Thursday, October 29, 2015

Chocolate is . . . Day Three

"I was made for more!"  How that resonates in my heart!  I was made for more than m&m's and chocolate chip cookies.  My heavenly Father loves me and He made me for more than over-eating and indulging.  And it's by His strength I can make wise and healthy choices for "I AM made for more!"  To God be the glory!

Wednesday, October 28, 2015

Chocolate is . . .Day 2

What resounded with me today was this quote, "I steadfastly refused to even consider giving up my daily brownie."  Because you see, I have been steadfastly refusing to even consider giving up my daily dose of m&m's.  But I am working to change my mindset - to understanding that knowing God better is worth all the effort and sacrifice that a healthy eating journey requires

Tuesday, October 27, 2015

Chocolate is . . .

Reading Day 1 of my "Made to Crave 21 Day Challenge" today, I was challenged by the fact that I turn to chocolate when I'm happy and when I'm sad, to celebrate and to commiserate.  Chocolate had become my comfort and my deliverer.  It's time in my life to turn to God and away from chocolate.    

The Results are In . . .

. . . from my MRI and I must say, I am quite happy with them!  First of all, my meniscus is just fine.  I won't be having surgery on it any time in the near future!  Unfortunately, there is still pain in the knee, the cause of which is arthritis.  I found it amazing how obvious the arthritis was on my MRI.  Even my uneducated eye could spot it!  So I'm off to physical therapy to learn stretching and strengthening exercises to help me cope with and overcome the pain.  Someday, we may be talking knee replacement . . . hopefully twenty years down the road!

Amazing Facebook

Another amazing story from the good ship Mercy in Madagascar reblogged from "Through My Porthole" . . . 

Just a couple of years ago, Ebenezar from The Congo was the first patient we knew of that found Mercy Ships – and a way for his huge facial tumour to be removed for free – via the internet. Last field service, Cindy and about 20% of our Malagasy patients found us – and their healing – through Facebook! I find that leap totally mind-blowing.
Feno found healing for her daughter on Facebook! (Pic: Katie Keegan)
Feno found healing for her daughter on Facebook! (Pic: Katie Keegan)
Feno told me she had been really worried about Cindy. When her daughter was just a year old she had pulling a kettle of boiling water onto her leg and the third-degree burns caused terrible, painful scarring as they healed. When Cindy eventually learned to walk, it was more of a hobble as the scar contractures prevented her right big toe from functioning (A big toe is one of those body parts we seem to ignore until it doesn’t work!).

Feno heard that Mercy Ships (MS) had come to Madgascar and was offering surgeries that could heal Cindy, but she really didn’t know if she could believe it. A free operation seemed to good to be true, so she decided to dig a little. Feno figured she could get the inside scoop on anything via Facebook. So she found the MS Madagascar page and started scrolling. She looked at the ‘before and after’ photos and a video of a little girl whose bent legs were healed. Then she read the comments other Malagasy were making about their treatment and experiences. She was convinced; she could now trust us to treat her daughter’s burns. Because Facebook messaging is a free service, she was able to contact Mercy Ships and arrange for Cindy to be screened by the medical team. The surgery was successful, and the vivacious, restored Cindy has been unleashed upon the world!

Monday, October 26, 2015

Chocolate is My Comforter and My Deliverer . . .

This summer, one of my co-workers at the Y shared her copy of the book, Made to Crave, by Lysa TerKeurst, with me.  For someone who has known since Matt was in second grade that her eating is out of control, specifically when it comes to chocolate, this book was made for me.  With it comes a 21-day challenge which I'm going to take - for the second time! - over the next 21 days!  Join me on my journey as I share from my heart what Lysa has shared from hers and the impact it has had on me.

And if you'd like to borrow a copy of the book, I've got one right here . . .  

Workin' Dog!

I don't know about your dog, but our dog is a "workin' dog".  If we're outside, working - she is, too!  

She may vary from some of our chores - choosing chasing squirrels over picking up sticks or digging holes rather than raking, but Micah did catch her doing one of her favorite chores this weekend!

Annie's up on the roof - cleaning leaves out of the gutters!  What a good girl!
 

The MRI . . .

Friday afternoon I had an MRI on my left knee at Twin Cities Orthopedic.  The radiologist brought me back to the room and said, "You can put your shoes and coat and other stuff in this closet and you can throw your sweatshirt in the trash".  What!?! Turns out she was a Lakeville South mom and I was wearing (the winning) Lakeville North sweatshirt!

Sunday, October 18, 2015

Changing the Future . . .

Here's a lovely post reblogged from "through my porthole" . . .

Serah was a longed-for daughter, but her grandmother burst into heart-broken tears at her birth. Counting her ten little toes should have been a delight, but a birth abnormality that twisted Serah’s feet at right-angles stole their joy. In their experience this was a life sentence – a child born with club feet grew into an adult with club feet. It took Serah’s mother Sandrine three days to gather the courage to look at her beautiful daughter’s feet. Her father agonised over his newborn’s limited options for the future.
Little Serah's future seemed very bleak indeed (Pic: Katie Keegan)
Serah’s future seemed very bleak  (Pic: Katie Keegan)
Thankfully, a Malagasy midwife was able to convince them help was on it’s way. She knew Mercy Ships is able to correct this condition, and that the hospital ship was returning to Madagascar for a second field service. When they received Serah’s appointment, Sandrine was overwhelmed with relief. She grasped her baby and danced around her garden!

When I met Serah and Sandrine yesterday, they were still full of smiles. For about 6 weeks now Serah has been receiving free Ponseti treatment to correct the position of her feet. It is a most incredible process that permanently changes the angle of the baby’s foot through a series of leg casts, which are left on for a week each. A nick to the Achilles tendon, a finial 3-week cast (and night braces for a few years afterwards) produce a virtually painless and 98% effective, life-long result for the babies. Before they even learn to walk, their feet are straight and strong.

Serah will never remember the disability she was born with, but her parents will never forget what her future could have been.

P.S. The Ponseti method, which Mercy Ships is teaching to local physical therapists, can only be performed on children under 3 years. Older children are treated with orthopaedic surgery and casting to correct their condition.

Orthopedic Program

God laughs . . .

Knowing that we would be traveling a lot yesterday, we decided to go to Friday night church services at Evergreen and sleep in today.  Evergreen has purchased the old Trinity building - we are members of Trinity, but have only attended services at the new building.  Why is this so funny?  Well, we walked into church Friday night and Dave Durry was Evergreen's worship pastor.  Who's Trinity's?  David Durey!

Wednesday, October 14, 2015

The Silent Tribe

My problems seem oh, so small as I read nurse Amy Jones' post in her blog, "Throughaporthole".  Give God the glory!

There are 2 million of them and their tribe is growing every day. Each year there are 500,000 new cases globally. The total annual surgery cases completed is not even 1% of that figure. Scary. These figures come from the WHO, who we generally trust as health care professionals. However, they think that they are underestimating the problem. Other studies suggested these figures are grossly over estimated. The truth is, it would be easier to find every MI5 agent in the country and invite them to your Mum’s for afternoon tea within 24 hrs than it would ever be to ever quantify the silent tribe. No one really knows their number or location.

The tribe is only made up of women, some 12 years old with their life ahead of them; some are 89, blind and have recently had a stroke. They are from 44 different countries and they don’t know anyone else in their tribe. They are loners. Each of them pushed out from their society, abandoned by their community, and forgotten.

They are bound together by the same debilitating, degrading and disgusting condition. Why? Because they became pregnant. They conceived a child far away from medical care, they struggled in labour, and when then finally decided to go to the nearest hospital, it was too late. For some, hospital means a 2 day drive; for others it’s 4 days. Being in Labour for 4 days in many cases means death for both the mother and child. It almost always means death for the child.

For those who don’t reach the hospital their baby dies inside and will eventually come out some days later. For those who reach hospital they will have a cesarean section if they saved enough money for the sutures, otherwise they will have spent all their money on transportation for nothing and their fate will be the same as those who stayed at home. For all three, the women who stayed home, the one who made it to the hospital but could not afford a cesarean and for the one who had the cesarean there outcome looks much the same. A dead baby and a broken uterus. The women in the village may get an infection and die but then that could happen in the hospital too.

Each of the women will have holes. The pressure of the babies head on their tissue will have created an area that had no blood flow for sometime and therefore necrosed and dropped away leaving an opening. Sometimes between the vagina and the bladder; sometimes between the rectum and the vagina; sometimes it’s a small area; sometimes its large. Regardless of the size of this new hole, it’s effects are similarly terrifying. The woman finds that as she tries to recover from losing her baby and being in labour for days, that she is also incontinent. The new hole means that urine and the occasional faeces now comes from the vagina which doesn’t have the muscular ability that the urethra or the rectum has and the bodily fluids run out like a continual stream with no ability to be stopped.
No baby, soon no family, no friends, no job, no house, no identity. Before they know it they are in the tribe. Alone. Silent.

We call it Obstetric Fistula. When the women are told by our screening team that there is something that can be done they are shocked. When they come to the ship they are embarrassed, alone and silent. When they leave they are chatty, smiley and have another chance at life. Most obstetric fistulas can be fixed quite easily with a 30 minute surgery and only cost around $200-$400. The Africa Mercy has already been operating on these women and healing is slowly happening. We have established an Obstetric Fistula clinic, now in full swing, full of patients. The clinic will stay open and functional here in Toamasina when this ship is long gone. Freedom From Fistula will take over when we leave and the healing can continue.

Photo Credit Justine Forrest, MGB16359 Ninina ready for her VVF Dress Ceremony
Photo Credit Justine Forrest, MGB16359 Ninina ready for her VVF Dress Ceremony

Photo Credit Katie Keegan - OBF Dress Ceremony Portraits
Photo Credit Katie Keegan – OBF Dress Ceremony Portraits

Photo Credit Katie Keegan - OBF Dress Ceremony Portraits
Photo Credit Katie Keegan – OBF Dress Ceremony Portraits

Today I met the 16 nurses who I will be training to take over this clinic, to fill it with life and experience and excellent skills, step by step. They are Malagasy; this is their country and they have just embarked on something quite spectacular. They will offer hope daily that doesn’t depend on a ship. As they heard the rules, the vision and the sacrifice they each signed on the line that says “I do” and now we officially have 16 Malagasy Obstetric Fistula nurses-in-training.

This excites me. Yesterday was a different story as I sat and held the hand of a 17 year old girl as she wept out her pain and sweated out an infection in the local hospital. She is 11 months pregnant. That sounds funny, doesn’t it? 11. It took her a month to decide to go to the local hospital 4 days away. Her baby was already falling out in bits but she began to get sick, an infection was brewing. Now she lays there no crying baby, her husband has left and until yesterday she didn’t know that anything could be done about her new problem of leaking urine all the time. Now she knows. I just hope she lives to see it.

Tomorrow has a lot of potential. A stones throw away from this woman lies a clinic and Malagasy nurses that will soon be experts in all of this and their treatment free and long lasting.
Hope is here.

Not for the faint of heart . . .

Speaking of hearts, look what I found on Aussie Nurse Deb Louden's blog, "Deb's Heart in Africa" as she serves on the Africa Mercy in Madagascar.  All I can think is, "You go my friend!" or maybe "Good job, mate!"

At work in the ward one night shift, it was just past midnight when my co-worker’s patient started screaming her lungs out. It was a 5 year old girl, who’d had a cyst removed from her tongue only a few hours prior. She was writhing in her bed, screaming in the darkness. Her grandma and the Malagasy day crew working with us were both holding her down in the bed. Her nurse went over to her bed in the darkness, behind the blue curtain that shielded the light from the patients. Her nurse had a tiny baby already in her arms, as she was just about to feed her. I went behind the curtain also to see what was going on. At seeing her patient’s distress and not knowing what was causing it, the nurse turned to me and passed me the baby. I looked around for somewhere to put this tiny baby girl. There were no other day crew present as they were eating their midnight dinner, so I hurried back to the baby’s bed where her mama was. I tapped the mama on the shoulder, “Azafady mama” (excuse me) and I dumped the baby into her arms and hurried away.
The screaming and writhing of this 5yo continued and we shone a flashlight into her mouth to see if we could find the problem. There was something in there. Was it a nasogastric tube? I thought, no, she doesn’t have one. OH MY GOSH, it’s a worm! I could see the worm moving around in her mouth as we shone the light inside.
 
I left the drama at the bedside and went and put gloves on, wondering how on earth I was going to get the worm out without breaking it into pieces since it was so soft and instruments to reach it would be hard and sharp. I called another ward for a third nurse to come for back-up as this little girl was just beside herself, terrified.
 
I asked God for help as I walked back to the bedside where the nurse, day crew and grandma were struggling to keep the girl in her bed as she fought them, gagging, coughing, screaming, saliva flinging in every direction. When we turned the flashlight back on and shone it in her mouth, the worm had moved from inside her mouth up the back of her throat and was in her nose. In fact, the worm was looped in and out her nose, partly down her throat but part of the body hung outside the nose and so I scooped my gloved hand in and with a swift move, pulled the whole worm out of her nose. I held it gently with my thumb and index finger as we told our little girl, “vita, vita vita” (it’s finished, it’s finished, it’s finished). She eventually calmed down and the wild, terrified look in her eyes calmed and she fell asleep again. The worm died immediately and we left it in a kidney basin for the doctors to view in the morning.

Monday, October 12, 2015

I have to keep telling myself . . .

I don't have a brain tumor like my friend Jana.  I don't have breast cancer like my friend Rosemary.  I don't have kidney cancer like my friend Logan.  I have a concussion, a traumatic brain injury.  I should heal . . . someday.  

It's just that waiting for "someday" became especially hard today when the second neuropychologist said to me, "I can't do anything for you. I don't know how to help you. I can send you to a different Traumatic Brain Injury Clinic."

So I wait and I stutter and I fight headaches and I'm light sensitive and I have to remember in Whom my hope is placed. I have to believe that He has a plan and a purpose for all of this.  And in His time . . . He is the Great Physician.  He will heal.

Saturday, October 10, 2015

Fenosoa

A beautiful story reblogged from "Through a Porthole".  Enjoy!

Over several weeks I spent a bunch of time hanging out with Fenosoa and his grandfather Denis. Their very special relationship under-girds an epic journey to seek help for the five-year old’s worsening medical condition.

Although Fenosoa’s family live in the same village, he shares a hut with his grandfather “because he loves me,” explains Papa Denis with his two-tooth grin. It was Papa Denis who heard the radio broadcast about Mercy Ships coming to Madagascar to provide specific free surgeries. They were elated. Fenosoa had been born with a cyst on the side of his abdomen. It grew along with the boy and sometimes made him loose his balance. The cyst resembled an old-fashioned water canteen tucked beneath his skin.
Papa Denis and Fenosoa have a really special connection (Pic Ruben Plomp)
                                 Papa Denis and Fenosoa have a unique connection (Pic: Ruben Plomp)
So, 86 year-old Papa Denis and his beloved grandson began their intrepid expedition to seek help. Together with a friend to carry their supplies, they walked for five days through bush-lands to reach the nearest public transport. Over three more days, mini buses brought them progressively closer to their destination; the Mercy Ship and the surgery the little boy desperately needed.

Fenosoa is the youngest person from his isolated village to journey to the coast. A hospital ship is going to be a tough one for Fenosoa to explain to his playmates. He thought hard as he happily doodled his cowboy coloring book, sitting on his bed in the ward. “The ship is so big,  it looks like a village!” was the only way he could describe it.

The boy and his Grandfather maintain an endless conversation, and their love for each other is deeply moving.  When the 500 gram cyst was removed, Fenosoa declared to us both, “I don’t know what happened. I was sleeping, and when I woke up, it was gone!”

Fenosoa couldn’t wait to get back to his village. Back to endless soccer matches and marbles; rowdy games played by little boys around the world regardless of the language they speak.

My heart and prayers went with them on the journey back to their village. The elderly man and oh-so-little boy said they were ‘taking it easy’ after the surgery – walking for six days to cover the distance instead of five. Life is hard for most,  in this beautiful nation.

Wednesday, October 7, 2015

Oxygen!

You can't live without it!  But I was happy to on Monday when I found out that the "Administering Emergency Oxygen" course I was teaching on Saturday was cancelled due to no students!  Three days later, I got the call - "Something's wrong with the system and you actually have five students on Saturday.  Are you still free?"  I just opened my e-mail five hours later and I have five more students for a total of ten!  We will be having "Oxygen" on Saturday!  Take a deep breath . . .

Mioty

Today's post has been reblogged from my Aussie nurse friend Deb's blog, "Deb's Heart in Africa".  You'll see Deb in some of the pictures . . .

Earlier on in the year I wrote about Mioty who was a live wire in our ward. From a very troubled beginning to the sweetest end, she brightened and challenged our lives. One day when I was sitting at my desk in the ward, she came walking up to me singing in English (a language she didn’t know) “Bless the Lord, oh my soul, oh oh oh my soul” It came out of the blue and I barely knew what to do! She climbed up onto my lap and we sang the song together and she joined in the parts she knew. Sometimes she’d walk up to the desk and point at the speakers and say “oh my soul, oh my soul” so we’d play the song for her.
 
A few weeks ago when my ward opened for the first day of this Mada2 outreach, we gathered as a group of evening shift nurses and day crew and prayed together. My team leader then played Matt Redman’s song 10,000 Reasons and we sang it together. As the song played I actually wanted to burst into tears as the ache of missing Mioty was felt so deeply. She was no longer in the ward and wouldn’t be grabbing me by the hand to come and play with her or whisper in my ear or sit on my lap and type with my fingers. It’s hard to know what to do with an ache for someone you love and deeply miss.

Ever since Mioty left the ward in May, my friend and co-worker Heather and myself planned to go and visit her in her home. This last weekend we were able to organise it, along with another co-worker Ria.
After coming off night shift at 8am, I hopped into bed for a short sleep before getting up for lunch, putting the final things into my backpack and heading off the ship. Our small group were very privileged in being able to catch a MAF (Mission Aviation Fellowship) flight to the capital city, cutting an 8-9hr drive of very windy roads down to just 50 minutes of flying in an 8 seater plane. It was amazing to see Madagascar from the air in such a small aircraft. MAF does wonderful things in Madagascar and partnering with Mercy Ships this last year has been amazing for us, helping us reach places far and wide in a country with few main roads and very inaccessible terrain.

MAF plane Madagascar
The three of us nurses and our translator Anja, arrived outside of Shoprite supermarket and stood waiting. Only minutes later out of nowhere appeared Mioty and her mama. Mama had a wide, almost toothless smile and she hugged each of us. In her quiet, gentle way she seemed excited to see us. Mioty had a cap on her 6 year old head, clasping her mama’s hand tightly, she neither said salama (hello) nor looked up to meet us eye to eye, but as we walked back to her house, she skipped and bounced, excitement showing in her step.
We walked down the dusty pathway through the village, built on one side of the old royal palace on the hill in Antananarivo, the capital city of Madagascar.  We walked past the washing place where Mioty’s mama worked each day washing clothes for her clients. The place was surrounded by half walls of concrete with wide, metal, square-shaped bars to the roof. The wide ‘mesh’ bars had clean, squeezed out laundry hanging on it and the women inside worked and scrubbed to clean their clothes and others.
We were brought into a small, neat lounge room with three couches. This room belonged to Mioty's aunt. We sat and chatted with mama, beside her Mioty played with the pieces of a plastic clock, stubbornly not answering questions but listening intently to the conversation around her.
Ria had visited Mioty a couple of times in the last few months and had told Heather and myself about the tv in Mioty’s house that Mioty had decorated with stickers that she had been given by us in the hospital. She asked Mioty’s mama if they could show us the tv.
Mama led us out of the room and down a small outdoor passage way. She unlocked the padlocked wooden door to their concrete house. Pushing open two wooden window shutters let light into the small room they called their house.
At the end of the room, filling the width of the room was a wooden bunk bed, which slept Mioty, two older sisters and their mama. On the left of the room was a bookshelf and piles and piles of clothes and things. On the right hand side of the room was a giant tv that didn’t look like it worked and it had been turned into a piece of art by Mioty’s stickering anyway. There was also an iron ‘stove’ for cooking which she did inside the tiny house.



On top of the tv was the knitted bear, given to her by the Admissions team on the Africa Mercy, which had been knitted by a kind someone overseas, who will probably never know how far this teddy has travelled and what he has seen. Taped to the walls were some of the art projects Mioty had done on the ward back at the beginning of the year. Even the instructions for making salt water written in Malagasy were stuck high on the wall to see.

Mioty sat on her bed while we chatted to Mama. She pulled out her colouring book and started colouring, she pulled down one of her knitted dolls and played with it, she did head-stands on the bed using the bunk slats above her to climb on, all the while, silent. We asked her if she remembered the song we used to sing and so we sung it to her and as I was sitting on the bed next to her, I could hear her whispering the words along with us.
We asked her and her mama if they would like to get ice cream, our treat. So we left their house and moved to the grassy area outside their housing area and waited for Mioty’s sisters to come. Mioty started playing in the sand, just like any kid. Chickens and baby chicks were scratching around in the area, a few ladies were doing their washing in a tub of water and Mioty found an empty yoghurt pot and played in the sand. A knitted beanie covered her wild, dark curly hair.
Both sisters turned up, one was clearly doing mama’s work washing for the day, but put down her load and joined us for the walk up the road to the ice cream place. Orders were placed and ice cream was enjoyed. Despite living only 2 minutes walk from this shop and the ice cream being less than $1 per cone, Mioty’s mama had never been there before. I’m certain her income from washing clothes was never high enough to support treats such as an ice cream.
Back in their home Mioty was a little more lively and vocal than the previous hour. I could see that if we spent several more hours there, or even came to visit regularly, she wouldn’t need time to warm up to us, but we would see the same cheeky, boisterous girl that we had known and come to adore in the ward immediately. It was truly so special to be invited into their home and to see a tiny glimpse of their lives.
Mioty starts school for the first time next week. Her wounds from her surgery back in February, to make her a nose, have mostly healed. The wounds that were still open when we closed the hospital at the end of May, have healed so nicely with the care that her mama was giving her. She told us that Mioty still fought her to clean her face and eye where it was still not healed. We felt so encouraged though that her mama had done such a great job! More surgery could still be done, but for now we will wait and see as the skin of her new nose settles into place and shrinks a little. I certainly hope it was not the last time I see her in her home, but perhaps the first.

Saturday, October 3, 2015

The Rivalry . . .

There were multiple groups at Sand Creek today, but the BIG group - 65 7th graders - came from St. Andrew's Lutheran Church in Eden Prairie.  And as I sent them down the zip line, I mentioned to those in football jerseys this was the year that Lakeville North was going to beat Eden Prairie!  You heard it here first, folks!

Thursday, October 1, 2015

What a way to camp!

Hammock Heights!
Not sure where I'd want to be!

The Sopranos . . .


Hmmm . . . right name, wrong group!  I meant the sopranos of the Wannemingo/Kenyon High School choir whom I spent yesterday with at Sand Creek Adventures, along with the altos and the men!  That is seriously how we divided them into three groups - the altos, the sopranos and the men.   They were an absolute blast!  Just don't drop kick the mushrooms!