Thursday, January 26, 2017

Pleasant places


Smooth white shiny mug of hot brown Kenyan coffee and many many little 2 wheeled taxis going piki piki piki piki under my window across the dirt road to start the Kenyan morning. So many school children with smooth brown heads and gingham uniforms are riding to school at 6:30 a.m.  Our children tried to hike with me a fraction of the distance over the river, but by the end of the day everyone is too tired to make that commute- the walk to school, the walk to work, the walk to water for the dry season is bearing down too.  But life in the village across the river still reminds me of the goodness of Africa and the traditions of community and respect and the beauty of bright colored paint and fabric over rustic frames.   We are refreshed by the friendships and camp style mugs of hot creamy chai full to the brim and we are too full to eat again until the next morning. 

It all seems so normal, natural, and right to my brain.  Even the things I see as glaring injustices are still predictable and understandable somewhat here.  I love life here.  Even when it’s awful and unendurable and frightening I love it and hate it and love it again.  The Man-cub and Little-miss are playing so hard  with so many kids every day here that any remaining baby fat has melted off in the hot equatorial sun.  Their hearts are more than happy doing this life here.  Man-cub asks if we can live here again for another 2 years, or 5. Oh, what about our wonderful puppy back home, the Golden Dog? She at least has a staying power of fidelity and cute and cuddliness that they are willing to board a plane to America for.

Africa has an incredible staying power that undergirds many vulnerabilities.  People come and go and come and go and seasons change, technology and development change but Africa remains.  I read that or a line like that in a Maya Angelou book called “All God’s Children Need Travelling Shoes”.  I love wearing my travelling shoes to come back and witness what she meant. If I didn't have the freedom to come and go, I think I would love it less both here and there.

I am impacted by gratitude for the awesome privilege of living a life here in the rich beauty of community and the harsh ugliness of community and also in the safe and sanguine picket fenced yard of my America life.  How did I get so lucky as to have it both ways?!  I can tell you the secret.  It’s because My Father really loves me and He listened to my prayer for a home on earth and then yet for the wings to fly into His wild and wonderful world, refreshed and filled up to overflowing.  The boundary lines have fallen for me in pleasant places.  Psalm 16


Wednesday, January 25, 2017

strike

strike:
What would you do?

The over simplified version of the situation at hand: the doctors nation wide have been on strike for more than 50 days now due to deplorable working conditions and pitiful salaries at public hospitals.  We arrived on the tails of a crisis gone bad to worse.  5,000 Kenyan physicians nationwide serve 45 million people.  They are worn out beyond what can be paid.  The government agreed to a collective bargaining agreement several years ago to increase the salaries and provide better working conditions in hospitals where it is not uncommon to have less equipment than one thermometer.  The agreement has not been kept so now the doctors have called a strike until it is implemented.  The government has threatened to sack 4,000 doctors this Friday if they do not return to work. 

Meanwhile the private hospitals are open for the few who can afford to pay.  Tenwek is a private mission hospital so we are carrying on under the pressure of bloated capacity and standing room only, triaging the patients according to their likelihood to recover. 

One might be tempted to get depressed or worse, despair.  Some might be tempted to do more and try harder until one is burst at the seams from a particularly western disease called the God-complex.
 It's a complex situation too.  

But we are not the Hero who is competent to defeat any of the systemic evils of this world save for the power of the Risen Christ at work in our hearts.  We don't have to solve this.  We only have to be faithful.  Only by staring through certain death to the back door that was blasted out there by His Resurrection, can we find the strength to endure for even another day.  So while some trust in collective bargaining, some trust in better equipment, some trust in democratic systems or scientific materialism, we trust in the Name of the Lord Our God and that’s how we continue.


Saturday, January 14, 2017

The Second Time Around

Sometimes you turn around a corner in the dark and there are a couple giant elephants standing in the road.  Framed in your headlights, even when you’re not looking for them, even when you’re tired at the end of the day and it’s later than you’re supposed to be out driving.  Those are BIG surprises, but they’re also what you’re looking for.

            This is the first day off in a couple weeks’ work, the second time around in Kenya.  The first few minutes to sit and think, with (Psalm 18) open in front of me and the warm January African sun on my back.  “I love you, Oh Lord my strength…The cords of the grave coiled around me; the snares of death confronted me…He reached down from on high and took hold of me; he drew me out of deep waters…”  Very real here.

            What’s the same?  Desperate joy around us here.  In the open medical ward at Tenwek, so many very sick folks receive your morning greeting, “Habari za asubuhi” (what is the news this morning?) and no matter what they’re experiencing: pain, fear, etc.  Their answer “Mzuri” (good news).

            What else is the same?  This is a place of stunning natural beauty.  I just saw it today after 2 weeks.  Everything at work seems deeply infused with meaning.  The kids are outside playing at least 10 hours per day.  K has spent a couple Sabbaths in the village.

            What is different?  We come here as short term visitors for a month.  The missionaries are almost all different.  The teaching program for internship has changed a great deal.  There is a doctor’s strike ongoing; all public health services are closed.  The volume of patients, already high, gets higher still.  We are leading a global health rotation from UT with first time visitors to Kenya.  Trying to see it through their eyes, explain some things, but not too much.
 
            What was a highlight?  Renewing relationships, and being remembered.  Experiencing this place with different eyes, no longer fully shaded by materialism.  Our lives are built on the story of a Man who was raised from the dead; how can I assume that medical knowledge/biochemistry has a solution to all these problems.  There have been some good deaths.  And some good lives saved.  And even more lives and souls will be saved by the ones who are trained here.  This photo is from graduation of some surgeons at Tenwek.

            What was a lowlight?  In medicine here, everyone comes to the hospital as a last resort.  They come for help, and many times that is not found in medicine (a lesson I need to learn every day).  I forget this, and the weight of these tragedies feels too much again.  20% mortality rate on the medical ward.  These words quoted during the graduation yesterday: “For whoever wants to save their life will lose it, but whoever loses their life for me and for the gospel will save it.” (Mark 8:35)

            This is the good life.