Screening Day – Togo 2012

So as you may have heard by now, we held our national medical screening this week here in Lome, Togo. These screenings are usually done only once per field service, and are where we hope to fill our surgical schedules for the time spent in each country. In this screening we were looking for cleft lips and pallets, facial tumors, burn contractures, and noma along with some general surgeries.

Land-Rover-Convoy

Command-Point

Togo-National-Stadium

I was selected to be a team leader for the overnight advance security team. We left the ship at 2PM on the 31st and stayed overnight to ensure that things got started on the right foot the next day. I didn’t leave the stadium until about 9:30am the following morning.

overnight-crew

Night-Rovers

For those of you on my newsletter, none of this is a surprise, and thank you for your prayers. We had such a successful night that the following day was boring for the main body of the security team. That’s about as good of a mark of success as you can hope to hit.

lined up at screening

playing with kids in line

My French was a good help in liaising with the police we had on site. They actually showed up the night before, and even though they didn’t fulfill many other promises they were much more helpful than our previous experience in Sierra Leone. We only had about 170 potential patients show up the day before, which is a major contrast to the roughly 800 we had at our second screening in Freetown. We were a bit worried that night that we wouldn’t have enough show up to fill our schedules, but by 4am they started to trickle in and by 5am we were over 1,000 people. All in all we had nearly 4,000 people show up.

the line

lining up outside the stadium

That number would be larger if the ship hadn’t just been here in 2010. The line we had stretched far beyond the stadium and into an adjacent field. In the end it was delightfully uneventful, allowing our Security Officer, the other team leader, and I to pack up and leave. We chalked it up to our inflated sense of self-importance, but we didn’t want to leave before we were sure things were going to go smoothly. Having experienced the events at the first screening day in Freetown, Peter and I in particular didn’t want to move on before we knew everything would be alright.

inside at screening

But of course, everything was perfectly fine. God has been good, and we can’t wait to see how the surgeries here in Togo go!

Mercy Men of Movember – the followup

I never got this posted in December as originally planned. We’ll blame sailing and movie theaters in Accra. But now it’s time for some followup on the beards. Some of the guys left without getting their final photos taken, others didn’t even make it to the end of the month without shaving. These are the few who did, along with some photos of the craziness that happened post-Movember.

Murray Crawford

Murray-Crawford

 Marty Schwebel

Marty-Schwebel

Josh Young

Josh-Young

Ezra Hong

Ezra-Hong

Sethelroy

Seth-McElroy

Jeff Locke

Jeff-Locke

Rachel Jones

Rachel-Jones

Me – and Marty (because I aspire to his beard-growing abilities)

Marty-Schwebel-and-Jay-Swanson

And now for some other… things

Murray-Crawford-dirty-stash

Reverse-handlebars-Jay-Swanson

Supposedly there are photos of Rob McLeod floating around, and I could have sworn I had one of Dan before he copped out early. If I find them I’ll be sure to add them. In any case, I hope you’ve enjoyed our experiments and foray into the wonderful world of facial hair.

Sierra Leone 2011

We’ve just arrived in Lome, Togo two days ago. We are about to begin setting up for our next field service, which will last the next 6 months. I haven’t blogged in over a month now as I’ve been pretty consumed with the sail down from Freetown and trying to get a little R&R during our stop in Ghana.

dolphins-off-the-bow-of-the-africa-mercy

I thought this would be a good time to review what we accomplished this last year in Freetown. The following are photos and statistics taken from the presentations we made to the government officials and our partners in Sierra Leone. It’s by no means an exhaustive list, but you’ll get a good idea of what we accomplished in the last year with the help of our partners in Freetown and around the world.

 

MERCY SHIPS

SIERRA LEONE 2011

 

1 waving from ship

2 waving at ship

3 president of sierra leone

Ophthalmic Surgeries & Training
1,242 Cataract Surgeries
179 Pterygium Surgeries
8,502 Eye Evaluations
Trained 22 Sierra Leoneans

 4 Ophthalmic  Surgeries

Maxillofacial Surgeries & Training
111 Cleft Lip & Palate Surgeries
516 Maxillofacial Surgeries – Head & Neck Tumors
Training for Chief Dental Officer

Cleft lip and palate before:

5-1 Cleft Lip before

After:

5-2 Cleft Lip healed

Facial tumor patient before surgery:

6-1 facial tumor

After:

6-2 facial tumor healed

A facial tumor patient before surgery on the AFM:

7-1 facial tumor

After:

7-2 facial tumor healed

Plastic Reconstructive Surgeries
159 Released Burn Contractures, Combined Fingers (Syndactyly) & Other Procedures
1,211 Occupational Therapy Services

A burn contracture victim before surgery:

8-1 burn contracture

Range of motion returns after her burn contracture is released:

8-2 burn contracture release
Another victim of burns is unable to use their hand:

9-1 burn contracture hand

After the burn contracture is released the hand regains its ability to function:

9-2 burn contracture hand release

General Surgeries
728 Surgeries including:
Hernia & Hydrocele Repairs
Tumor/Lesion/Lipoma Excision

Orthopaedic Surgeries & Training
185 Surgeries including:
Club Foot Corrections
Tendon Lengthening
Osteotomy

10 -1 ortho

After surgery he’s able to stand on straight legs:

10-2 ortho healed

This guy had an amazing attitude despite his health, I got to visit him in physical therapy a few times. He came to us relying on his staff to stand upright:

11-1 ortho

After surgery, his life has changed forever:

11-2 ortho healed

1,742 Physical Therapy Services
Trained 3 in the Operating Room
Trained 40 Sierra Leonean Health Care Workers in Ponseti
Ponseti Casting – 103 Corrections for 66 Patients
84 Braces Fabricated

HOPE Center (Hospital Out Patient Extension)
10,495 Patient Bed Nights over 35 weeks
67 Community Health Education Sessions

12 hope center

13 hope center office

Dental Clinic & Training
34,251 Procedures
10,489 Patient Encounters
933 Dental Hygiene Patients
531 Dentures
Oral Health Education 8,984 Patients & 1,025 Students
Dental Practicum – 4 weeks

14 dental clinic

Mental Health
Trained 16 Staff from City of Rest
Trained 163 Primary Health Care Workers
Trained 68 Church Leaders
Conducted Children’s Camp for 30
More Training Scheduled for February & March 2012

15 mental health

Palliative Care
Provided Homecare for 26 Terminally Ill
Trained 26 & Assisted Families in Wound Care
5 Income Generation Projects

Burkitt’s Lymphoma
13 Patients in Partnership with Ola During Children’s Hospital

16 Burkitt’s Lymphoma

Church Leaders’ Conferences
Facilitated training for 580 church leaders in Freetown, Bo & Makeni
In partnership with Samaritan’s Strategy & Community Health Evangelism (CHE)

17 Church Leaders

Anesthesiology Conference & Midwifery Conference
79 Anesthesiology Conference Participants
28 Midwifery Conference Participants

Agriculture Program

Holistic Agriculture Concepts
4 Organizations
Trained 16 to be Trainers
Trainers Continue to Train Others

18 Ag program

19 Ag program

Mercy Ministries
Crew Visited 10 Sites Working with National Partners

Donations
Modular Buildings
Medical Supplies/Equipment
Pharmaceutical Supplies
Computers
Well Drilling Equipment
School Supplies

22 donations mosquito nets

23 donations Jess

21 dontaions ra

Thank you for hosting us, Sierra Leone! We’ll miss you!

20 AFM

A Year in Africa

I arrived in Durban, South Africa on December 1st, 2010. It’s hard to believe it’s been a year already. Of course, a few months ago it was difficult to believe it hadn’t been a year already. I guess it’s all a matter of perspective. I’m going to do my best to review the year here, and a little more. Feel free to follow along as I do so. Or you can just scan the pretty pictures and click out (I chose over 100, I’ve tried to settle on 20). It’s up to you.

just-chillin

I’ll go with the greeting card format. This is basically how I summed up the year to my Grandma, in terms that she can both relate to and in language that I thought she would best appreciate. In the end this blog post will be a lot longer than the greeting card, but I’ve got more space to write here and my hands are less likely to cramp up.

Jay-Swanson-water-fall

In the last year (if you include a few weeks before a year ago and the coming few weeks) I’ve been in Texas, Louisiana, Haiti, Washington State, Idaho, Oregon, South Africa, Sierra Leone, France, Switzerland, Italy, Holland, and will travel to Ghana, and Togo. That’s ten countries and five states (if you don’t count the road trip from WA to TX). I’ve traveled by bus, train, ship, airplane, ferry, land rover, taxi, poda poda (rust-bucket half-buses), motorcycle taxi, tram, helicopter, metro, car, and canoe. I even got thrown off of deck 8 on the Africa Mercy and survived.

we-found-Fort-Nottingham

Port-of-Durban

Mercy-Ships-Cape-Town

I’ve lived in the opposite hemisphere of my birth, traversed the equator by ship (thus transforming from a pollywog to a shellback), lived in Zulu country, swam in two oceans that I had never seen before (Atlantic and Indian), pierced someone’s ear, drew blood in a hospital, donated my own blood directly to two surgeries, assisted in oral surgery, trained for and joined a maritime fire team, DJed events in three countries, survived Freetown traffic for 10 months with ZERO accidents (massive accomplishment), and ran sound for the President of Sierra Leone. I met a member of the House of Lords, a UN General Secretary Special Appointee, a handful of random millionaires, and both a Miss Hawaii and a Miss Belgium.

piercing-time

Jay-Swanson-drawing-blood

Ernest-Bai-Koroma-on-the-Africa-Mercy

Alex-Williams-Jay-Swanson

Marjolein Caljouw and Jay Swanson

I lived on a hospital ship, which is weird enough in itself, but with over 400 people from roughly 35 nations (depending on the week). That’s 400+ at a time; over 1,600 came through and left on a short-term commitment. I work on a daily basis with people from the UK, Switzerland, Germany, Holland, Benin, Canada, South Africa, and this mystical place called Colorado (just to name a few). I published my first book and finished writing my second. I’ve caught a pickpocket and just this week tried to chase down another thief in the port. Yesterday I witnessed about 150 police officers raid a slum to catch pot dealers and a cop killer. I’ve dragged an unconscious man out from under a pile of bodies and done advance overnight security for a major screening event. I was even in country for the cholera outbreak in Haiti. While I was there I managed to drive an ATV and an AMBULANCE.

ATV-in-Haiti

Cyle-Davenport-is-handsome

I carry a pager. A real, honest to God, archaic, one-way pager. Well, when they can convince me to carry it I do. I even caulked computer monitors to desks to prepare for sailing.

I’ve learned how to hook up and align a satellite dish, how to terminate all sorts of random cables, how to say “no” in a dozen different ways to a dozen different things. I’ve learned how to drive stick, and I mean really LEARNED how to drive stick. I’ve learned that you can gain access to and climb just about anything you want with a smile and a nod; from lighting towers to abandoned Chinese buildings. I’ve learned that the asking price is usually about 150% what you should actually be paying. I’ve learned that it’s ok to eat street meat, but you should probably avoid pre-constructed cheeseburgers in glass cases on the corner. I got certified in First Aid. I’ve learned a lot through briefly dating a Swedish nurse and a South African optometrist (not at the same time, before you ask – I already know not to risk that). I learned that you only capitalize someone’s rank when used as their name and I learned about a million other things about the English language in the editing process. I even learned that XXX is the official emblem for Amsterdam – the irony of which had escaped my Dutch friends.

towing-a-forklift-with-a-land-rover

throwing-away-satellite-dish-DSTV

editing-White-Shores

I helped my sister move to Portland and my parents move to Texas. They then sold my childhood home. I got to hang out with my dad in Haiti and Sierra Leone. I watched my sister persevere like a hero and make it on her own. My best friends have scattered thousands of miles apart. I haven’t taken my mom on a date in over a year, which makes me sad. I’ve discovered that true stability only comes from God, the great Unchanging One. I’ve learned that money won’t make you happy, and that in any case I have more than most. I’ve fallen in love and been subsequently crushed. I’ve said literally hundreds of goodbyes to awesome people that stole small chunks of my heart in parting.

Oceans-11-Africa-Mercy

Liz-Cantu-and-Jay-Swanson

I have never met so many people who were so much more wealthy or so much more poor than I am, let alone live next door to them.

I have discovered so much about the world. The primary thing being that I know hardly anything about it.

random-baby-eye-screening

I’ve found that if I were to pursue medicine, I would want to become a paramedic so I could deal effectively with trauma and save lives in the field. I’ve figured that if I can make it as an author I want to move back to France to really focus on it someday in the future. I’ve discovered that God can and does provide. I have wanted for nothing. I’m not rich, but I’m not poor, and I have no concerns so long as I trust in Jesus. Worries are the faulty construct of my inability to see beyond myself.

Jay-Swanson-Don-Stevens

Jay-and-Nils-Swanson

I had a caddy and broke 100 for the first time I can remember. Though having a caddy was awkward, my improvement in score is largely due to him. How many people have played golf with their dad in Freetown? According to our caddies, it was weird that a father would want to spend time with his son. My dad is pretty great on an international scale.

Nils-on-motorcycle-taxi

I’ve thrown up out the window while driving a manual Land Rover with a migraine in stop-and-go traffic without missing a beat. I’ve slept in the mansion of some mysterious family in South Africa I never even met. I got attacked by a monkey who, when he couldn’t get at me, mooned me instead. I’ve pulled someone’s tooth and I’ve officially been the ship’s executive body guard (and caught a lot of flack for it in the process). I was even a voice actor in Florence for an audio series of English language lessons.

I’ve lived in three different cabins on the ship, been offered a handful of random jobs including a management position, and observed every kind of surgery from hernia repair to maxillofacial. I have a signed, laminated, limited edition photo of the one and only Dr. Gary Parker. I caught our forklift driving off the dock on film and got punched in the neck by Tony Blair. That last part about Blair wasn’t true but I just wanted to see if you were still paying attention. One of our galley teams did get to meet him here in Freetown though. And Princess Anne even visited the ship.

fork-lift

Dr-Gary-surgery-on-the-Africa-Mercy

Pastor-Moses-and-Jay

Needless to say, it’s been a crazy year. And I’ve got another one on the way. From here (Freetown, Sierra Leone) we sail to Ghana for a few weeks and then to Lome, Togo. From Togo we’ll head to the Canary Islands for a much needed dry dock in June. Then we head to Guinea for another 10-month field service. I’m hoping to release my second book early next year and praying that I’ll be able to make a trip home to see everyone there.

Who knows where else I’ll end up, who I’ll meet, what I’ll ride to get there, or what random illnesses I’ll acquire in the process. All I know is that I’m ready for it to come. I’m grateful for the friends I’ve made. For the experiences I’ve had. And for the lessons learned. I’m entering my second year with Mercy Ships with open hands. I expect great things.

Winding Down Dental in Freetown

We’re finally coming to the end of our time in Freetown. Eye screenings are done, as are all surgeries. And this week brought the dental clinic to a close as well. I joined the dental team on Monday to help with security at the last screening. People understandably get aggravated as we begin to wind down. The need greatly outweighs what we can accomidate in a year. And unlike many of the major surgeries we do, dental work is never-ending.

the-lines-at-dental-screening

dental-volunteers

This screening wasn’t exceptionally large, but you can see just how many people need help when they’re lined up like this. It can be overwhelming to think about. But it provides some awesome opportunities to talk and pray with people as they wait to be seen by the dental team. Unfortunately we can only take the worst cases from the crowd, and there are some pretty rough ones.

security-at-dental-screening

My friend Gini runs the show and has been after me to come out and visit all year. Of course, I waited until the very last possible opportunity and came on their last day of operation on Thursday. I knew I should have come out sooner, and I was right. Why I don’t listen to myself when I’m right could be the subject of another blog post altogether.

gini

Devotions

from-the-hope-center

You’d rarely think of dental work as life-saving back home, but here it really is. People come in with the most advanced infections many of our dentists have ever seen. I asked Ali (the English dentist I shadowed on Thursday) how things compare, if he sees as much infection in the UK as he does here. He said that he sees more puss in a day here than in a year at home. And it’s easy to believe after following him around for a morning.

Ali

dental-prep

dental-tools

For the most part we just pulled teeth. There’s not much more you can do for 200 people per week. But as Ali put it, we’re replacing rotton, painful, non-functioning teeth with non-functioning gums.

seeing-patients

numbing

I got to assist on most of his work for the morning, and learned a lot. I’ve never run suction for oral surgery before, nor had I aided in suturing or pulled a tooth (pictured below – I bet you can’t guess which one I pulled). One lady came in who I got no photos of because I was quite literally too busy helping to do so. She had a massive infection in her jaw that had caused it to clamp nearly shut. You should be able to get three fingers in your mouth when your jaw is healthy. She couldn’t get one in.

pulling-teeth


pulled-teeth

It took about 20 minutes with two different wedges to loosen the muscles up enough to open her mouth. As Ali went in to see if he could release some pressure and get the puss to drain, we were told she was 6 months pregnant. From the perspective of my limited medical experience it was fascinating to watch and help as he pulled teeth and worked his way down into the jaw bone to seek out the infection. From a personal standpoint it was really, really heavy to watch as we essentially found ourselves unable to effectively help her as we wanted. The swelling never drained, and Ali was forced to leave tubes in her jaw to try and drain it over the coming week. Thankfully there’s a clinic just outside of town she can follow up with.

assisting Ali pull teeth

The danger is that the infection will get into her bloodstream, and things will go south quickly from there. What I think may be the most difficult part is when we admit people, can help them, and in the end they refuse our help. That happened with one lady who stopped Ali mid-pull. And it’s a bit shaking to think she has a chance of ending up like the other lady with the massive infection. But it’s her right to refuse the help.

What impacted me the most from the day was simply being with the patients as they underwent their procedures. It was an incredible educational experience following a dentist like Ali around and listening to him explain every little thing to me. But holding the hands of patients who had never been to a dentist before and trying to comfort them in the midst of it all stuck with me the most. It’s an incredible amount of trust that’s place in our dental team, and an overwhelming need that the they face. But it’s the individual that matters, and the fact that we can affect some change really does mean something at the end of the day.

And I’m really, really grateful for the opportunity to be a part of things like this. Even, like I said, to get to hold someone’s hand on their first visit to a dentist. I’m grateful for my friends finally getting me out there on their last day. Sadly, this is a photo that we’ll never get the chance to take again. But I’m really glad we got it. Thanks ladies!
the-last-clinic-of-Freetown

Among my Many Blessings

My parents definitely rank at the top of the many blessings God has given me. If you know them you’re aware of how amazing they are, and if you don’t know them… I pity you. What’s more, I have the rare privilege of having my dad visit me a few times a year in Africa as part of his job. He works with Mercy Ships training long-term staff in the Gateway program, and then brings them to the ship through a two to three week field service in country.

Jay-and-Nils-near-Freetown

Nils-on-motorcycle-taxi

Growing up I don’t think I ever fully appreciated how much my dad did for me. I probably still don’t (sorry dad), but ever since I left home there’s been a dad-shaped hole in my life. I’m really really glad that even though I’ve moved half-way around the world I still get to see him from time to time.

riding-motorcycle-taxis-out-of-Freetown

Nils-Frances-and-Stuart

Building-a-school-near-Yams-Farm

Nils-at-the-construction-site

Nils-golfing-in-Freetown

We got to spend some good time together in the field too. He was building a school out near Yam’s Farm with his Gateway class, and I accompanied the Eye Team out there to do a screening. We also left the city to visit one of the agricultural school’s sites.

Dental-screening-at-Yams-Farm

Eye-screening-Yams-Farm

Freetown-Mercy-Ships-agricultural-site

Mercy-Ships-Agricultural-site-near-Freetown

I miss our regular times together studying scripture and talking about life. My dad is one of those wise people who gently sets you straight before you realize you were wandering in the first place. While he was here we had some good time together. It was fun to visit Yam’s Farm, the Tacugama Chimpanzee Reserve and the play the national golf course together. Granted I had a migraine driving the land rover back and threw up in the middle of traffic. But that’s half of the… fun… right?

In any case, not only do I get to experience a bit of the madness of life in Africa but I get to share some of those experiences with my dad.

Nils-teeing-off-in-Freetown

Nils-putting-on-the-browns

Chimpanzees-make-good-acrobats

chimpanzees

I really do have a lot when you think about it. Especially with a family like mine. The world may not think I’ve got much, but I’m pretty happy with it. And I’m truly grateful for the time I got with my dad while he was here. Until February!

Losing Friends

I’m losing yet another friend from the ship this week. It’s not an uncommon experience, but the truly good ones only go every once in a while. And it sucks, regardless of the circumstances.

But the emotions and experience surrounding friends leaving the ship are very similar to those surrounding a death. The gravity isn’t entirely the same, but there’s always a feeling, if not only a fear, that you’ll never be reconnected. Especially when a friend has to leave suddenly.

I went through a bit of a whirlwind of emotion today following the news that one of my best friends here is leaving within days. I started out pretty solid, much the way that I did when I found out my grandfather was dying a year ago. I didn’t really feel much beyond the certainty that this was right in the natural order of things. But given the chance to dwell on it, and the following implications, my emotions moved in pretty quickly.

I won’t go on and on about it. It’s still very surreal and I don’t think I need to/can truly put everything into writing. But friends are important, and the ones you really click with can be so rare. This changes the next six months of my life pretty significantly, and it blows. I think it will be best for them in the end, but selfishly I’m not as satisfied with that response as I was when the news first broke.

Like a death this is going to take time to mourn. Like a wake, we sat around tonight reminiscing and laughing to break the sadness. But unlike any funeral, thankfully, this won’t be goodbye. And hopefully, just hopefully, there will be a “Hey friend!” over some fantastic Mexican food in the not-too-distant future.

I’m gonna miss you Friend. Thanks for making Sierra Leone so much better than it could have otherwise been.

Mercy Men of Movember

It’s time for No Shave November to go into effect, and a number of the guys around the ship are kicking it into gear. These are the before pictures, starting with yours truly. We’ll do a roundup half-way through (possibly) and one at the end (certainly) plus a round of photos highlighting what ridiculousness results from the first shave of the fresh canvas (most definitely). I hope this gets you excited for beards!

Jay Swanson

Jay-Swanson

Rob McLeod

Heart-ThRob

Dan Bergman

Dan-Bergman

Justin Grant

Justin-Grant

Marty Schwebel

Marty-Schwebel

Jeff LockeJeff-Locke

Ezra Hong

Ezra-Hong

Josh Young

Joshua-Young

Rachel Jones

Rachel-Jones

HEAD START (a.k.a. The Cheaters)

Cyle Davenport

Cyle-Davenport

Jeff Howard

Jeff-Howard

Sethelroy

Sethelroy

This could possibly be the most amazing month of all time. We’re only one person short of making a calendar.

EDIT: Josh Young picked up the challenge – we’re at a full dozen.

Abu Dumbuya: BuBu’s Trial

So among the top requests were more patient stories. These are covered and created by our delightful marketing team on the ship, so they deserve full credit (their names at the bottom of the post). I’ll leave their story to you, I hope you enjoy it!

—————————————————-

It was a long, traumatic labor. But, when Abu was born, his delicate frame seemed perfect. His miniature features complemented his dark, curious eyes. Unfortunately, as he grew, a physical deformity became obvious. His legs bent backward in the same way as a chicken’s legs. This was caused by dislocated knees and tight muscles, which prevented the knee bending forward or straightening. This condition usually occurs during a breech birth.

His mother, Fatmata, fell into a deep depression when she realized Abu had a deformity. To make matters worse, the neighbors tormented her. They believed Abu was a “devil child.” They also concluded that Fatmata could not be human if she gave birth to such a creature. When the verbal abuse became overwhelming, she was tempted to throw the baby in the dustbin. Yet, she felt a deep maternal love stirring inside her. So, she hid the baby inside the house and tried to regain acceptance in the neighborhood. Her plan worked because her neighbors assumed the child was dead. Sadly, Fatmata also suffered daily floggings from Abu’s father. The neighbors often tried to stop the beatings, but their intervention only served to fuel his anger. Fatmata became anxious that he would turn against Abu because of the child’s deformed legs.

Then the situation worsened when the neighbors discovered the baby was still alive. From that moment onward, Fatmata was shunned by everyone except her mother. One day, Fatmata was busy with the normal task of scrubbing the laundry in the yard when she heard a radio jingle that changed her life. It announced a Mercy Ships medical assessment day. On the day of the event, she wrapped Abu to her back and went to meet the doctors. Abu was accepted for treatment – a decision that would change their lives forever. Abu was eight months old when he arrived at the ship. With a perfectly formed petite body, he perched like a sparrow on the back of his lower legs while observing the nurses with curious, soulful eyes. His condition made it impossible for him to sit on his bottom. After being hidden in the house for so long, it was a frightening experience to be in a strange environment with many people. His tears flowed all day, and he responded only to his mother’s endearing nickname for him – “BuBu.”

At the hospital, Abu had a successful surgery to allow his knees to bend forward. The onboard hospital was a safe haven for the little boy and his mother. It provided a welcome respite from their daily worries and torments.

Prior to visiting the Mercy Ships hospital, Abu had interacted only with his mother and grandmother. This limited social exposure had produced a very solemn, introverted nature. However, Mercy Ships physiotherapists wrapped him in loving kindness and encouraged his smiles by tickling his feet as they examined his legs. Well-fed, nurtured, and rested from peaceful slumber, Abu grew in height. His constant, worried expression began to relax. Happiness was seeping into his life. Fatmata noticed a huge difference in her son, saying, “Before he was very dull. There is lots of change. After the operation, now he can move and explore places.”

Soon it was time to return home. Abu went to live with his mother at his grandmother’s house, which was next-door to the father. The floggings stopped. The torments calmed. Daily life transformed into happiness. An even closer bond formed between Fatmata and “BuBu.”

Abu and his mother regularly attended the clinic for dressing changes. This was necessary in case Abu scratched his surgical scars, opening the wound. Soon, Abu was ready for a series of leg casts to correctly position and strengthen his legs.

When Fatmata first returned home with Abu, with his newly straightened legs in casts, the neighborhood people felt ashamed for taunting them for so long. They realized Abu was not a “devil child.” Amazingly, Fatmata and Abu were accepted back into the community. As time went by, Abu received regular leg cast changes. He became frustrated by toppling over during numerous daily attempts to sit up with his corrected legs and posture. There were frequent visits to the ship to monitor and assess his progress to straighten his legs.  With every visit, his confidence grew, supported by his relationship with the physiotherapy team. One team member in particular, Joseph, had the special touch to calm the little boy’s quivering cries when he was tired. Also, physiotherapist Jana worked her magic to evoke smiles during the challenging leg exercise sessions. Under the kind care of Mercy Ships, Abu developed by leaps and bounds. For instance, his appetite increased, so Fatmata excitedly introduced porridge into his diet and delighted in his interest to suck on pieces of mango. He also formed a new friendship with the neighbor’s baby girl, Yeama. This encouraged Abu to learn how to sit up straight and try to reach toys outside his grasp. His adoration for Yeama was clear as he often threw his arms around her, chuckling with excitement.

After five months of treatment, Abu could finally sit up, crawl, and start to stand up while holding onto a chair. His first birthday was a wonderful celebration because he now had a bright life ahead. With his straight legs he would be able to run and play football with the other children. His delighted mother said, “Thanks to God, I appreciate Mercy Ships work from my heart. Now the people who provoked my child are ashamed and give me help. Abu will become a president or a doctor because he is healthier and happier now.”

Story by Claire Ross

Edited by Nancy Predaina

Photos by Debra Bell and Liz Cantu

Observing Surgery on the AFM (GRAPHIC)

So one of the major benefits of living in a hospital that specializes in surgery is getting to watch said surgeries. We have the opportunity to observe surgery once a year, and I managed to do so a few months ago. At the time there was still a lack of clarity as to the policy regarding what you could and could not post from surgery. It turns out you can post pretty much anything so long as you can’t identify the patient from the photos. So here we go (just be warned that these photos are pretty graphic by nature, so if you squirm at the sight of blood you might skip this post).

 

Cataract surgery gets kind of intense when the pupils don’t dilate. They actually make small incisions around the iris to stick hooks in your eye and pull it back. So be sure to convince your eye to go along with things as planned.

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These are of Dr. Gary Parker removing a fatty tumor from a man’s neck and jawline. It’s amazing to watch someone with this much experience do anything, let alone surgery. He talked me through the whole thing and still worked with uninterruptable precision. I’ll have to do a whole man-crush post on how fantastic and humble Dr. Gary is sometime, but I digress. Photos:

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Dr-Gary-closing-up-his-patient

Watching surgery made me realize just how much punishment the human body can endure. Dr. Gary was very gentle, but even so, you’re peeling someone’s face back and pushing their muscles all over the place. It puts a new spin on the idea of things getting worse before they get better. And the human body is an amazing thing in not only the beating it can take, but the recovery process.

You never know what you’re gonna see in general surgery with Dr. Bruce. He walked me through an entire surgery with a mini-anatomy lesson in the mix. This guy flies through surgeries as well.

hernea-repair-with-Bruce

Dr. Frank Haydon doing ortho surgery, putting some pins in to keep this patient’s feet from turning over. They’re heavily calloused as he’s spent most of his life walking on the tops of his feet. These guys are fast working with some pretty major surgeries.

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So there’s some Mercy Ships in action. I hope you enjoyed the photos. I have video but can’t really get that uploaded from here. It’s the ultimate challenge in media from the ship. Sorry to the faint of heart and weak of stomach for this one.