Sunday, December 30, 2012

Statins show promise for malaria treatment?

Pictures of our completed project have not yet arrived, but this bit of science news was interesting. 

Seems lovastatin (aka Mevacor, a commonly prescribed med in the US for lowering our cholesterol ) may hold some hope when added to traditional treatement for malaria.  In mice anyway, lovastatin was noted to minimize the cognitive after-effects of cerebral malaria.  Human studies yet to follow.

If interested:  http://www.sciencedaily.com/releases/2012/12/121227173046.htm?goback=%2Egde_120372_member_199826235

Lastly, this poem posted today by Parker Palmer on his FB page I thought was beautiful as we approach the end of calendar year 2012.  It might even capture the sentiment of a person who's traveled to Sierra Leone!

Friday, December 28, 2012

Project news....

This note from Santos was in my “inbox” this a.m. 

sorry for late responds, due to lazyness to go to the cafe.but all the same the walkway has finished since last week. patient, Church members, and other people are so impressed about the job. so we fell proud about it .  thanks and God Bless you for funding the project.
   but no baby yet from Kadie and by the Grace of God I will be going to the village to see my old Mum. but I will write you when I come back.
  with Love Santos

Thanks, all, who contributed funds for this project.  In addition to what you did for “patient, Church members, and other people,” you helped a group of men who work very hard (and have very little to show for it) feel proud….

Monday, December 24, 2012

You've Got Mail!!

Merry Christmas from your UMC Kissy Family
Christmas season is the perfect time to show friends, family, brethren in Christ and those around you how much you appreciate them. Thus, as we come to the end of another year, I want, on behalf of the UMC General Hospital, Kissy, Freetown, Sierra Leone, to thank all of you who have contributed to our success in the past. You have touched and made an indelible difference in so many lives through our healing ministry at Kissy.  We therefore wish you all the blessings that come with the birth of Christ and may peace,joy and laughter fill your Christmas season and new year.  This comes with blessings and love from all of us at Kissy. Thank you.
Dennis H. Marke, MD
Medical Director
December 2012

Next, here are pics taken about a week after we left Kissy by Bonnie Albert of Valparaiso....




(We hope to have more pics soon.)


And lastly.....here's a Sierra Leonean reflection on memories of Christmas!

http://www.cocorioko.net/?p=41786


                                                    Merry, merry!  Joy, joy! 

Friday, December 21, 2012

The awe and the awful....


From Dr. Marke, Chief Medical Officer at Kissy Hospital, about "our" recent project....

The walkway project is progressing very well. They will finish roofing today. Painting started today and overall the beauty that the project adds to the facility is simply eye catching. From what I hear even the church members are impressed with it. Thanks to all of you that had it happen. God bless you.
Dennis

and then this.....

http://news.yahoo.com/vaccine-group-suspends-sierra-leone-support-funds-misused-143653443.html


Lord, have mercy...

Who will stand for what is right, just, fair? Who in that country, region, city, church will serve his/her neighbor before him/herself.  

Masked and shielded with more resources and opportunity than our brothers and sisters, sons and daughters in Sierra Leone (and elsewhere), we know this is our question as well.

To a broken world, you came/come; you spoke/speak; you did/do.

In this world, in our time, we...... 



Monday, December 17, 2012

A different nativity story....

If you have done any work with those living in poverty (whether in Africa, the US, or elsewhere), you may want to take a look at this blog post from United Methodeviations, entitled "Manipunativity," 12/16/12.

Be aware, it is not sugar-coated.  But as we think of the magnitude of the incarnation in different cultures or economic systems....well, read on....

www.doroteos2.wordpress.com/2012/12/16/manipunativity


Lord, make me an instrument of your peace.
Where there is hatred, let me sow love;
where there is injury, pardon;
where there is doubt, faith;
where there is despair, hope;
where there is darkness, light;
and where there is sadness, joy.


O Divine Master, grant that I may not so much seek
to be consoled as to console;
to be understood as to understand;
to be loved as to love.
For it is in giving that we receive;
it is in pardoning that we are pardoned;
and it is in dying that we are born to eternal life. Amen

Friday, December 14, 2012

The Last Pill

Through the lips and over the tongue.....look out stomach, here [the last of my Malarone] comes!

So Monday was our last dose of Malarone, the anti-malarial we started 1-2 days before arriving in malaria-prone Sierra Leone and continued for seven days/doses after departing.  It makes Bob have vivid dreams; I don't notice this so much.

But it's always sentimental, thought-provoking for me to take the last pill.

Malarone innoculates us against, prevents us (we hope) from the malaria experience, an experience that takes the lives of some 21.7 percent of SL children before they blow out the candles on their fifth birthday cake. 

It's a leading cause of death for adults as well.

I asked 11 year old Janet this year, what does it feel like, how do you know you have malaria?  She said, "you wake up and you feel lazy." Also sometimes a headache.  (Tim and Doug might tell you it goes a tad further than that!)

I remember being amazed when I heard that those with sickle cell anemia have a natural immunity against malaria, due to the (pathological) nature of their red blood cells.  (Well enough, since those poor folks don't need anything more heaped on their plate.)

But we short term missioners are (hopefully) spared that experience.

I wonder, those that have been, what else would you like to be (metaphorically) immunized against experiencing?

I wonder, what would SL folk coming to the US want to be (metaphorically) "immunized" against?

(Most of us saw less than a handful of Santas the whole of our trip....with only three weeks or so before Christmas.  Most of us were amazed that official electioneering/campaigning starts only 30 days prior to their presidential election.)

How is it a simple prescription prevents us from becoming ill (we hope) and (more than) the continent of Africa is still waging war against malaria (something we in the US have thought little of since it was wiped off our radar screens in the late 50's/early 60's)?

And what bites us, here in America, insidious and unseen....has the potential to culminate into a "mal-aria" (bad air) that threatens us?  Causes us to "wake up feeling lazy?"
Imagine no malaria....imagine.

Sunday, December 9, 2012

So What?

"So what" is an important theological question.

Not long ago, I read articles denouncing/doubting the value of international short term mission trips. One of the (several) criticisms proffered was that very little change results in the lives of those who go.  Been on an international work mission team?  So what?  (Or maybe, so what does your life show because of it?) 

Hmmm, food for thought I said to myself.

This week I was smiling, wondering if Tracy Stewart had been grocery shopping yet with her kids.  After her last trip to Uganda, she said her kids were embarrassed at how she said "hi" to everyone in the grocery store.  I then remembered the story of a young woman (an outcast, a "nobody" at her school) who related later in her life that she would go DAYS where NO ONE spoke to her at her high school.  No one

Acknowledging someone by greeting them, looking them in the eye and smiling, affirms them in an important way.

Well, this happened to me as I walked to work, my first day back to work, Thursday morning.  Now, normally when I walk, I sing, or silently (most of the time) pray or recite scripture. Nerdy, I know.  (Don't let anyone tell you walking cannot be a spiritual discipline!)  This particular morning as I was walking, I looked up and saw a young boy walking toward me.  Note to self: cease singing as others approach lest ye be thought insane.  So, as this young man (12??) approached, I turned my attention to him.  I noticed he's only wearing a t-shirt, carrying a very thin sweater.  (For you Austin-ites, it's about 38 degrees in the morning up here.  Mind you, I was decked out in a down coat and gloves.)  As he got closer, it looked as if he might be crying.

"Are you okay?" I asked.  Sobbing, he chokes out, "As...I ...got....to ....the....bus stop......my....bus left."  I asked him if he was walking home.  He nodded yes.  I asked if there was anyone at home when he got there.  No answer. 

I'm thinking...okay, you're walking.  No help.  Furthermore, you, in your mind-numbing jet lag, you left your cell phone at home.  Less than no help.  Bob is in South Bend.  No help.  What to do.

Now about this time, a car is coming to a stop at a stop sign on a side street about 10 feet away.  There is a young woman driving and she has a toddler in a car seat in her economy car back seat.  I wave her down.  She gives me one of those incredulous "me?" gestures and I am nodding and saying at the same time, YES!

She rolls down her window and I ask her if she just dropped a child off at the elementary (primary) school a block away.  Yes she says in an accent (Hispanic?)  I tell her the situation, that this boy has missed his bus and he has no one to get him to school.  Could she drop him at BF?  (I then have to explain that BF is Ben Franklin, the middle school.)  No immediate answer.  I explain that I'm walking to work, and if I had been driving I would do this myself for him, but I can't.  Could she help?  Yes, she could.  She's headed to the high school and goes right by BF.

Boy gets in the back seat, I shout out..."get up a little earlier tomorrow, okay?" and off they go.

Our team devotions this year worked off the concept of "exile" (as found in Jeremiah 29: 1-7.)  One of our centering thoughts dealt with the common good. 

Well, here's an "I wonder."  I wonder if going on an international work mission team inspires us to act a little more proactively/spontaneously to not just promote, but "seal the deal, boy in the car" the common good. 

What say you?


















Saturday, December 8, 2012

Project pictures

Cantina is at red door; physical therapy to the right (entrance not visible).
Cars pull up near cantina to drop off patients.
Rounding the corner, larger aspect of covered walkway project, along entire side of
Urban Centre.
From a different angle
The ramp
From the other end of the Urban Centre.  Note that
Brown Church requested a sidewalk be added connecting
their church to the covered walkway.  That will happen about halfway
up the path...you can see the side church entrance with an
awning over it on the right (at the end of the vehicle).  Won't church
members love getting dropped off at the mouth of
the covered walkway, being able to walk to that sidewalk that
takes them right to the side entrance?
The angled walkway from the Outpatient Building will join
covered walkway next to Urban Centre.  This
part of the project was changed to preserve
some parking for Brown Church.  Few more roots to deal
with, but nice shade!

Friday, December 7, 2012

Jim's story

Mother Teresa once said  'we can do no great things, only small things with great love.' 

I know this is long-ish as blog posts go, but here is another team member's thoughts on his recent Sierra Leone experience.  He gave me permission to share it.  His thoughts--written less than 24 hours after returning, itself a feat--are found after the scripture and prayer below. 


Wednesday Re-charge:  Jim’s Journey
After Africa…


Scripture – John 3:16-21 – New Revised Standard Version
“For God so loved the world that he gave his only Son, so that everyone who believes in him may not perish but may have eternal life.
Indeed, God did not send the Son into the world to condemn the world, but in order that the world might be saved through him.  Those who believe in him are not condemned; but those who do not believe are condemned already, because they have not believed in the name of the only Son of God.
And this is the judgment, that the light has come into the world, and people loved darkness rather than light because their deeds were evil.  For all those who do evil hate the light and do not come to the light, so that their deeds may not be exposed.
But those who do what is true come to the light, so that it may be clearly seen that their deeds have been done in God.”

Let us pray…


Dear Lord, we ask that you send the Holy Spirit to be with us tonight and through our celebration of the Advent season.  We know as Christians that the season of advent is really about two things.  It is a great time of joy for a God who would send his only son so that we might be saved from sin.  And it is also a good time for us to remember that much is asked of us.  As Christ said in Luke, “The harvest is plentiful but the laborers are few.”  Be with us tonight, Lord.  Heal us.  Help us.  Make us more mindful of our responsibilities and opportunities as Christians, and how you might continue to enrich our lives and light our Advent season celebration.  Amen.”

It’s 1:30 in the morning in Freetown, Sierra Leone right now.   If I sound jet lagged, I am.  I am truly leaning on the outstretched arms of the Holy Spirit tonight.
I am Jim Cox and my story tonight is a bit of a travelogue – and one that includes air miles and spiritual growth.
On Palm Sunday this year, Barbara and I joined Oak Hill.  We visited only once and knew this was our new church home.  Joining Oak Hill was a great start, but God still had a lot of work to do with me. 
I remember sitting here one communion Sunday when we were doing that heavy-duty prayer asking for forgiveness for our disobedience and willfulness, and thinking, but I’m not that bad.  I didn’t do anything terrible this week. 
I truly was like the Pharisee that Jesus talked about in Luke who prayed, “God, I thank you that I am not like other people:  thieves, rogues, adulterers, or even like this tax collector next to me.”
But in this persistent way that God has, I read another scripture with Jesus talking in Matthew 25:34 about the return of the Son of Man in his full glory:  “Then the King will say to those at his right hand, ‘Come, you that are blessed by the Father, inherit the Kingdom prepared for you from the foundation of the world; for I was hungry and you gave me food, I was thirsty and you gave me something to drink, I was a stranger and you welcomed me, I was naked and you gave me clothing, I was sick and you took care of me, I was in prison and you visited me.”
The living Christ was finding ways to speak to me. God’s persistence started to open the door to new abundance in my life.
·        Barbara and I signed up for the Disciple Bible study led by Pastors Pam and Stella and met a great group of new friends.
·        We were sponsored by Donna and Scott Broberg and went on our Walk to Emmaus weekend this year.  It was an amazing experience.  It was a time when I choose to re-dedicate my life to Christ.
I have also gotten a very clear call from God in two ways recently:
1.    The message to join the Oak Hill mission trip to Sierra Leone; and
2.    A call to participate in a Kairos prison ministry program.
There is no way that a trip to formerly war-torn African country was on my “bucket” list.  Nor did I have any burning personal desire to visit a Texas maximum security prison.  The thought terrifies me. It is clear that these calls came from God.
I just got back last night from two weeks of travel to Sierra Leone.  Chris Jackson led the Oak Hill team and was joined by Tracy Stewart and me and Chris’ friend BJ Janek.  We met up with Bob and Carol Stoner, who have a decade of experience in mission work in Sierra Leone, and their friend Robin joined us for a team of 7.

The trip to Sierra Leone is rigorous.  It is hot, humid and dirty.  The showers are a dribble of cold water, when it is working.  Electricity to power fans is unreliable.  The generator worked some times.  The traffic is atrocious.  The air quality is awful.  The floors were gritty.  A lady on the flight home had to be taken off the aircraft because she had both malaria and diphtheria and was too sick to travel.
And I had an amazing time.
The experience was simply too large for me to get my head around.  It is people living in many cases at the fringe of day-to-day survival – but with very strong religious faith, family ties and warm, friendly, supportive attitudes.  The high point of the trip may have been the strenuous Sunday hike into the hills to attend a 2-1/2-hour service at a Wesleyan Church with mud bricks, a tin roof and rough wooden benches.  It was truly alive with the Holy Spirit.
There is something overwhelming about Sierra Leone, too.  The problems and challenges seem crushing.  Crowded roads, terrible air quality, no sewage treatment, a lack of potable water, unreliable electricity, a weak government, a complete lack of public services, fear of more conflict, widespread illiteracy, extensive poverty, limited educational and economic opportunities and more. A school we saw was, in some ways, like a window into the challenges.
The very cutest, bright-eyed kids, dressed nicely in school uniforms, lined up in the mornings to sing about God’s love.  After school, you get smothered by children wanting to hug you and interact with you.  But you also see shy kids – more poorly dressed and speaking English less well – who cannot afford to go to school and are on the outside looking in.  My posse of pals in Sierra Leone included Augustine, Frederick, two Davids – who were school – and Patrick, an older boy who was not.  You try to reach out to kids like Patrick to be sure they know they are God’s children, too.
Primary school costs about $25 a year, plus the uniform expense, and that’s simply out of reach for most families. Even in the Methodist hospital, you have to pay for services, and wealthier patients get better facilities. 
And even for those with the means, it is not the best medical care and it is not the best education.  It is just so much better than the lack of either.
There is much to be proud of in Freetown, Sierra Leone about what the worldwide United Methodist Church is doing.  The complex where we stayed in Kissy has a leading maternity hospital along with a children’s hospital, general hospital and leading eye clinic.  Construction is under way for a major new maternity and children’s hospital that is being funded by US Aid and the Methodist Church that will significantly improve healthcare facilities there.  There is also the children’s school and a Methodist Church on the site.

Our project was building a paved, covered sidewalk that connects physical therapy and the medical lab with the hospital complex.  The sidewalk was to replace a rocky, dirt path or stairs and ramps that looked like something out of a bad joke in a Monty Python sketch.  “Yes, we have physical therapy – if you can climb these tall steps or negotiate this steep ramp.” 
We had people coming up to us all the time and thanking us for this project.  The physical therapy department staff each signed a card for each of us – addressed by name – with personal messages of support and thanks for the project we were building – because they saw the value for their patients.
To say that we “built” the sidewalk is a bit misleading.  We organized it, funded it, designed it, hired the African crew and helped a bit – but the African crew really built it.  These guys are ripped – with abs and lats and arm muscles I can only dream about.  I even saw some small African men – that weighed maybe 90 pounds – throw 50 kilo (or about 120-pound) bags of cement or rice up on their heads to carry them with relative ease.  Chris Jackson did that – I think mostly to show off – but most of us had better sense.
Last year, the Oak Hill mission team completed a large security wall at the back of the complex to keep out the dirt, bustle and chaos of a nearby street. 

I had a really amazing experience there I would like to share with you tonight.  Any construction project in a third-world country will have some frustrations of various kinds along the way.  We certainly had our share.  One night last week, I was at a particularly low ebb.  The heat and humidity were getting to me.  I was tired.  I hadn’t personally done anything amazing.  I prayed that night and asked God why he had sent me to Sierra Leone.  What was I supposed to be doing here? 

 The next day, pastor Sulaiman Karqbo from the Weslayan Church we visited on Sunday came by to see Bob Stoner, who was not there at the time.  As we talked with him, I told him how much I enjoyed the church service on Sunday.  Being a preacher, he was pretty easy to wind up and we got a nice mini-sermon that morning.  But he was also there to deliver a personal message from God to me to answer my prayer from the previous night.  He said “You are here to show God’s love.”  It was part of a larger message, but I knew those words were God’s answer to my despair and my prayer.  I was there to show God’s love to the people in Kissy, Sierra Leone.  It was really that simple.  I didn’t have to do anything grand.  I just needed to show up, smile, work and show God’s love.  And, I did.

On December 27th, I will be in Ferguson maximum security men’s prison as part of a Kairos team for Ferguson #54.  Reverend Suzanne Steves is organizing the children of Oak Hill to make 240 children’s placement drawings for our meals with the prison group.  One of the ways that God can break through to hardened criminals with strong self-protective shells is through the love of God from children.  And, my wife Barbara has been busy baking lots of chocolate chip cookies as part of the agape love for the weekend.  We need lots of other support, too – prayers throughout the weekend, notes to prisoners, lots of cookies, agape love, children’s artwork and more.  While the inside team is behind bars, the outside team is busy cooking and preparing meals for the Kairos weekend.  It is an abundant expression of God’s love.
On a Kairos prison weekend, many men and women will see the very first positive love and support they have experienced in their entire lives.  In Sierra Leone, we are there to say that the world loves them and supports them – and they are not alone.

My life today is filled with abundance.  As the Advent season is here, I am blessed in so many ways, thankful that my past sins are forgiven by Christ, and excited about what else the Holy Spirit might call me to do. 
I want to be able to raise my hand, and say, “Here I am, Lord.”  
Amen.

Thursday, December 6, 2012

And the beat goes on.....


Women that were able to make it back to Kissy, all delivering babies during a portion of our stay.  These are the women that we serve: not only taking bread to them each evening (along with well wishes), but working to improve the facility where they give birth.

Wednesday, December 5, 2012

Children


Everytime you step outside children rush to be with you. Just like in America they crave your attention. Here Carol and Chris take a break from the heat.







"Simon Says"
 
 
 
 
 
 
 
Lined up for school
 
 
 
 
 
 

 The Children listening to the story of Noah
 
 
 
 
 

Smiling faces, a shared "football".
 
 

 
 


Visit with Marian Vandy

 
 
 
 
 
On Monday, Nov. 26, World Vision took Carol, Tracy, and me to the village of Bandajuma in the Bagbo ADP. to meet Marian Vandy and her family. Marian is 5 years old and lives with her grandparents, parents, and younger brother.   


 
We were greeted by the entire village with singing and dancing.
 




 

 The children were very excited.




 
Even the village mascot showed up!

 
 
 
 

 
 I read the book "The Kissing Hand" to everyone
 
 then presented it to Marian.
 
 
 
 
We met the Village Elders
 
 
 
 
and the Head Master of the school.
 
 
 
 
 
I shared pictures of my family with Marian's family.
 
 


 
We visited the 3 room school and delivered school supplies.
Paper, pencils, colored pencils, and sharpeners.
 
 
 
The gift of two "footballs" to the school was a huge hit with the children!
 

 
Saying good-bye was very hard.
 
I want to thank everyone for making this part of my trip possible.
The wonderful people at World Vision, Lizbeth, Samuel, John, Joseph, and Dora. My fellow team mates, Bob and Carol Stoner, Tracy Stewart, BJ Janek, Jim Cox, and Chris Jackson. The people at the Mission Training Center in Bo. The generous men and women I work with, and my friends and family at home that helped buy supplies. Thank you all. My heart is full!

I want to hold your hand....

Sunday, after church, Chris walks hand-in-hand with Santo's son, Simeon, as Santos (not in pic) and Simeon walk with us to Bai Bureh Road, where we will find transport back to Kissy.  Hand holding is a sign of friendship.  It is not at all unusual to see two men talking and holding hands as they walk down the street together.

Everyone loves Texas!



Chris sees a Texas tee shirt on a man outside the guest house where we sleep. 

*Those who have been to Kissy before, note how the Maternal Child Center has changed the landscape of the Kissy Hospital.  It's the big gray (unfinished) structure, upper right.

Home

 Home, home to family, normal traffic, cool weather, water that come out of the tap every time you turn the knob, lights that come on every time you flip the switch, a bed that is clean and comfortable without netting over it, instant Internet access, telephones, refrigeration, a bathtub.

 Yet my heart is still in Africa. Sierre Leone, where the people are friendly and peaceful, where laughter comes easy in spite of their circumstances, where communities become families, where people are forgiving, where children are eager to go to school.

As I go through my "snaps" (photos) and get over my jetlag, I will post more about what this experience and the people of Sierre Leone have taught me.

Monday, December 3, 2012

Loafing in London (Carol)

Misty and 45 degrees has never felt so good.

In case you were wondering, the Valpo connection was a "silent partner" for the most part because of inability to access the Internet.  (Thank goodness for Chris Jackson's internationally rigged IPhone and his ability to chronicle events and progress.)

Stay tuned.  As we all slowly return to a ramped up way of life, we will be posting more pics and thoughts about our experience.

Sunday, December 2, 2012

Farewell to Sierra Leone

As we depart this morning to London and eventually the US, we are sad to leave our friends yet excited to get back home. Thank you to all who have read this blog so far and I hope you've enjoyed it.

Ferry across

I really do not think any more could be packed on the ferry.

Saturday, December 1, 2012

John Tucker's wife

This is John Tucker's wife Juliana. The woman behind the legend.

Donation to Hospital

Carol is presenting a gift of medicine and vinyl gloves to Dr Marke.

World AIDS Day

Today is World AIDS day and this group is promoting awareness and respect. They are testing and educating people in the community about this.

Good Rainy Morning from Freetown

On our last full day we woke up to heavy rain and an amazing lightning display. To me it was nice to have the rain to cool off my room but it will probably impact work today.