7.08.2007

Number 3...


Hi friends,

I hope this letter finds you doing well. I have to tell you, this one's kind of a downer. If you can't handle it, skip to the last section dated from the seventh for the good stuff.



6.29.07

On my way down the dock to the eye clinic today I passed two women who were crying. When I asked how I could help them, one of the women told me "Keopa is sick," and pointed to the little girl on her back. Keopa is a toddler with limp limbs and pale skin. They pointed to a growth on her back. "She does not eat, she does not sleep, and no one in our country has the right machine to help her. We have no money to take her to America." I admire these women for their commitment to Keopa. Providing care for even a healthy child can be a difficult feat in an impoverished nation. Unfortunately, Mercy Ships was unable to help Keopa. We are only equipped to do certain surgeries, and Keopa's needs did not fit into that bracket. We referred her to a local clinic. The ladies were eager to allow me to pray for Keopa. I promised them that I would tell my friends and family home of Keopa's needs, and ask all of you to do the same. Please remember Keopa in your prayers.

After meeting Keopa, I spent today working in the admissions department for the eye clinic. We called patients into a tent on the dock one at a time to obtain their past medical history and get vital signs before sending them to the operating room to have their cataracts removed. Every now and again patients and their family members in the waiting area would break into song, singing and clapping their hands in unison. It was beautiful music to our ears as we went about our chores. And as much as my heart breaks for the living conditions and financial situations of the Liberian people, they have something huge that we, as Americans, have lost hold of. They are rich in community. I picture a group of Americans sitting in a waiting room - we read magazines, listen to our i-pods, text on our cell phones. We don't dare make conversation with the person in the seat next to us, much less join together in song with perfect strangers. Maybe if we truly understood how good we have it we'd perk up a little.



7.1.2007

A Liberian woman named Sando from the church I've been going to invited my friend Crystal and I to her house for lunch on Sunday. After waiting an hour after church had come to a close for the torrential rain to slow down, we set out for Sando's home. We laughed together as we dodged many puddles on our thirty ish minute walk deeper into the residential villages of Monrovia. Sando was proud to share her city with us, and we were glad to learn about it. On the way there we passed a herd of goats, on the way home we would pass a herd of cows! We're not in Kansas anymore…

We were greeted by a group of children who were playing in Sando's yard. As Sando opened the door to her one room home she told us "My house is your house. You are welcome here anytime." She made her way over to the window and opened the shade. Her home lit up as the sunlight poured in. The walls were a beautiful deep shade of teal. The wrought iron windows held so much character. The structure of the building was solid and promising in comparison to many around it. There was a stench in the air, a common Liberian rainy season muddy stench. But other than that, Sando's home looked rather desirable. Small, but desirable. I was glad to know that Sando has a comfortable home. And selfishly, I was glad to not be afraid to sit down.

So we sat. And we talked. We compared cultures. We compared lifestyles. We compared professions. Sando has done a lot of traveling in her career, as well. She tells me that she works in audio recording translating the Gospel of Christ into native tongues reaching those who have never heard.

Sando uncovered two bowls – one containing rice and the other a green sauce containing vegetable pieces. She passed us each a spoon to dig in. My belly told me to hold off on the food, but I could not insult my new friend. "Bless this food to our bodies," takes on a whole new meaning when you're not sure exactly what it is that you're eating. She pulled two cups out of the cupboard for us, then washed them in a bucket that was collecting a water leak from the ceiling. I knew we weren't supposed to drink the local drinking water, much less the leaking rain water, but I didn't want to insult my new friend. I was a thankful that Crystal put her foot down when it came to the water. She explained to Sando that our bodies are used to different kinds of water, and that if she visited the US our water might make her sick, too. With a smile, she sent the kids outside to get sodas for us.

When our meal was complete, Sando presented both Crystal and I with several yards of beautiful fabric. It was the eyelet kind – the fancy stuff I avoided in the market because it is the most expensive. What an honor. But could we really accept? Sando insisted. I hope to give Sando something in return, but am not sure what. Like everywhere else in the world, the women in Liberia talk. It is important to me that the Liberians do not feel like they need to have something to offer in order to befriend the Mercy Ships volunteers, which can be common in impoverished communities. I also wouldn't want them to befriend us in hopes of receiving gifts. I want to get to know Sando - to hear her stories, to encourage her, to pray for her. I do not want material things to be central in this. Maybe you could pray for my friendships with the Liberian people.

The Liberians seem to think of us as being wealthy because of the color of our skin. Little do they know we are volunteers. In the markets they greet us with the words "Mercy Ships!" and mark their prices up with a smile, often five or ten times what a native would pay. Liberia is a war torn country that has become very reliant on handouts from international non-governmental humanitarian organizations (NGO's) trying to enable the country to get back on it's feet. A typical African wage is about three American dollars per day, which makes me think that just a little bit of my money could go a much longer way in the hands of a Liberian than in my own. But giving them money could set a negative precedent. Because the ship only docks in each country for a short term period, our mission here is to empower people, not to create dependance. For instance, rather than handing out food, we have an agricultural team that teaches natives how to grow their own crops. Also, because in a nation as corrupt as Liberia the money that people do have is often spent on the wrong things, putting money in the wrong hands could often be more harmful than not giving at all. I pray that God would show me if and when it is beneficial for me to give money to the Liberians.



7.3.2007

So I'm sitting on deck seven of the Africa Mercy, struggling to pull my thoughts together after watching a documentary called "An Uncivil War" on the brutal battle in Liberia that only came to an end a couple of years ago when the UN finally stepped in in it's largest peace keeping effort in history. I overlook the UN base, which is only hundreds of feet from our ship, located in the Freeport area of Monrovia. The Freeport gate, which we have to walk through to get from the ship into town, was shown in the film as one of the bloodiest areas in the war. If I were to walk to the Port side of the ship during daylight hours I could see the skyline of Monrovia's downtown area. Unfortunately these monumental buildings cannot be seen at night because they are merely shells. The insides of most of them were blown out during the war and no electricity remains to light them up. Some are now occupied by squatters, some remain desolate. Over half the country was displaced from their homes while fleeing the rebels. The bridge we cross over into town in still plagued by hundreds of bullet holes in the railings on either side.


[Blown out buildings downtown]

[Bullet holes in a light post]

Any heartache I have felt in my twenty-four years of picket fence life pales in comparison to what these people have endured. Imagine seeing the severed bodies and displaced parts of your friends, family, and neighbors lining the streets of your hometown. Imagine living in a country where rape was outlawed only three years ago and women are just beginning to exercise control over their own bodies; where boys were recruited to become child soldiers well before age ten and still wander the streets aimlessly with no place to call home. I am here. I am in it. Yet I do not know that I am capable of grasping the depths of what the Liberian people have experienced. I have been excused from these everyday tragedies from one reason - because I was born into middle class family in a wealthy nation. How unfair.

I am searching to find my place in all of this. Was I called to Liberia to give back for these three months, or is this just the beginning? Please pray that God would use me to the fullest each day here and direct my path for the future. And I imagine that my parents are squirming after reading this. My grandparents, too. Things are so so much better here now that the war is over, especially with the UN being so close. But they worry. I'd be especially thankful if you could say a prayer for them today, too.



7.7.2007

If you're still reading, I'm glad you persevered. If you're jumping back in for the good stuff, that's okay, too. Here goes.

So I'm working the night shift on the Africa Mercy, sitting in one of the ship's hospital wards filled with seventeen adorable sleeping Liberian women. Most of them had surgeries done last week to correct their vesicovaginal fistulas, the majority of which have been successful! Most of these women, who were previously society's outcasts because they continually leaked urine, will leave the Mercy Ship healed. Some are still having issues to work through. A few are developing infections and a few are still leaking. Please pray for these ladies.

When I say the patients are adorable, I mean they are ridiculously adorable. They are little, most about five feet. Their names range from simple ones like Mary and Mama(!) to more complex ones like Nyotongue and Ghango. The ladies were timid in their first few days here, probably because of fear. Socializing has not been a normality in their lives, some for many years. Also, so many things on the ship are brand new to them. For some this is their first time seeing white people, their first time in an air conditioned building, their first time on a boat, their first time up a flight of stairs and across a gangway, their first time being polked and prodded the way patients are in hospitals. But now that they are recovering from their surgeries and feeling more comfortable here they are coming out of their shells.

We communicate in loud, simple, pronunciated words because of the difficulty understanding each other's accents. We smile a lot as we mistake one another's words. If one woman cannot understand what I am asking her, chances are those in the beds around her willl step in and play interpreter, and next thing you know it's taken seven people to communicate whether or not she has had a bowel movement today. (TMI. Sorry. Such is life in the medical field.) Once meds are given, baths are taken, and incision care is complete, the ward turns into a social arena for these happy women living in their newly healed bodies. There are times when it looks more like a slumber party than a hospital in here! Most of our patients do not read or write. So what else do you do to pass the time in a hospital? Color. Knit. Paint nails. Sing. Laugh. Most of them have catheters in their bladders, and they carry the bags collecting their urine around like purses as they wander around the room visiting with their new friends. Tonight they were a captive audience as I read to them from a story book about Moses dividing the red sea. This is by far my most entertaining nursing gig yet!

It seems that most Liberian people are well versed in the Bible and African worship songs. A couple of days ago I was fortunate to catch the patients outside on the deck outside worshipping God. They shared their stories about the shame they've endured because of their medical conditions and thanked God for healing their bodies. Again, there was singing, clapping, and a little bit of dancing. Can't get too crazy with a catheter in! I am thankful to be a part of these women's journeys.

[VVF patients arriving at the dock...]

[Awaiting screening...]

[Boarding the ship...]

[Recovering from surgery...]

[Ready to go home!]




Wherever you are today, I am sure this letter leaves you feeling a little bit more grateful than before for everything that surrounds you. Soak it up.

"This existence is to be saturated with life." --- Justin Garwood

Much Love,

Lindsay

6.28.2007

Number Two.

Hello from Liberia :)

Enclosed is an exerp from my friend Megan Petock from Pennsylvania who
I traveled here with. Apparently she is an incredible writer. She's
doing a column for the Philadelphia Inquirer throughout her year long
commitment to Mercy Ships, so stay tuned if you like what you read...



"VVF

June 26, 2007. Monrovia, Liberia. Yesterday the hospital opened. Five eye surgeries were performed and 60 VVF surgical candidates were screened. Journalists and media documented the historical day which was eight years in the making. It was exciting for everyone.

Except for three women.

VVF stands for vesico-vaginal fistula. During a pro-longed labor pressure from the head of a fetus can cause internal tissue to become necrotic. A fistula develops between the bladder and vagina and causes a constant leak of urine. More severe fistula's may include the rectum and feces will leak as well.

Western medicine has eliminated this condition in the developed world. But in Africa at least 2 million women are leaking.

They leak because girls are forced to marry before they have fully developed pelvic bones. They leak because their bodies are malnourished. They leak because maternal care is not accessible. Often, a woman will endure five of six days of unattended labor. Her efforts produce a dead baby and a solemn memorial.

VVF women are societies outcast's. Husbands leave. Friends ignore. Unable to control their stench they are left to carry their burdens alone. Many become severely depressed.

60 women arrived yesterday with hope. Hope that they might regain their lives.

57 are still hoping.

3 went home.

This morning during our crew meeting we prayed those three women. And we continue to hope for the other 57.

Please pray for the physical and spiritual healing of these women throughout the next three weeks. Also, please pray for the surgeons- that they would be safe as the travel to and from Liberia and that their hands would be especially skilled."

Much Love,

Lindsay

6.18.2007

Africa & Such

Hello!

If you're not already aware, you are receiving this email because on June 13th I left New Jersey for Africa, where I will be serving with Mercy Ships, a non-profit Christian Humanitarian organization providing health care off the coast of Liberia through September 17th.

This is a burden that has been inside of me for a long time. And although this trip did not come together as soon as I had hoped, looking back I can see that God used the extra time in the states this year to prepare me. Appreciating the beauty of our country, exploring new cities, working in unfamiliar settings as a travel nurse, meeting amazing new people, cultivating new friendships, yet still sharing in the lives of my equally amazing friends and family back home (who somehow continue to support me despite my lack of commitment to New Jersey!), learning how to say goodbye over and over again - all of this has grown me and prepared me for this venture ahead. I thank God for anticipating our needs even before we know they exist and for preparing me for this opportunity. And I thank you, for being a part of my world. I don't know that I would be standing on my own two feet, much less flying to Liberia to fulfill a calling, without the faithfulness of those you who upheld me through the dark times and now accompany me in celebrating this life that we walk alongside one another regardless of our physical locations. I think of the Cedarbrook and Elevate crews in Jersey, my friends at Circle of Hope in Philadelphia, Cornerstone Church and Venture in San Francisco, and One Place in Phoenix. I think of my incredibly loving family, my ever so faithful friends at home, my amazing new friends in new places, my fellow travel nurses, a boy in Phoenix who inspired me. I think of the roommates whose lives I've been privileged to share in. I think of those who I have looked to as mentors over the years: Uncle Ron, Cheryl Yek, Mrs. Hobbs, Jolene, Pastor Randy, Rod White, Ninita, Mary Newman, my Mother. I have been ridiculously blessed.

Know that I am not going on this mission alone, I am going as a representative of this community that has raised me up. I hope to keep you updated on the happenings on the Mercy Ship because you, my friends and family, are just as much a part of this trip as I am.

(Alright, alright. To all of the males who are still reading, the mushy-ness will be kept to a minimum from here on out. Promise.)



6.14.2007

Up, up, and away...

So this is it. I'm on my way to Liberia. Leaving from JFK airport in New York City was a headache, as would be expected, I suppose. Everyone was in a hurry there. A mean hurry. No time to smile. Or even be cordial, for that matter. I was reminded of my growing fondness of west coast culture. (Sorry, Mom.)

Flew with my new friend Megan, who is another nurse from Bucks County, PA who will be serving with me on board the Mercy Ship. No turbulence. Lots of empty seats. Good food. Great flight.

Landed in Brussels, Belgium, around 9am. Met up with Kassi, a pre-med student from British Columbia, Canada, who will be working as the dental sterilizer in a Mercy Ships clinic in Liberia. I am glad that the three of us have each another to travel with.

A Day in Belgium...

Everything is smaller here. The hotel rooms, the cars, the cappuccinos, the tiny spoons they eloquently use to stir their foamy cappuccinos. It feels quaint. I like that. We don't dare to purchase a thing, because the exchange rate is insane.

The Belgian people speak Dutch, with French as their second language, but a lot of them know English as well. The words roll off of their tongues so romantically. (I'm suddenly wishing I had spent less time hiding in the back of Mr. Champeaux's tenth grade French class exchanging notes with Kristen Miller and more time learning the language!) They somehow know we're not European and often speak English to us even before we open our mouths. So I'm guessing that they can pick us out of the crowd in the same way that we spot the Europeans like fish out of water in our own home country, usually by the short shorts on the men, the lack of razor usage on the women, and the ever present backpack on back camera in hand combo. I'm wondering what exactly it is about us that sets off their American radar.

The men are cute, with their European accents and fitted jeans. But they don't seem to have any shame in staring at the ladies. Not glancing, but staring. And they don't so much open doors. So next time your heart melts at the sound of Hugh Grant's charming accent, ladies, know that his movie star charm is not necessarily universal amongst the European fellows!

So we wait at the Brussels Airport to board our nine hour flight to Monrovia, Liberia. We will actually be heading west through three time zones, which makes me just a little closer to all of you. Hooray!





[Megan, me, Kassi on a double decker bus!]


6.16.07

And the African adventure begins...

You could have heard a pin drop on the drive from the airport to the ship last night as we gazed out the windows taking in things that we had only previously seen on the cover of National Geographic magazines. This is it. The real thing. Poverty + palm trees + grass huts. I did not see one white person in the very populated village on the hour long drive, which intimidated me for a minute, until I reminded myself that this is, in fact, Africa!

Crew members go into the community in groups of two or more, and so far, there are no major safely issues to tell of. Mercy Ships works hard to build a solid rapport with the community, not only by performing free medical services, but also by employing natives at fair wages, which is amazing! They know we are here to help. And incase they forget, I carry a pocket knife!

There was a crew member who passed away after contracting Malaria a couple of months ago, but he unfortunately was not taking the recommended anti malaria medication.

The Africa Mercy, where we will be living and working, was a cargo ship that has been converted over the last several years into a hospital ship to replace the former Anastasis, which will soon be departing from Liberia for a scrap yard in India. The crew spent the last three ish weeks, day in and day out, moving heavy boxes from the Anastasis to the Africa Mercy. They tell us we got here at just the right time. The major elements are in place, but there is still some organizing to be done on this new ship.



[Africa Mercy on the Left, Anastasis on the Right]

We are greeted again and again by crew members from all corners of the world who recognize us as new faces on board. I am impressed by a multitude of fancy accents and an array of personalities. I feel very welcome on the Africa Mercy.

My cabin is on the third floor, which on one end houses the medical staff, and on the other end houses the hospital. The hospital is fully equipped with an XRay machine and a CT scanner, a post anesthesia recovery unit, an ICU, and a hospital ward, which is where I will be working. The rooms in the ward hold up to ten patients in beds only feet apart, quite different from a modern American hospital. So much for infection control!

The six berth (bed) cabin is tight, as expected. It is separated into three sections that are each about 6X6 feet and hold two girls each, for a total of six roommates. I don't have a roommate in my section right now, but when I do I doubt that there will be room for both of us to stand up at the same time!

The food leaves a thing or two to be desired, but no one seems to complain. Hooray that we DO have a couple of fresh vegetables! Usually just cucumbers and tomatoes, I'm told. My favorites! Both are safe to eat when purchased locally if they are cleaned with bleach. Not so sure where the meat comes from. It looks a little scary. Okay, really scary. I try to fill up on other things.

Orientation meetings start Monday, and we will be taking patients on the new ship the Monday after that. Things are pretty low key on the ship on weekends. Trying to stay busy to avoid homesickness. How exactly do you stay busy when everything is closed on the ship on the weekends? You go to the beach, of course. I am ridiculously happy to find out that there are beautiful beaches just miles away. And the water is warm! According to the more experienced crew members, we will work hard, but there are times to play hard, too. Haven't so much started on the working hard part yet, but the beach was, nonetheless, a great place to play.



6.17.07

A Sunday in Liberia...

Attended Jamaican Road Church today, less than a mile from the ship. I am not sure where to begin in describing the community that we walked through to get there. It is beautiful yet heart wrenching. Tribal music plays loudly. The natives line either side of the street, some sitting on their front porches, some selling goods, some carrying buckets of water on their heads. Their wardrobes are rich in color. The babies are strapped to the womens' backs. Children are everywhere. Most wear battered looking clothes. Two are completely naked. A few look well kept. Their skinny arms and legs are complemented by round bellies and beautiful white smiles, which they exercise often. The elderly population is quite scarce. Out of hundreds of people, I spot only one gray haired head.

The dirt roads are puddle filled, as you'd expect in rainy season. The backs of our legs were mud stained when we arrived at Jamaica Road Evangelical Church. But it didn't matter. Much like the sweat that dampened our entire bodies in the cinderblock walled, tin roofed church. I would estimate that is was at minimum eighty five degrees plus humidity. And maybe once I am over the honeymoon phase of this experience the heat will matter. But today, it didn't. We were immediately captivated by the worship. They sang to the Lord a cappella, with percussion and moroccos intermittently. They have nothing, yet they sang that the Lord has provided! Their strong and beautiful voices echoed throughout the small church. They clapped and they danced. There were five and six year old boys who had more rhythm than all of my white girlfriends added together. (Okay, maybe not Dale. Dale has some serious moves!) The pastor preached about Jesus providing for our needs, and how He is using Mercy Ships to do so in Liberia. It was a privelege to be a part of such a service, and I look forward to many more.

So that's all for now. Will try to keep the updates coming. Maybe not so lengthy next time.

I would love to know how things are going in each of your worlds.

"Now to Him who is able to do exceedingly abundantly above all we ask or think, according to the power that works in us, to Him be the glory." [Ephesians 3:20-21]

Much Love,
Lindsay