Monday, February 26, 2007

Cairo: the 2nd day


Another late start that seems to have become the norm for Egypt. We got to the clinic, but waited on the interpretors and finally began seeing patients at 10am. By the end of day we had seen 300 patients, almost all adults as to compared to yesterday when we saw almost all childen. There were a lot of disease entities that we came across: more rheumatic fever, TB, arthritis, diabetes, hypertension and anemia. All the interpretors were medical again, both pharmacy and medical students. We finished the day seeing 300 patients and we've begun to run out of medicines. In just 2 days we've given out 10,000 vitamins, 400 doses of antibiotics, 200 doses of various skin medicines, and over 400 doses of upper respiratory tract medications. And that is just a small percentage of the total number of medications we've prescribed in just 2 days.

Every one of us has had a patient or more who has touched us. I had a 30 yo woman who came to me asking for help in having a boy child. She had been married at the age of 14 years and has 2 girls, one 14 years old and another girl who is now 4 years old. She has had 6 miscarriages, all during the 5th and 6th months of the pregnacies. 3 of those were male. When I asked her why she kept trying to have a baby after so many miscarriages, she said her husband made her because he wants a son. She is afraid to so no. I didn't have to ask her why she was afraid. I saw it in her eyes and on the bruises that she had. I had nothing to help her with. I asked her if she could leave her husband and she looked down and simply shook her head no. She is a coptic christain, and a member of a very low society and culture that is far removed from respecting women. Prayer, silent prayer, was all that was allowed. She would not pray with me and almost got up to leave when I offered. You wonder why people treat others the way they do. But I cannot judge, or so I am told. But I can sure ask the question....and maybe that is all that is needed for people to begin to judge themselves. I've been there. Judging one's self is a very hard thing to do...but in the end I believe we are better people because if it. I pray that that dear woman finds solace in the love of Christ's grace that I told her was hers, no questions asked.

In all things give thanks,
David

Cairo: the 4th day

Muslims came today. Word has spread and Nabil was asked if Muslims could come to the clinic or was it just for Christians. He said it was open to all. And they came. And they were witnessed to. And they listened. One Muslim girl who was 19 years old came over to the clinic from her sister's wedding that was taking place next door. She wanted to have fairer skin and to gain some weight. We told her she was beautiful just the way she was. We hope we shared some grace.

We saw 491 patients today. We are tired, some of us are under the weather with you-know-what, and cranky. But from the smiles we got, the kisses we received, the kneeling at our feet by the people we have come to serve, gives us the strength to go on one more day. It was a wonderful day...christians and muslims in the same room, knowing that our God has blessed us and this clinic for the people of "Garbage City."

In all things give thanks,
David

Saturday, February 24, 2007

Cairo clinic: the 5th day

The last day. 483 patients seen for a total of 2093 people seen, cared for, treated and shown His love. "Garbage City" was especially foul this last day, with the smell almost over powering and the dirt and dust causing many patients and many of us to wheeze and cough. We had an elderly man who had no breath sounds at all and was ready to collapse. Thankfully we had a nebulizer and broke him with some albuterol. Several patients just came to pray with us and many more came simply to tell us their story.

The medical clinic at the Joy School at Ezbet El Nakhel, "Garbage City", is a success. We built it, people came and will continue to come and it will serve His commands. After we leave the clinic will be staffed with an internist and a pediatrician every evening of the week from 5 to 9 pm. There will be ongoing medical and spiritual care for all who seek it. We are blessed to have been part of this great ministry.

In all things give rhanks,
David

Wednesday, February 21, 2007

Cairo clinic: the 3rd day

Amazing! 450 patients in 6 hours. We were lucky to have 2 more doctors join us in the afternoon but space was at a premium. We saw more of everything: congestive hearr failure, urinary tract infections, cancer, TB, and on and on. The pharmacy ran like clockwork and the meds got replenished pretty quickly considering we had to send someone all the way to town to several places to get the meds.

A pregnant woman who wanted an abortion, changed her mind (thanks to Lisa). A woman with breast cancer told Troy she was ready to die: Christ was waiting for her. I had to break the news to a young mother that her 2 year old boy had cerebral palsy and would never be normal. She asked if it was because her cousin was the father. There many more stories, but the most touching story is that the love was shared, the grace was passed, and He was present. Tomorrow is another day.

In all things give thanks,

David

Monday, February 19, 2007

Cairo clinic: day 1

We were off to a late start as all our first days are, but once we got rolling we moved. We saw 368 patients from 10am until 5:30pm with a 45 minute lunch and devotional break. We had 7 medical students and 6 pharmacy students who came to work with us and to translate. We saw congenital heart disease, pyloric stenosis, and fetal distress, to name a few of the types of cases we saw. There were a lot of rickets and pneumonia cases as well. The team is holding up well and except for the traffic that literally takes up hours of time to just go few miles, all is well. Tomorrow is another day, another blessing, another opportunity to witness.

In all things give thanks,
David

Monday, February 12, 2007

Cairo...still testing...

We have less than 24 hours before we leave and there are issues brewing....none that can't be fixed, but irritating and obstructive nonetheless. Stay with us. Be with us. Pray with us.

David

Sunday, February 11, 2007

Going to "Garbage City..."

We are leaving on Tuesday, Feb. 13th for Cairo, Egypt. 9 of us will be meeting up with Peter Omran and Nabil Farouk, to care for those who seek medical help in "Garbage City." The clinic is opened, the medications are ready, and we are packed. We have had meetings, discussions, emails, wringing of hands, prayer, and second thoughts...but He moves us, drives us, lifts us up....

Please be in prayer with us as we do His work: Troy, Lisa, Aimee, Kelly, Susan, Priscilla, Belinda, Stpehanie, Peter, Nabil, and I.

In all things give thanks,

David Posted by Picasa

Sunday, January 21, 2007

The new medical clinic in Ezbet El Nakhel


It is done. The medical clinic at the Joy School in Ezbet El Nakhel (Garbage City) is waiting for us to arrive. Nabil Farouk, and Peter Omran and the many people who worked on this clinic are blessed!!

We leave in a few weeks and expect to see a large number of patients. Medicines still need to be recieved, medical equipment still needs to be unpacked, and the medical team still neeeds to be in prayer!!

The Medical Mercy team is anxious to go. We have worked together in 3 countries, have made as many as 7 trips together, seen as many as 15,000 patients in less than 2 years, and have witnessed Christ's love in countless of desolate places in the world that some people don't even know exist.

We still have alot to do. We still have alot to pray about. We still have obstacles. But when it is all said and done, we still have Him with us, no matter what.

In all things give thanks,

David Posted by Picasa

Tuesday, January 02, 2007

'tis the season....or is it?

We just got back from a Christmas cruise to the Mexican Riveria. "Christmas" was a very absent word however on that ship. On board there were few decorations, a few token garlands, one very small, skinny 4 foot tall tree stuck in a corner, and no "Have a Merry Christmas" from the crew. You'd think we were on a tanker ship.

The reason given was this: "Our ship last year was beautifully decorated with trees, lights, and lots of garland but we got a lot of complaints. So in order to be politcally correct and to avoid what happened last year, we nixed Christmas." There you have it.

But wait a minute. Aren't there a lot of people, and I mean alot of people, who are not believers who go out and buy "Christmas presents" put up "Christmas trees" and enjoy the "Christmas holiday parties" and days off of work? So, why when it's convenient for them to enjoy "Christams" it's okay, but when it's not convenient, they make a stink? Simple. 'tis the season of "it's all about me attitude."

Why not just call "Christmas" a "Winter Festival" and keep the trees, the decorations, and the present giving? That would make a lot of people happy. And for those who are believers, keep "Christmas" for what it is supposed to be: a celebration of a very special birth. We rejoice in His coming then and in His coming again.

'tis the season.....in all things, give thanks.

David

Monday, December 11, 2006

Interesting...and amazing...


I returned from Cairo, Egypt last week after 2 days of whirlwind activity. Peter Omran and Nabil Farouk lead the charge through the streets of "Garbage City" and to meeting after meeting, visit after visit, and discussion after discussion. This medical clinic was going to happen, and the Medical Mercy team was going to arrive in February of 2007. Period. End of story. Done. Well, except for a few things...We still needed some more work on getting the medicines and the equipment, but even that is coming together.

We have a full team ready to go. Things in Egypt are a little different than what we are used to in Swaziland and Cambodia: we need to be a little more careful, a little more subtle, and a lot more open to "diversity". Our clinic is in the heart of a huge Muslim population. We will certainly be exposed to things we've never seen before, and to customs and view points that are quite contrary to ours. But it is that very difference why we are going. To show a different way, a better way, a biblical way. Let the light shine and show us the way.

In all things give thanks,

David

Thursday, November 16, 2006

Cairo, Egypt..."Garbage City"





Surrounded by 15 foot walls isolated from the rest of the world, 200,000 families making up a population of 1 million, live in garbage. Ezbet El Nakhel is "Garbage City".

The smell is powerful, the sights dramatic. Flies are everywhere, animals eating garbage, donkeys pulling carts of loaded garbage, children playing in garbage, houses filled with garbage, and streets with raw sewage.

And in the midst of all this is "Joy School", a Mission of Mercy safe haven for children. That is where we are building our next medical clinic: on the 4th floor. That is where I am going in a week and a half to buy the medicines, the medical equipment, assess the construction of the clinic, and meet with my 2 brothers, Peter Omran and Nabil Farouk. Once again, He has spoken, and we obey. We are moving quickly to get this all done: a Medical Mercy team leaves the US on Feb. 13th for our first medical clinic in Egypt.

Can it be done? Will it be ready? Will we be ready? Go ahead....try and stop us.

In all things, give thanks,

David

Wednesday, November 01, 2006

To care..

Go to Teresa's and Daran's blog (http://rehmeyers.blogspot.com) and read about "Comfort care vs. Heroic care". Then come back here. Their insight leaves me humbled. I deal with the issues of "care" everyday, both comfort care and heoic care. Practicing pediatric critical care medicine embraces both. Children are admitted who are trying to die, or will die. Over the past 26 years or so of practicing critical care medicine, I have learned that "caring" is more than we give, and less than what patients receive. I am a medical ethicist, and deal with the issues of " care" over "cure", and life over death everday and here is what I've found: ask the following questions, and you'll begin to see what "caring" means:

1. do we "care" or "cure"?
2. are we treating the "patient" or the "disease"?
3. do we have a "contract" or a "covenant" with our patients?
4. is the technology we use a "necessity" or a "convenience"?

If we "care" rather than "cure", if we treat the "patient" (the person) and not the "disease", if we have a "covenant" and not a "contract" with our patients, and if we use technology because it is "necessary" for the patient, and not a "convenience" for us (we can attend to other things, personal things, "me" things, rather than being with the patient) then "caring" becomes central in our realtionship: it's about "who", not about "what".

Any one can "take care of " somebody: it's mechanics. But to "care about" and to "care for" somebody, takes self-sacrifice and intent to be there for someone regardless. "Heroic care" is that very "care" that Teresa and Daran are talking about: caring without bounds, loving always, giving freely. And Lord knows, they do it well...

In all things, give thanks,

David

Monday, October 30, 2006

What next....

There are times when we look at ourselves in the mirror and ask why we do what we do. Most of the time the answers are not what we want to hear: "because we want to". A few weeks ago, we made a trip to Swaziland on a medical mission. Not because we wanted to, but because we were asked to. He asked us. We didn’t question why, we didn’t ask how, and we never said no. We just did it. And for that we are thankful. We overcame hurtles, obstacles, and spiritual warfare. We brought in the “big guns” and He lead the way. It wasn’t even a contest. We won. Period.

Over 4 and a half days, we saw over 1700 patients, old and young, well and sick, newly born and the not so newly born. We prescribed over 7000 doses of medicines, gave out close to 500 reading glasses, and did a little minor surgery on a patient or two. And saved the life of a little girl who came to live in our hearts: PePe. All the patients were prayed with by the spiritual counselors, with many hearing the word, and all seeing His love. All in all, a good medical trip. All in all, a wonderful testimony to His healing power and grace. All in all, a reflection on why we do what we do. Because He said so, and we listened. I’m looking in the mirror now, and asking again, why I do what I do. I know He’ll be giving me an answer real soon….and I'll be ready to go....

In all things, give thanks…

David

Wednesday, October 18, 2006

Missionaries Swaziland 2006

Ben












Daran
Nurse Teresa

Missionaries Swaziland 2006

Patrick
Kristin
Charles

Tuesday, October 17, 2006

Medial Team Swaziland 2006

Nurse Kelly
Child Life Lori
Nurse Sara
Dr. David (me)

Medical Team Swaziland 2006

Dr. Micah
Dr. Erin
Nurse Aimee
Nurse Lisa

Swaziland Medical Team: 2006

Pharmacy gurus Don and Durrell

Photographer Syndy
Dr. Troy

Monday, October 16, 2006

Makholweni..the fifth day





The last day, and we saw 312 patients in the morning. The clinic was dedicated in the afternoon with speeches from dignitaries, and local African dancing...and the evening ended with a banquest at a game reserve with a roasted wart hog. The week was over. The team was blessed by the health care workers, who prayed at our feet. The feelings of humility and love were oeverwhelming.

There is so much more to see and do. This small look into what we did is simply that: a small look. We changed. For all that we did, more was done for us.

In all things, give thanks..

David

Saturday, October 14, 2006

Makholweni...the fourth day


Five hundred and one patients. Okay, let's try this...501 patients!! In one day, we saw and treated 501 patients at Makholweni where our new clinic is. The word "Makholweni" means "the place of the Christians" because of the numerous churches located around that area. The many children are left out to fend for themselves. This Care Point is just outside the city limits so it doesn't have access to many utilities and the development of the city. However many people settle here, in order to be near the limited job opportunities, and just outside the city to avoid the local taxes.

When we arrived, there were already about 100 patients waiting for us, and since everything had been so well organized by the Children's Cup team, we started off quickly. The pharmacy ran from the real pharmacy in the clinic, and all patients were seen outside. A few procedures, alot of infections, malnutrition, and more HIV came our way.



A young 6 month old infant was brought to us by her "gogo" or elderly caretaker, since the infant's mother had abondened her. The infant had severe skin changes from HIV and needed to be tested and treated. We did the best we could, giving her what she needed at that point, and hoping that her "googoo" would take her to be tested.



A young woman of 38 years, presented with complaints of stomache aches. Two weeks ago, she ingested crushed bottle glass trying to commit suicide. She had learned that she was HIV positive and was ready to die. I sent her to see a spiritual counselor, and heard that she came to Christ.




There was so much to do, and so many people to see. The heart ache was in the fact that we could do no more than what we were doing in the limited time that we had. We prayed that He would open the doors for us to continue our work there...more often, and longer...

In all things, give thanks..

David