Saturday, December 6, 2008
Adventures in Uganda, Part 7...Prayer, HIV and Dr Jonah Kule
Prayer, HIV and Dr Jonah Kule
The Kwejuna Project
Tuesday, January 15, 2008
Adventures in Uganda Part 6...The Children
“Suffer ye the little children”
Uganda is full of beautiful things, but I think perhaps its greatest beauty lies in its children. Thus, it is fortunate for me that I get to spend a good portion of my clinical time here treating pediatric patients. Each and every one of the children we see in the pediatric ward has a unique story, but there are two which have captured my heart and that I would like to highlight.
Zawadi KabughoKabugho is a six month old little girl who came to ARV (Anti-retroviral) clinic the first Wednesday after I arrived here. She was severely malnourished and anemic, so Dr Jennifer admitted her to the paediatric ward not expecting her to make it through the night. To all of our surprise and delight she was still with us the next day. You see, Kabugho’s mother died of TB and AIDS shortly after her birth and her grandmother has been caring for her as best as she can without any assistance from outside. Being a good grandmother, she had brought the child to the clinic to get her HIV mdications. Praise the Lord that she did, as Kabugho could not have survived much longer without out help. She weighed less than 8 pounds at 6 months and had a hemoglobin of 3.2. After two transfusions, gifts of milk and formula, TB and malaria medications, and two weeks in our ward, she has perked up, her eyes have become bright and she is eating well. I am not sure just how she will do once returning home, but with her grandmother’s love and care there is hope. She is truly a living example of the widow in Luke 21:1-4 who gave everything. Lord, please make me more like her.

Masika has been here since before I got here and now, on my last day, is headed home. I remember the first time I saw her. She was being placed into the woven basket by her mother for the morning weigh in. Her skin was patchy and pealing with large areas of pure white in stark contrast to the rest of her dark skin. Her hair was sparse and what little she possessed had an almost reddish hue instead of the usual black. Not to mention she was frighteningly thin, weighing only 6.4 kg (14lb). All of these I have learned are signs of severe malnourishment. As the weeks have progressed, I have seen her skin heal, some hair begin to grow and she has gained almost 2 kilos. For about a week now it has been a goal/challenge to all of us to get her to smile. We have made faces at her, danced in front of her, tickled her, given her toys and candy, and today for one brief second, I think I almost saw the corners of her mouth turn upward as she looked at her mother. We work on small miracles around here, so I am considering that a smile.
There are so many other children here I would love to tell you about, like our little 1.8kg infant with a cleft palate and severely disfigured feet, or little Bakechura and little Sharoni who are being treated for Kwashiorkor malnutrition, or Dina in bed 7 who was born without a completed scalp and we are slowly treating as it grows together, or Michael Ngonzi in bed 18 who has TB and is HIV+ and we are waiting to get his ARV’s so we can send him home, or sweet Friday Lezunga who suffers from seizures/convulsions, or Chance or Creation or Jovia or the twins we just sent home.
I think these kids are stealing my heart…and I don’t want it back.
With much love,
Rachel
Saturday, January 5, 2008
Adventures in Uganda Part 5...Wonderful Weekend
Sometimes the Lord blesses us beyond measure. This weekend, He did just that.
Would you believe me if I told you that in the course of 24 hours I went swimming with my clothes on, slid down a mountain on my rear end, traveled with the Ugandan military, fellowshipped with people from Seattle, was serenaded by children, and learned to calypso? If you had been there, you would have called it a wonderful weekend, too.
The wrath of God is being revealed from heaven against all the godlessness and wickedness of men who suppress the truth by their wickedness, since what may be known about God is plain to them, because God has made it plain to them. For since the creation of the world God's invisible qualities--his eternal power and divine nature--have been clearly seen, being understood from what has been made, so that men are without excuse. Romans 1:18-20
Ngite Falls
If you could see this place you would know for sure that this is true. The Lord is definitely revealing himself here. The mountains sing of His majesty. The soil here is so rich that they really don’t have a growing season. You just plant whenever you want and it grows! That’s good enough if you want to plant a garden, but makes for an interesting mountain climb.
Saturday, after finishing the rest of the missionary health check ups, a group of us took off for Ngite Falls. I love hiking, but I have never been on a hike quite like this. It wasn’t that the climb was almost straight up, or that it drizzled on us as we climbed, or that there was no path to follow that made this hike challenging. It was the rich soil, thick, black and completely loose which provided the new difficulty. Just like a thick coat of fresh powder snow on a ski slope, the rich dark soil was soft beneath my feet and kept giving way as I tried to get a good foothold. Even the branches and plants springing from the earth were not good climbing aids as they easily gave way as you gripped them for support. So we scampered up digging our toes and fingers into each step and becoming more and more like the earth beneath, black.
Ahh, but for the reward at the end of the climb! We emerged through vines and branches to discover a glorious waterfall and pool beneath. The water was freezing, but that did not stop any of us from diving in and enjoying the most exhilarating shower I have had since arriving in Uganda. (No one bothered to tell me I needed to wear a swim suit, so in I went with my clothes on…no way was I going to miss out on this!!!) 
Getting back down the mountain proved to be even more of a challenge than climbing up. The same loose, rich soil which made it hard to get a solid foothold made it even more difficult to walk down. So we did not walk…we slid…on our rear ends! During one resting point in the journey down, I grabbed a branch so I could stand up and look around only to have the branch give way and tumble straight down the mountain. Luckily, I did not go far and stuck to ground the rest of the way. I only thought I was dirty when I arrived at the falls, now the wet clothes mixed with the dirt equaled mud. What a sight…six adults and five children completely covered in mud! I loved it. Luke Myhre led us to a smaller pool of water near the bottom of the mountain and in we all went once again…this time to clean off. Of course it did not hurt that there was a ledge for jumping off straight into the pool. Bombs away!
Oh the Lord has definitely not forsaken this land or its people. He has just hidden its treasures so that those who dare to search for them are more in awe of Him than was previously thought imaginable. Now, if only the heart of the people were as rich for planting as the soil around them.
To Bundibugyo
Now Scott Will and I had packed for the weekend in Bundibugyo as a friend of his, Susan, was to be in town for a few days. So we changed clothes at the bottom of the mountain, thankful Scott had remembered to bring a towel, Dr Jennifer dropped us off at the road and we set off for the long walk into Bundi. We had not gone far, when a military truck pulled up along side us and asked if we wanted a ride. Of course we did, but was it safe to ride with them? Scott started to climb into the back, but they motioned us to ride in the cab. To make a long story short, it turns out we rode all the way to Bundibugyo in the back seat with the commander of the local military regimen with a large automatic weapon straddled between my feet. I can’t say I wasn’t a little nervous or intimidated, but they were terribly friendly and drove us straight to the hotel where we were to meet Susan. How’s that for service? Scott called me his good luck charm because, as of yet, we have never had to walk very far to get anywhere. I just think the Lord knows how much I like adventure and the journey to and from places around here have been anything but dull!
Scott and Susan in the market place in Bundibugyo
World Vision
We met up with Scott’s friend Susan at Hotel Vanilla. She was in Uganda with a group from her church in Seattle and World Vision. Apparently people from her church sponsor over 200 children here in Kisitu, Uganda through World Vision, and they had come to meet some of them and bring gifts. That would explain why she and seven others were here in such a remote area of the world and not far from our small town. Scott and I were able to book two hotel rooms for the night and spent the evening with Susan and getting to know the people from her church.
Since returning home, I have become a sponsor of a young Ugandan girl, Betty, through World Vision. (I actually believe her to be the girl in the pink dress in the picture above. I was so impressed by her facial expressions as she sang and danced that I took her picture alone. I am amazed to have found her on their web site and blessed to be her sponsor.) Based on what I saw and the heart of those involved, I believe it to be a well run organization. If you are interested in sponsoring a child, please visit their web site at http://www.worldvision.org/.
“The King will answer and say to them, ‘Truly I say to you, to the extent that you did it to one of these brothers of Mine, even the least of them, you did it to Me.’ “
Matthew 25:40
Monday, December 3, 2007
Adventures in Uganda part 4 ...Joy and Pain
Joy and Pain
How lovely on the mountains Are the feet of him who brings good news, Who announces peace And brings good news of happiness, Who announces salvation, {And} says to Zion, "Your God reigns!"
Isaiah 52:7
Webele Kwejuna!That is the local Lubwisi language for thank you for a healthy birth. Every Friday morning I have traveled with Dr Scott to do ultrasounds on individuals in Bundibugyo, the larger town just a few kilometers away. Most of the patients we see are pregnant women who are uncertain of their due dates. This Friday was an exception as we saw an unusual amount of women with complaints of low abdominal pain. In the US we would just order an abdominal and pelvic CT and be done with it. But that is not possible here. So we use what we have, a backpack sized ultrasound machine, for which we are truly grateful, but is not particularly helpful in diagnosing many abdominal complaints. However, one woman came in this morning with a complaint of low abdominal pain for the past few weeks. She is an older woman (30’s) who has been trying to get pregnant for the past six years. Today, to her surprise, we had the privilege of telling her that the source of her abdominal pain is that she is finally pregnant and due, of all days, on my birthday, May 25th! On the journey back to Nyhauka, I rode in the back seat of Dr Scott’s truck with a mother holding her newborn child and comforting her two year old son from the scary “muzungu” (white person). It is odd to be thought of as scary. Apparently there is an old wives tale that muzungu’s steal children away and do terrible things to them. I don’t think people really believe these, but they seem to still be a part of their culture. Thankfully the young boy was not too frightened by my presence as he fell asleep curled behind his mother’s back. The infant in her arms was a delight to see and somehow a comfort to me as I reflected upon the beauty of new birth. In a place where death is just as much a part of life as birth, it has been nice to be a part of new beginnings and experience their joy. I only wish I had suggested to the other mother that she name the baby Rachel if it is a girl. Webele Kwejuna!
Chase Gray
It is hard for me to talk about the rest of today, as I am not sure I have completely processed what just happened.
This weekend, the Drs. Myhre, Scott Will and I, are doing a health screening for the mission team. It was time for their yearly health check up and a good use of the two extra health personnel for making things go quickly. But Dr Jennifer discovered something a few days ago, which prompted this timely screening. Chase Gray, at eight months old is the youngest member of the Bundibugyo team. He is a beautiful blond haired, blue eyed little boy who loves to smile and be held. We all adore him and fight over who gets to hold him. But, at eight months, he is not doing all of the things an 8 month old should be doing. He is not pushing up, or rolling over, or crawling. He is not verbalizing any words, or even starting to verbalize words. And the most unnoticeable thing of all, his head is not growing. Julia Myhre drew Chase’s name for the Christmas exchange and decided she wanted to make him a hat. So, Dr Jennifer measured his head, and noticed it was rather small for his age. On looking it up, she realized it was not only small, but less than the 5th percentile for his age. So, today, we all sat and told the Grays that there is a very good chance that their son may have Cerebral Palsy. This means that Chase is going to need lots of medical attention for the rest of his life and require therapy as early as possible to help him developmentally.
I have cried so many times today on their behalf. They are going to have to go back to the US now as we cannot possibly provide what he needs here. Why, Lord would you let this happen? They are so committed to serving your people here. Surely they are being used by you here. Why do they have to leave? Rick has been in this area for about 18 years of his life. This is his home. It is Wendy’s home too. They already have one son with physical handicaps, why two? I only wish I could fix things for them. I cannot, but I can help them carry their burden in prayer.
Julia and Chase. He is wearing the hat she made for him.Encouragement for today
Wendy told me recently that God doesn’t make mistakes, and I believe that. Surely He will get glory for this somehow. I trust Him fully, and so do they. We have been in touch since returning home and I hope that we will always remain good friends. She has encouraged me and I hope I have encouraged her. Chase is doing well, though he has always been well from the outside. They have seen some doctors here in the US and are getting started on therapy with him. There are early encouraging signs in his prognosis, but it will be a battle they fight throughout his life.
Listed below are their prayer requests.
1. Praise our Father in Heaven for loving us SO well through many caring friends & the Body of Christ around the world.
2. Pray Chase will grow & develop healthy in mind, body & spirit.
3. Praise our Sovereign Shepherd for leading us back to the excellent professional care & good friendships of Grant's occupational therapist & first pediatrician to examine Chase.
4. Pray for timely appointments with early intervention therapists & the pediatric neurologist, as well as wisdom & effectiveness in their care of Chase.
5. Pray the Lord will give insight & direction to Chase's new pediatrician, while guiding our steps as together we pursue Chase's diagnosis & treatment.
6. Pray for us to grow in trusting God's goodness day by day no matter what our temporal circumstances, & that this trial would be used for good in Chase's life & for God's glory.
Hoping in a Sovereign Savior's Love, Mercy & Grace,
Rick & Wendy for Grant, Aidan & CHASE
The Grays, being prayed over by their Ugandan brothers before they left their home.8 "Remember this, and be assured ... 9 "Remember the former things long past, For I am God, and there is no other; {I am} God, and there is no one like Me, 10 Declaring the end from the beginning, And from ancient times things which have not been done, Saying, 'My purpose will be established, And I will accomplish all My good pleasure'; 11 Calling a bird of prey from the east, The man of My purpose from a far country. Truly I have spoken; truly I will bring it to pass. I have planned {it, surely} I will do it.
Isaiah 46:8-11