Medical Practice on our Daughter

Jeff bought Katy's four month vaccinations when he was in Bamako recently. So we had them in our fridge for when she turned four months old.

The people at the clinic don't use alcohol swabs before they give injections. So we thought about doing it ourselves. But our pediatrician (several hours away) wrote us an e-mail encouraging us to do it as part of a pediatric check-up.

So on Katy's four month birthday I gave her her oral vaccine, tied her on my back, and took her and her shots to the clinic.

I brought my own alcohol and asked them to clean the site of the injection before giving her her shots, and I told them that they would need an extra syringe because one of the medicines didn't come with a syringe. I turned my back to get my camera, and when I turned back, I realized they had only given her two shots. Instead of getting a new syringe they mixed two medicines in one syringe and gave her one shot.

She seems to be fine, but we feel so helpless in those moments. It is very much outside of our culture to think that you know more about health than the medical professionals you trust.

A friend of ours has a call in to the CDC, and we should hear from her soon what we need to do.

These moments can be very hard. I had just shared with Jeff about how overwhelmed I am sometimes to be the one holding the responsibility to make sure our kids get all their shots at the right ages. No one is calling us to remind us to do it. Then we prayed together and put it in God's hands once again, and I went off to the clinic. Pray for me to handle these types of situations well, and for God to protect our children.

Fear

A couple nights ago I was sure I was in the early stages of labor. And instead of being excited, I was terrified and feeling panic. This was not part of my labor plan. But I couldn't make the nervous feelings go away. Finally I got some rest and my contractions went away by 3AM. But I realized that I need to get get myself together, and rely more strongly on the ONE who will get me through this. I KNOW labor will be hard work. I don't want God to take that away. But I want to face it with peace, and grace and the knowledge that He will not leave me and He can give me the strength to get though it. So please pray that with me and for me in the next few weeks...

A Day in my Life...

Monday dawned humid and hot. When will we get relief from a rainstorm I wondered . The plan for Mondays is for me to spend a couple hours in the morning at our neighborhood medical clinic. I'm trying to get to know the women and learn some Bambara. Getting out the door is always a challange. After starting some laundry, greeting a few visitors, buying some mangos from a merchant girl, and preping my house help for the morning... I was off. My bike is the perfect transport to whip around our neighborhood. It keeps me active and my feet out of the sewer filled street. When I arrive at the clinic there is a long line of brightly clad women and babies, waiting for their turn to get their free baby vacinations. They greet me warmly and chatter happily amoungst themselves. After many clients have filed through I ask about one in particular who has not moved, nor has she recieved any shots for her baby. Oh her baby is tounge tied the nurse responds to me. I asked the woman how old her baby was. She said, "One week old.... No, ten days." she corrected herself. A few minutes later the nurse came out with scissors in hand. (You are not really going to clip her toungue right here on this porch are you I wonder?) Sure enough... she smacks the babies foot to make her cry, holds her toungue up with her fingers, and clips with the scissors. The baby fusses for a mintue and her mother offers her the comfort of her breast. All is well... the scissors go back to the delivery room for cutting the cord of the next newborn. (After being sterilized of course!) All in a days work!

Who knows why God has opened so many doors for me to work at the clinic. The midwives are more than willing to let me jump in and deliver a baby, even though I am not trained. As I continue to learn about labor and delivery, I like to encourage and pray for the women and children. I have now attended eight births. One of the needs for this clinic is hemostats and scissors. They only have two pairs of each, not enough to get them sterylized between deliveries if they are back to back. If you could help meet that need, this little clinic would sure appreciate it. I also give a newborn baby outfit to each new baby when I attend a birth. If you want to donate used newborn clothes, that would also be well received.

Lovin' my boy

Normally he wakes up when we go in the room... but he was out cold today... he is teething and not feeling well...

What a sweetheart...

He needed lots of extra snuggles today... mama loves those kinds of days...

Mango anyone?

So a couple days ago we had another rain storm... this is unusual for April. Usually this is the middle of hot, dry season. Well Jeff did a video about it that you can watch at our family blog. But my job was and is... what to do with all the mangos that our tree dropped in one day. Hundreds of mangos... I will give some away, let some ripen, and cut up and freeze a lot to use in cooking. Stop by for some mango sauce, mango cake or mango crisp if you can!

Ups and Downs

OK... it's not that bad... But we have hit a wall. It is the four month wall I think... and it happened to coincide with hot season. Jeff and I have both been feeling stuck and unproductive in the last few weeks. I know it will get better.

A few frustrating things...

- It's hard to learn a new language in the midst of life...

- There is no where to 'get away' (Like the mall, coffee shop, grocery store, dollar store... )

- It is HOT - kids have heat rash

- There are no pools in our town

- We don't have friends or family to really talk to

- Whenever the kids want a snack... I have to cook something (crackers, cookies, bagels)

- Bugs and dirt

A few good things...

- Our kids are awesome

- Fans... and air conditioning when we want to splurge for an hour

- Mangos!!! lots of them (the one snack that is ready and waiting)

- Internet to connect with family and friends

- A rain storm to chase away the heat

So yea... it's not that bad, it's just been hard, and we are trusting God that He will bring us through and soaring on the other side of this valley. We do look forward to spending Easter with our new Church family here in Kadiolo. I'm praying for a good time of fellowship, and for our young friend Kadiatu who is a muslim girl going with us to Easter. She says she wants to be a Christian, but it may be more likely that she wants to go to America. Pray for her to really understand the gospel and want to be a Christian because Christs has spoken to her!

Birth Number 2

I was called to another birth on Friday. It was 4pm, not even the middle of the night. So I thought I better jump on the opportunity to go help out. When I arrived I found out this was an 18 year old girl delivering her first baby. She was outside walking around and had been found to be 8cm dilated.


She wanted to have a rest and came back inside to sit down. They checked her again and had me check her. Again I am no good at this part. I must need much more practice. Aparantly she was 9 centimeters. Shortly after this she expressed a desire to eat something so her friend went off to find some food. When it arrived she sat down to have a snack.



After that she was tired again and wanted to go in and lie down. She was told she need to walk to get her contractions going. They were coming, but not real close together. Like any first time mother, she did not want them closer together or to feel any more pain. But she was very brave.


Here sit the three midwives/nurses waiting for things to progress... When she got so tired she had to lie down, they hooked her up to an IV and gave her some pitocin to make the contractions come along faster.



Here came the difficult part of the delivery for me. As we had checked her the nurse commented on her circumcision. It is very common practice here in Mali for a girl to be circumcised in her childhood. Unfortunately for this girl, she was sewn up too small to allow for this baby to be born. As the baby began to crown the midwifes had to perform an episiotomy to allow the baby through. This makes me so sad. It is a very traumatic experience when a girl gets circumcised, and now in childbirth it becomes more traumatic again because of this. There was no anisthetic used to aid in pain relief either.


A healthy girl was born around 6:30pm. I asked them what the sex was so that the mom could hear. Then after the baby was weighed and left on the scale, I asked if I could hold her. I took her over the the mom and showed her beautiful baby to her. That part gave me great joy.


Pray for me as I plan to talk to the midwives about working on educating their patients about the negative effects of female circumcision.

A Simple Pleasure

This morning some Southern Baptist Missionaries stopped by our house as they were leaving town. They come to Kadiolo to do some work for a few days about 4-6 times a year. They have a guest house in town and we help out by giving out salaries to the guard and housekeeper each month. When they stopped by they brought a box of leftover food for us that they did not want to take back to Bamako. It was such a treat! We got chocolate chip cookie mix, blueberry muffin mix, juice boxes, ranch dressing, a taco dinner kit complete with crunchy tacos, and much more. What I was most excited about was the Cheerios. It is hard to come by snacks to give the kids... especially for Jethro who can't manage some things by himself, or they are super messy like a mango. I was so excited to throw some Cheerios on his tray and let him have the joy of picking them up all on his own. He was pretty excited too! It seemed crazy to me how something so simple could bring so much pleasure!

Crash course in Birthing

We are working hard to learn Bambara. And I thought maybe combining my need to learn Bambara with my desire to help women and learn some midwifery skills might be a good idea. And so the following story was 'born'.

I was called at midnight by a local midwife to find out if I wanted to assist her with a delivery. I had previously explained that I was interested in womens health and delivery. So I decided to go. When I arrived the woman was six centimeters and was laboring outside. Shortly after she was tired and went in to lay down.

When it came time to check her again the midwife handed me a glove and said, OK, go ahead. Hold on, I was not expecting that. But I guess that is the only way to learn. So sure, I checked. Knowing how much these checks hurt when you are in labor, I felt a head and that was good enough for me. She asked how many centimeters I thought she was. When I responded I had no idea, but I felt the head, she just laughed. She was 7 cm at that point.

This is a very small clinic. Aparantly women go there that do not want a hospital experience. So I was expecting more of what our culture calls a home birth or birthing center experience. It was not so. There was no one there to encourage this woman. Her husband waited outside. An other woman came, but only to clean up after her. It is the families responsibility to clean out bed pans, puke buckets and throw the placenta in the outhouse. She was told to keep her legs in one spot but no one held them for her. Finally I went and held one leg in place, so she didn't have to work so hard on that part. When the head was out the midwife pulled the baby the rest of the way out. I became VERY light headed and felt faint. (Unexpected) I think it was mostly from the roughness of it all. After that she quickly cut the cord and sucked out the babies nose. She then pulled out the placenta. There was no putting the baby on moms tummy, or waiting for nature to take it's course. I was surprised and a bit bothered by how much intervention there was. The baby was weighed and taken out to the family. I don't think the mom ever saw him or was told he was a boy.

This photo was taken after I took a seat. I really thought I might faint and I have NEVER in my life felt that close to fainting. My legs were weak and trembling and my heart was pounding. It was a very strange experience. I think it came from understanding a bit of her pain, and feeling for her that she had no one on her side so to speak. It felt very lonely and joyless. I prayed for her a lot and wondered what I could do to bring some comfort and joy to the birthing rooms in Kadiolo. Or is that even my place?

I wondered at first if this little guy was even alive, but after sucking out his nose and slapping him around a bit, he made a little sound. I think he is a healthy little boy and despite the difficulty of the experience for me, I am thankful for his little life. Praise God, the creator of LIFE!

Nous avons tué un cochon aujourd'hui!!!

DISCLAIMER: An animal was killed in the making of this blog. Not for the faint of heart!

Parce que je parle en français toute la journée, j'ai pensé que je devrais écrire mon blog en français aussi.

Aujourd'hui, les enfants et Jeff sortit à la terrain de Jonas et tué un cochon.

Ils ont l'apporté à la maison dans le wagon de notre moto.

Ce projet était très intéressant pour nos enfants.

Nous avons bouillie l'eau dans la cuisine à l'échaudure le porc afin qu'ils puissent décoller les cheveux.

Drew a gardé les ongles comme les cadeaux pour nos chiens

Puis ils ont le suspendu dans notre manguier.
Puis ils lui coupé en deux et sorti son intestins.

Après cela, ils lui couper en morceaux pour moi.
Je les ai mis dans les sac pour congeler.

Apres tous ca, on a bien mange l' atcheke ensemble.

Heading out with my new moto...

So it feels good to have transportation... Harley and I headed out this morning for a few groceries so we could do some baking and cooking. Today I made, granola, cookies, yogurt and sourdough starter... I'm going to take a break before I need to start on dinner...

My New Wheels...

I am happy to announce that I have wheels... I can how be seen cruising around Kadiolo with a moto much like the rest of them... maybe I will blend in more than I did on Big Red... Probably not, but I like it!

He's Back

What an amazing day it was yesterday... I don't have photos of most of it... but here is the rundown...
Our power came back on after a week of being off...
Jeff came home...
We got a huge thunder and lightening storm followed by a real downpour...
Our container showed up in town just before midnight...
and then this morning Drew's chickens gave their first egg!
It's been an exciting 24 hours... Jeff is outside right now putting the kids bikes together!

Jeff coming home...

Pancake breakfast...

Our first egg...

Getting ready to open our container from France...

Putting bikes back together...

Goodbye Jeff

I kissed Jeff goodbye this morning as he left our house to go find his bus. He is going to Bamako to try and convince our company to release our container with our bikes from France. They really want us to come get it as the longer it sits in Bamako, the more we owe in holding fees. But they need proof of our wire transfer which is somehow caught up in France, so we have been stuck, unable to move forward or backward. So... he is going there to talk with them in person. Pray that they release it to him. And that he can find a good form of transportation to bring it down here to Kadiolo. Jeff will also be doing some shopping for us in Bamako. Things we cannot get here but are available up in Bamako...

Paint,

Cheese,

Toilet Paper,

Shampoo,

Soap,

Chocolate,

Nems,

Strawberry Jam,

Pickles,

Butter...

Oh my list is much longer, but you get the idea... hopefully he can manage this on his own. It takes one day to travel each way... and I imagine his Bamako errands will take him 4 days or so. So we are on our own for a week. So far so good. Except for the power outs. I don't know the system for getting the generator started and switched over to run the house power. So I am really hoping it just stays on! Pray for us this week!

The Baptem...

Kadjatu came to pick me up for the Baptem...

Everyone loved holding Jethro until he got too tired of it!

We ate some rice and fish... Jethro thought it was great fun to eat with your hands... Kadjatu had a beautiful henna job on her hand.

Jethro got a little nap while I was there. I stayed for 4 hours... and people were still showing up to the party when I left...

Kadjatu and her friends...

Dancing is the main event... and everyone likes to enjoy it...

This is the star of the show...

The ladies who are hosting never stop working hard... even if they are dancing and visiting, they jump up to serve any newcomers...

There were lots of women and LOTS of babies!

Lots and lots of women...

These poor kids need some meat and veggies...

A Walking Scrapbook

I learned something new. There is a lot of cloth available in the market. Usually I search for something with colors I like, patterns that are not too offensive or bizarre, and something I can envision in an outfit. I end up with a lot of purple, pink, blue and green. As I started asking people about their outfits they wore, they would say, 'Oh yes, this is the tissue form someone's baptism, or this is the tissue from someones goodbye party, or this is the tissue from Christmas last year.' I began to realize, this is a form of scrap booking. As the women wear their outfits, they remember people, times, experiences and memories.

So one day I was visiting with one of my friends, Kadjatu. She is 13 and loves to come visit whenever she can. She has a new cousin and took me to visit her. I was also invited to the 'Baptem' party for her cousin. She told me there was cloth and she wanted me to buy some and come dressed for the party. I decided to do it... and when the cloth arrived she brought it to me. I realized this was going to be my first REAL Malien outfit. IT is in orange and yellow, two colors I wouldn't have chosen. And there are some random designs all over it, like chalkboards and fingers... So here are some photos of the process... I knew I wanted to scrapbook while I was here, but so far this is the closest I have come.

What will I do with this fabric?

Yes... those are fingers in my fabric!

So I took it to my tailor... notice how they finish the zipper?

He made a beautiful outfit!

Everyone really likes it here... they say I am Malien now!