Cholera Up date

   A short update on the cholera epidemic. We heard this morning the doctor was out in the area from where the cholera patients come from and he says that their water way and source of water has been contaminated, he is sending a group of people out to treat the water today, we ask for prayer that it would stop the epidemic from getting worse and spreading further into other areas. What could have happened is that someone buried a person who passed away from cholera and it made its way into the water source.
   It didn't sound hopeful that they would start up the cholera clinic out there anytime soon, it could take a few weeks for that to happen. So we cleared more area in the depot and Steve got a load of meds from CAM yesterday, so we are prepared to treat a huge amount if needed. We are hoping it will not get worse then it is.
   We released two patients and had around 4 or 5 come in. Couple of them are quite sick and a few of them are Fish Bowl Patients, (Patients not on bed or intravenous) just drinking oral re hydration stuff (OR) and being observed for a few hours and released. We are seeing more patients that come in with the slightest stomach ache or they felt something not quite right with them, yesterday, we call it fear, so we check them out and make sure they're fine and send them on down the trail again.
  

Picture of some patients in the tent.



Katie Lapp, she is the main day shift CTC nurse.

 

Ben Gavin. He is also on day shift does the heavy lifting, etc.

Cholera/Clinic Updates.

   A quick update on our neighbor, Moise went out to Ti-Goave to have his 3rd toe amputated on Sunday afternoon with Pastor Levy, this morning we heard that the hospital in town won't amputate it under $2500.00 Haitian Dollars, ($312 USD) They can't afford that, so we are looking for a hospital that will do it for less.

  
   I don't believer any of us were very surprised this morning when we got up and heard that we had another cholera patient on the way, our third one, we barely had her settled in when the fourth one came. And shortly after that two more showed up, thankfully the last two were not that bad and we could release them a few hours after watching them.
   So we are now down to 3, but that can change quite quickly. Anita and Katie have been the main nurses for the CTC, and it has been a blessing having Brian here also, he did the night shift so the girls could get some much needed rest, and this morning Brian went to the clinic and helped do consultations with Dilo, a young man that knows English well, he translated for Brian.
   As you can see below, Delwyn, Ben and myself spent most of the morning leveling the ground beside the depot and setting up the cholera tent for more room. Breakfast at 11:45 AM was much needed!!!
   We heard this morning that the chief medical doctor from Ti-Goave is supposed to go back to the area where these cholera patients are from and see how wide spread it is.

 

They come on all kinds of interesting looking stretchers.

 

 

This gentlemen came in on a chair stretcher.

 

Just finished setting up the tent.

    This little girl came to the clinic this morning with her daddy, she is 18 months old, we are not sure exactly what the problem is, either she has worms or an impacted Colan. They decided to send her out to town, Rhoda filled out transfer papers and got her ready to go.

This is the little girl with the constipated stomach.

"Cholera"

It has been a very interesting weekend and Monday morning to say the least.

Friday a 70 year old man came to the clinic, with congestive heart failure, Brian told me that the heart beat sounds like water just swishing around, someone else described it as an old washing machine swishing around, nevertheless, this gentleman has a really bad heart, and we can't do much for him at all, only possible help their is, would be outside the country, and that's a maybe, usually they don't operate on old folks like that. He was released to go home on Saturday. Pray for him, he doesn't know the Lord.

Then shortly afternoon as Brian was doing some more training a 27 year old lady was brought in who had cholera, the rush was on to quarantine her and get an IV started. She improved right away quite a bit, while they were working with her, some of us guys cleaned out the entrance to the depot and hung some tarps, all the while praying this was an isolated case. After we had everything set up Anita moved the lady over to the depot. Katie, our new nurse, is the CTC nurse, (for now at least).

This morning or maybe I should say around 3- 3:30AM, another cholera patient showed up, from the same area as the first lady.

We are asking that you all pray that this won't turn into another full fledged epidemic and that all of us will stay healthy.

Steve is trying to get an organization to go check the area out where they come from, it's dangerous to have them walk over here because it is so contagious.

 

 

 

Brian letting Nathan and Megan listen to the guys heart beat.



Started up IV and she came right back to. Anita spraying bleach spray.




All settled in, in the depot.

Neighbor!!!Opportunity!!!!!!!!!!!

I'm sure most of you have heard of Mde. Moise. She is the witch doctor that lives right beside the mission. Her husband came to us last December sometimes, and Anita sent him out to get further treatment in Ti-Goave, at the time it was only his little toe that was infected.
   After that no one really knew how he was doing, but he came back last Friday and this is what we are working with now. Anita told me she is quite disappointed in the care he got out in town, and that most of what you see in the picture below was preventable.
When he came back he only had his little toe amputated, and the next two small ones are basically dead to, so Anita amputated the second toe. And has basically kept everything clean daily and is keeping it from spreading. We are now waiting for a ride to town, and will send him along to have the third toe amputated and then have him come right back and the nurses will just keep it clean and the infection from spreading further. We are really hoping that we can save the 4th and 5th toe so that eventually he will be able to walk again.
We are also praying and are asking you to join us, in constant and continual prayer for him and his wife. We are hoping that through all this they would sense that God is real and that with the medical care at his home on a daily bases God would open their hearts to the gospel. O that they would be saved, also for those of us that go their everyday, that we would be sensitive to the Spirit and boldly speak out, and lift Christ up as the healer of body, soul and mind.
I was there with Anita and Rhoda the first afternoon that they were treating it, and it struck me that this is the yard where it all happens, (the devil's barking) I praise God he can't bite God's followers. I stood there basically right next to the tree trunk, (see middle picture below) and praying for Moise, with a number of people around, a demon altar further up the walk and gifts hanging on a tree limb for the devil, (see last picture below). And this morning as I walked over there again I looked up into the tree, I seen more bags hanging in it.
I am thankful to serve a God that gives peace, and He's not a harsh master that demands us to sacrifice our earthly belongings to Him.

That needle looks scary! Anita is numbing everything before she
starts the cleaning process.

Notice the cut of tree trunk to the far right? It's used in their demon worship.

Anita has been keeping intravenous going on a regular bases this week.
Did anyone notice our friend Nathan Grice is back!!!!! (For a week)

Notice the red fabric tied around the tree and the white and blue bags
hanging on the tree? Those are gifts for the devil.

"God's Perfect Plan"

   A time to be born, and a time to die....which was it on Wednesday night?
   Anita and I were in the house, thinking of a relaxing evening, when we got the call that there was a lady in labor at the clinic. We put on our scrub tops, and headed right into it. Supper would stay warm, for whenever that time came.
   Shortly after Anita checked the lady out, she realized that the prognosis for this birth was a bit dangerous. "Call over the radio and tell them to pray," she said. We were having a really hard time getting the heart beat.
   I did.
   Soon different friends showed up to pray and be supportive by their presence. Anita, by this time was beginning an IV, and adding Oxytocin along with the flow. The prolapsed cord was detaining the baby from being born. Anita gave supportive assistance for awhile and then called Dr. Michael down for more aid.
   Dr. Michael realized that at this time there was no heartbeat in the placenta. There was not going to be a living baby, by all medical standards, at the end of this birth.
    About the time that this was taking place, we got a notification that there was another lady in labor being transferred from the Bases hospital, since the doctor there had left and would not return all week-end.
   We got another bed ready, and now coaching began in that corner of the clinic. Michael continued with the delivery of the first case. He was having complications, because of the position of the baby's head. Finally, about 9:30, the quiet, lifeless girl entered the world.
   It was hard to bathe her sweet, round face, and realize that she was already a little "angel" in heaven. I felt like crying, because it seemed like her mom deserved to have her, too. Megan took a picture of her against the white pad that we wrapped her in before we placed her carefully in a cardboard box.
   After a bit of clean up from that birth, we pretty much began to help the next lady. An hour or two later, after a tough fight against a shoulder dystocia situation, we saw a big boy enter the world. It  was a happy time, as Anita administered oxygen and heard the first, gurgly cries growing stronger.
    Our minds were too full of thoughts as we walked home in the darkness, later. There was no question but that the gift of life is handed to humankind in a Sovereign way that we cannot understand or question...
   


Michael reminded us that she would have been a cute one. We nodded our heads.

We didn't have much to say...

And she WAS cute...but we wouldn't have many chances to be reminded of it in this case....

And by now, we were beginning to feel like it was the time to sleep.

 
 

Axe versus foot? Which won??

   As 6 PM rolled around Wednesday evening I was thinking that it is going to be a quiet evening with no clinic calls, and everyone will be able to relax. That thought was quickly brought to a halt when a horse pulls up to the mission gate and someone helps a man down and brings him over to Steve's porch, all we could see was a foot all wrapped up.
   Anita and Rhoda were called and in a short time we loaded him onto the bobcat and drover over to the clinic with him and his friend carried him into the clinic.
   The pictures are pretty self explanatory but here is what happened that brought him in, he was chopping away on some wood with his axe when suddenly the axe landed on his left foot, it cut a huge gash along one tendon, severing it, and kind of split open one toe, it took a number of hours for Anita to go through it and clean it out, she did get one piece of bone out but nothing was broken, we were thankful it wasn't worse. We finally got home around 11:30.



Usually things like that draw big crouds.

His friend carried him right into the clinic and onto the bed.

Pretty bad gash, can you see the severed tendon?

Getting Ready to clean the wound.

Starting the IV, was quite easy.

Megan studying the wound, (and not even fainting)

Good job Anita, almost done.

Rhoda giving him a drink while Anita is digging away in the wound.



We were all quite proud of the nice stitch job Anita did!!!
Good Job Miss Anita!!




This is what the foot looks like today. (Monday)

Reason for not having had blog posts for a number of days now is because we are having problems with out internet service, we will continure to update as often as we can, Thank you all for your support.

 

I thought you'd be interested in seeing our doctor. His name is doctor Beneche, sounded out as "Benish". He comes out every Friday, the nurses try to keep the worst cases for him to look at when he comes.

A quick update on this gentleman with the large open sore on his hand, it looks a lot better already and he seems to be a lot happier, as you can see.

Do you notice how the swelling has gone down?