Friday, April 27, 2018

One small step for a girl, one giant leap for Bethany



        Today, we all rejoiced as Bethany walked out of the hospital. True, it was more of a slow, steady hobble assisted by crutches, but the fact that this eleven-year-old is alive and ambulating today is truly a miracle. Ten months ago, Bethany came to the hospital with severe septicemia: a bacterial infection that swept through her blood reaching every corner of her body. Bacteria implanted on a valve in her heart, infection permanently stole vision from her right eye, sores opened all over her body, and the microbes finally settled into the tibia bone of her lower leg. Months of fighting infection reduced Bethany to just skin and bones. No matter how hard we tried, we could not overcome the infection in her leg. Unlike the typical osteomyelitis cases we see in children here, a shell of new bone did not grow around the dead, infected bone in Bethany’s leg. Usually, we wait for new, strong, healthy bone to form before removing the dead bone so that the strength of the limb is preserved. But this did not happen in Bethany’s case.
           After months of treatment, there was no sign of any new bone growth. So, in desperation, we removed a 5-inch section of dead bone in its entirety, hoping to remove the persistent infection and allow new healing. Whenever we took her leg out of the splint to change the dressing, it would flop and bend like a wet noodle where the bone was missing. For months, Bethany remained in bed or in a wheelchair, unable to stand or walk. At one point, we considered amputation as we lost hope that the leg would ever heal. Then, miraculously, new bone slowly started to form. Once her wounds healed enough to allow the limb to be protected in a cast, we permitted her to start ambulating. But after months of debilitating disease, she didn’t even have the strength to stand. Last month, in His perfect timing, God provided a visiting physical therapist who assisted Bethany’s rehabilitation as she slowly advanced from standing, to moving with a walker, to ambulating with crutches.  Now, after 10 months in the hospital, she is finally going home! She still has a long way to go, but this small step out of the hospital is a huge leap forward for one very happy little girl.



Saturday, April 21, 2018

No Laughing Matter




Dr. Rebecca, one of the PNG Rural Registrars that comes to train periodically at Kudjip, recently referred a patient to us. Jackson had recurrent lung infections for several months after aspirating a foreign body.  

We praise God for supplying the right resources at the right time to treat our patients. Just a few months ago Kudjip Hospital received new rigid bronchoscopy equipment, allowing us to look into and extract objects from children’s airways. Few hospitals in the Highlands have this type of equipment. 


Dr. Ben and I were able to successfully extract the object from Jackson’s airway and discovered it to be a thumbtack! Upon further questioning, we discovered that while he had been using the thumbtack to clean his teeth, he had laughed and inhaled the tack.  Let this be a lesson to us all: do not laugh while cleaning your teeth!


Sunday, April 8, 2018

Back to the Unexpected

**I meant to write this post weeks ago, but time seems to have flown by. Now that Easter celebrations are over and things are settling back to normal, we’ll revisit the events of the past 6 weeks. Shortly after returning from vacation in Brisbane with my mom, PNG proved itself again to be the "Land of the Unexpected":

EARTHQUAKE!!

photo credit: Connie Lou Aebischer
Photo credit: theage.com.au









On Monday, February 26, at 3:45am, we were all jolted awake by a 7.5 magnitude earthquake that struck the Southern Highlands of PNG, about 120 miles southwest of Kudjip. Although there was minimal damage here at the Nazarene Hospital, there were extensive structure damage and massive landslides closer to the epicenter.



Photo Credit: Sokere Hali
Photo credit: BBC.com
In the weeks following the quake, we have begun to see the extent of the aftermath as tens of thousands of people have been displaced from their homes, their land, and their livelihoods. Over a hundred fatalities have been confirmed. Victims were either crushed by collapsing buildings or buried in landslides.



Photo Credit: Connie Lou Aebischer
The PNG government is partnering with Australian military and several NGOs on the ground to distribute aid, but efforts have been greatly hampered by the remoteness of the affected area and the great number of landslides that have blocked or destroyed roads.  Several rivers in the area were clogged with landslide debris making the water unsuitable for drinking and posing the greater threat of downstream flooding when the earthen dams finally give way. For more details regarding the ongoing challenges in relief efforts please see these reports from BBC and The Age.
     After the initial earthquake, there have been more than 100 aftershocks which have slowed in frequency over the weeks. Just yesterday, April 7, we felt a large 6.3 magnitude aftershock which reportedly damaged one of the functioning airstrips in the area which will further hamper the recovery efforts. Please continue to pray for those affected.

Handing off  the surgery
 "on-call" phone
         The unexpected did not end there. In the week following the earthquake, a lightning strike took out the station's phone system, resulting in a month of very interesting on-call arrangements until the system could be fixed. During that time the autoclaves also broke which forced work at the hospital to limp along for several weeks until they could be suitably repaired (as detailed on Dr. Erin's blog) . During that same period, we also experienced an increased frequency of power outages which reminded me of a blog post I wrote last year at about this time. As they say: when it rains, it pours!


Unloading the container (on left)
Thankfully, most things are back to normal around the hospital now and not all unexpected events are bad. Several weeks ago, we got a very pleasant surprise when a long-awaited shipping container from Nazarene Hospital Foundation finally arrived. In addition to the much-needed, donated supplies and medications, we also received a HUGE order of new re-usable surgical gowns and linens. The last time our linens were updated was 20 years ago and the patchwork gowns were starting to reflect their age. Thanks to the generosity of many who have donated to the hospital's Greatest Need Fund, we hope to have reliable surgical gowns and linens for another 20 years. I can't wait to see what new surprises are in store this week and this month!

New surgical linens!!!


*If you would like more information on how to aid our work at Kudjip Nazarene Hospital through sending medical supplies or financial contributions, please click the links above. Thank you to everyone who makes our continued work here possible.

Saturday, March 31, 2018


Happy Easter!

Recently, I have been meditating on the song "O Praise the Name" by Hillsong:

1. I cast my mind to Calvary
    Where Jesus bled and died for me
    I see his wounds, his hands, his feet
    My Savior on that cursed tree.

2. His body bound and drenched in tears
    They laid him down in Joseph's tomb
    The entrance sealed by heavy stone
    Messiah still and all alone.

Chorus:
    O praise the name of the Lord our God
    O praise his name forevermore
    For endless days we will sing your praise
    O Lord, O Lord our God

3. Then on the third at break of dawn
    The Son of Heaven rose again
    O trampled death, where is your sting?
    The angels roar for Christ is King.

4. He shall return in robes of white
    The blazing sun shall pierce the night
    And I will rise among the saints
    My gaze transfixed on Jesus' face.

The greatest tragedy has become our greatest victory. Christ has risen, defeated death, and reigns on high. To him be the glory!

"Death has been swallowed up in victory. Where, O death, is your victory? Where, O death, is your sting? The sting of death is sin, and the power of sin is the law. But thanks be to God! He gives us the victory through our Lord Jesus Christ." (1 Corinthians 15:54-57)

May you celebrate victory in Christ this Easter and all through the year!

Sunday, March 18, 2018

World Travelers


After spending a week at Kudjip, Mom and I set out to explore the northern coast of PNG. We flew to Madang on a 7-seater MAF (Mission Aviation Fellowship) plane. In Madang, we met up with some friends from another mission, gathered supplies, and took a 1 hour boat ride out to Karkar, a volcanic island.


The next 2 days were spent relaxing, eating fresh seafood, playing in the ocean, and touring a coconut and cocoa plantation.



Back in Madang, we enjoyed snorkeling and kayaking before heading on to Australia.

In Brisbane, we were blessed to spend time with Mary Lean. Mary, her husband David (a pediatrician), and 5 kids will be be joining our team in Kudjip next year. They treated us like royalty during our time in Brisbane.

After exploring the Southbank with is museums, parks and entertainment venues; mom and I spent a day exploring the Lone Pine Koala Sanctuary.

We enjoyed feeding the wild lorikeets, petting kangaroos and emus, seeing koalas up close and viewing many other native animals such as wombats, platypus and tasmanian devils.
 In addition to the sites of Brisbane, I also enjoyed having some of the conveniences of Western life: stores, restaurants, and TV playing the Olympics! It was an amazing adventure and I enjoyed it while it lasted. However, once I got back to PNG, it was "Back to the Unexpected", as detailed in my next blog....





Thursday, March 1, 2018

A Special Visitor


         Three weeks ago, I had the privilege of introducing my mom to  Kudjip Nazarene Hospital. Mom came for a 3 week visit and the first week was spent in the Highlands. She brought much needed supplies, attended devotions, followed me on rounds, helped in the pharmacy, and watched me interact with patients in the clinic and during surgery. She also met some of the patients who have been mentioned on my blog and in my newsletters.  Throughout the week, She followed several surgical patients during the ups and downs of recovery. Most did well; a few did not –a  true look at life in a missions hospital.

Mom meets the twins!
        Her favorite patient experience at Kudjip was watching me deliver twins by c-section. Mom donned scrubs, mask, and bouffant hat and was carefully positioned in a corner of the room to catch all the action (with the patient’s permission, of course). She watched as we delivered a baby girl, then a baby boy, both healthy. What made this experience even more special was that she met the twins again a week later. On the way to my friend Emelyn’s house for a family meal, Emelyn told us about her niece who was recovering from surgery. It turns out her niece was my patient! Mom was trilled to hold the twins and get the opportunity to share a traditional PNG meal with these special friends.

Hagen Market
        In addition to working in the hospital and meeting my friends and the other missionaries on station, we also explored the surrounding Highlands. The Deuels and I took mom to Mt. Hagen to experience the open-air market.

Rondon waterfall
Then, we stayed the night at Rondon Ridge, perched on a mountain overlooking the valley. There, we hiked to a small waterfall, then found over 20 varieties of orchids along the winding trails of the orchid garden. Some of the flowers were only a few millimeters in size!


Kumul Lodge
Ribbon-tailed Astrapia
      The next day, we drove an hour further west to Kumul Lodge, a popular birding site. There, we saw a dozen different species of birds, including two types of Bird of Paradise: the ribbon-tail and the sicklebill. It was quite a week of adventuring in the Highlands, but that was only the start. In the next blog, we travel to coastal PNG, an island, and then on to Australia…. Stay tuned.


Another Ribbon-tailed Bird of Paradise up-close.

Saturday, February 24, 2018

Not a Fool


Hidden valleys of PNG
           Today, as I reflect upon my one year anniversary of coming to serve at a missions hospital in the Highlands of Papua New Guinea, the words of a recent sermon echo in my ears. Am I a fool? Many people would consider giving up a lucrative surgical career in the US and moving overseas to serve the poor to be foolish. Some would say that risking one's own health or life to serve people you've never met is foolish. A few might even say that focusing on saving a few lives in a far off corner of the world when compared to the global scale of humanitarian needs across the globe is foolish. To many the thought of following the teachings of a crucified, Jewish teacher who lived over two millennia ago is foolishness. The Bible, however, says, "But God chose the foolish things of the world to shame the wise; God chose the weak things of the world to shame the strong. God chose the lowly things of this world and the despised things - and the things that are not- to nullify the things that are, so that no one may boast before him" (I Corinthians 1:27-29)
Loreen receives a Bible
           God loves the poor and lowly and despised. God cares about the lives of people living in far off corners of the globe. God desperately wants to be known by those who are unknown to the world. Time and time again, I have seen God work miracles in the midst of impossible situations. When I am weakest and feel the most foolish, I see God move in mighty ways and all the glory goes to him alone. Just ask the 500 patients I've operated on, or the hundreds of surgical patients I've cared for in the hospital and the outpatient clinics, or the dozens of patients who have experienced spiritual renewal through the work of the hospital in the past year. They do not believe our work here is foolish, because they have witnessed first-hand the power of God to heal physically and spiritually. What is money or fame or personal security and comfort worth in the long run? As Jim Elliot, a missionary to Ecuador, famously stated: "He is no fool who gives what he cannot keep to gain what he cannot lose." Lord, help me not to foolishly cling to the things I cannot keep. If I am to be a fool, let me be a fool for Christ.



SaveSave
Benson, completely healed