through the nose.  Billy’s dad has also been great to hang out with.  He is so grateful for the care we are giving Billy, even making a sign above Billy’s bed that says:  “Greeting with peace.  We all thank God and the Mercy Ships crew as well.  God Bless you all.  Amen.”  He knows some English and is teaching me some Malagasy words.  We were playing Dominoes and I was counting up our points in Malagasy… but the numbers just won’t stick!  I guess I should put in some study time…..

Another patient I have enjoyed is Hery.  I have talked about Hery before.  He had noma as a child and had three surgeries with us to repair his nose and eye.
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His last surgery was last week Thursday, and he is being discharged to the Hope Center today!  He was excited to get to see his friends, Mamisy, Fernan, and Fali (who have all been discharged there), but sadly I had to tell him that Mamisy went home!  A couple days travel away… I wish Hery would have been able to tell him goodbye, because sadly these guys will probably never see each other again.  :(  It is great to see patients be discharged to the Hope Center or to home, but it is also sad after seeing the relationships that are formed between the patients and families from different provinces, speaking different dialects of Malagasy and having different customs.  Hery and I have enjoyed a few games of Jenga recently.  He put some stickers I got in a package from home on his forehead yesterday (crazy Hery, as always).  He was taught to do his own wound care and eye drops yesterday.  He is ready to go!  It has been so cool to see his transformation…
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Heather, Hery, and his bling.
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me and Hery yesterday.
Sambany is still doing great!  He is working on his physical therapy exercises and can hold his head straight quite well.  Wounds are healing.  Skin is tightening up.  And he is well on his way to discharge soon.  His 18-year-old grandson is learning to read and write from an outpatient nurse who volunteers her time after her shift is over.  Yesterday he was laughing at me as I read phrases he had written in Malagasy, such as “Get out of here!”  What a blessing to be able to care for Sambany and see his grandson flourish, too.
Photo Credit Katie Keegan
me and Sambany–post 7.4 kg tumor removal!
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Sambany’s grandson, Flavy.
These stories are ones that I love to report!  But sadly, we can’t always provide the healing we desire to.

Yesterday evening I admitted a young 14-year-old girl, Elizette, for her surgery today.  Elizette, although quiet, seems to be a very proud and brave young girl.  She does not attempt to hide her facial tumor at all, as others do.  She barely flinched as I put her IV in (18 gauge, nonetheless).  She sat still as the doctors probed her face and mouth to determine tumor borders.  She listened intently as I did her preoperative teaching.  Her father is a kind and very thankful man.  He said “misaotra betsaka” to me so many times last evening as I cared for her and him.  Elizette had been screened in the past by nurses and a surgeon and had CT scans done, but after further review by a couple surgeons and anesthesiologists yesterday it was decided that surgery was too risky.  Elizette has a tumor with a seven year history.  The tumor appears to be underneath her chin and jaw mainly, but on CT examination it extends into her neck and even her chest wall.  The tumor is very vascular and full of lymphatic drainage.
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Beautiful Elizette.
Elizette is being told this morning that we are unable to operate on her due to the extensiveness of the tumor.  What sad news to deliver to this young girl, so full of hope and promise.  Depending on how quickly the tumor grows, Elizette will more than likely die from suffocation.  I have been grieving over this young girl and her hopeful father last evening and today, but this morning I was reminded that God is faithful.  Even though I don’t understand why this young girl will not be relieved of her suffering in this world, I know that God is faithful even through hardship.  Psalm 86:15 says, “But you, O Lord, are a God merciful and gracious, slow to anger and abounding in steadfast love and faithfulness.”

Please pray that the love and kindness we are able to give Elizette and her father in the short time they are with us on the ship will be a reassurance of God’s everlasting love for them.

Who shall separate us from the love of Christ?  
Shall tribulation, or distress, or persecution, or famine, or nakedness, or danger, or sword?  
No, in all these things we are more than conquerors through him who loved us.”  
– Romans 8:35,37

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