Tuesday, July 20, 2010

Jean

Jean Loko began developing a lipoma on his back in 1992 after he was caught in a battle between government and opposition forces in Benin and was beaten on the back with a rifle. The tissue damage resulted in a swelling which continued to grow over the course of 18 years into a 7 kg lipoma which limited his range of movement and ability to work as a tailor and he abandoned his business.Jean also had to battle the cultural aversion to deformities, which are often viewed as a curse. The father of seven, Jean was rejected by his two oldest sons because of the growth. He had sought treatment at the local hospital where doctors told him they were unable to help him with his problem. He heard about the Mercy Ships surgical screening on the radio. Although he was a bit fearful that he would meet disappointment again, he went to the screening anyway.
“But I was chosen!” he said with a combination of surprise, disbelief and elation. After removal of the lipoma on the Africa Mercy Jean stayed at the Hope Center and returned daily for several months to the post-operative department for wound care. On one such visit, nurses thanked Jean for his patience with the wound healing process to which he replied through a translator “I have new life.”The volunteer surgeon aboard the Africa Mercy successfully removed the lipoma that had caused him so much misery. When asked about his experience, his usual serious expression turns to a brilliant smile. “I just thank Mercy Ships for what they have done for me. They gave me my life back.”

Thursday, July 1, 2010

Abel is Able!

Abel is a joyful eleven-year-old, who loves to make new friends. His attitude is surprising when one considers the physical problem he has been living with for most of his life and the reaction of most people to that problem. His parents first noticed that he was having difficulty learning to crawl. His muscles had stopped growing, but his bones had not. His leg bones could not grow correctly because there was so little musculature to direct and support them. His legs began to bend backward at the knee, forcing his upper thighs out behind him. His parents took him to three different doctors, but none of them knew what to do for him. Despite this condition, the resolute Abel learned to lean forward, correcting his balance enough to walk, climb and do just about anything any other active boy can do. He even became the goalkeeper on his soccer team. The only thing he couldn't do was ride a bicycle, since it requires sitting straight on the seat and pushing down on the pedals. Abel's physical deformity made him the target of ridicule from other children. But he remained optimistic thanks to his joyful spirit and his wonderfully supportive parents. One day, there was an announcement on the radio that a Mercy Ship was coming to Togo, offering free surgeries. Abel's hopeful father took his son to an orthopedic screening in Lomè. A few days later, a wonderful surprise awaited Abel when he awoke after his first surgery onboard the Africa Mercy. His left leg was straight out in front of him, in a cast. As he admired his newly straightened leg, he asked his dad if his right leg would also be straight after the next surgery. His father assured him that it would. And a second surgery did straighten his right leg. He also had a third plastic surgery procedure for skin grafting to his upper thighs. Through the surgeries and post-operative care, Abel’s sparkling personality and brilliant smile earned him many new friends among the crew and among the other children recovering at the Hospitality Center. Finally, after more than three months of surgery and recovery, it was time to return home to his northern village of Homa. Abel and his father, accompanied by a Mercy Ships team, climbed into the Mercy Ships Land Rover to begin the six-hour journey. As villagers recognized the Mercy Ships logo on the vehicle, they ran to spread the word. Soon the Land Rover was surrounded by curious villagers who wanted to see what the volunteer doctors had done for the boy with the backward legs. The suspense ended when the star of the show, a very happy Abel, climbed out of the vehicle with two straight legs!

There were gasps of surprise, disbelieving stares, and cheers. Abel, dressed in his cheerful blue and yellow outfit, was the center of attention. The other boys in the village stood quietly nearby. Abel kicked a small soccer ball with his straightened legs. Abel smiled graciously at them, the uncontested victor on every level. The Dalome family squeezed together for a photo commemorating this fantastic and unforgettable moment. When it came time for the team to leave, the villagers vigorously shook the hands of each crew member and expressed their thanks, saying, “God bless Mercy Ships.”


Saturday, April 10, 2010

Wound Care Ninjas

Since the beginning of the Togo Outreach, I have been serving as a ward nurse and charge nurse in the orthopedic and maxillary facial surgical areas. Plastic surgery is soon to begin and I was approached about serving in a new role as Reconstructive Care Coordinator.
In this new role, along with my friend Jane who has been managing the Outpatients Department, we will be responsible for overseeing the care of the Plastic Surgery patients on the ward, for rounding with the surgeon in the morning and performing sterile dressing changes on the plastics patients, many of whom will receive surgery to release old burn scar contractures and skin grafts. Let the wound care by Sensei Jane and Grasshopper begin!

Saturday, March 27, 2010

A is for Abla

Here in Togo in meeting translators and patients on the wards, I began to notice many reoccuring names such as Yaovi, Kossi and Komlan. One day I asked one of the translators about the meaning of his name and he told me that many people in Togo are given the day of the week in which they were born as one of their names, either as a first or middle name. He asked me what day of the week I was born on to which I replied, "I don't know." "You don't know?!?" he said, quite surprised. After I little internet calendar research, I learned that I was born on Tuesday. My Togolese name in the Ewe language would be Abla. I soon discovered that my good friend Marianne is also born on Tuesday as is our friend Geraldo. We began a tradition of Happy Tuesday dinners together up on Deck 7 every week featuring locally grown coconut or pineapple.

Monday, March 22, 2010

Lawson

Lawson was a joy to care for on the patient ward. He sought treatment for a large, benign tumor affecting his upper jaw. His tumor was ameloblastoma which develops in the jaw, often at the site of the third molar, and may involve tissue from the eye sockets or sinuses. Ameloblastoma is formed from remnants of cells that, under normal circumstances, develop into tooth enamel. Lawson's tumor continued to grow over the course of 4 years. He arrived on the ship with a piece of cloth tied around the back of his head to hide the tumor. Individuals with disfiguring conditions such as ameloblastoma are often cast away from their villages, viewed as being cursed or punished by ancestral spirits or gods for something they or a family member has done. They often live isolated lives in hiding, apart from their family and village which is especially difficult in a culture which so greatly values community and interdependence. Ameloblastoma tragically kills its victims who are unable to receive surgery slowly and painfully through starvation and suffocation, by eventually occluding the mouth and throat. Lawson received surgery to remove his maxilla. His new smile says it all. Here Lawson departs the ship in his traditional dress, ready to reunite with his daughters. I feel so blessed to be able to participate in all that God is doing to show His love to West Africa. Thank you for your prayers and support to make this work possible.

Sunday, March 14, 2010

The Snapshake

One of the cultural joys of Togo are the daily pleasantries and greetings, "Bonjour, ca va?" "Ca va bien, et vous?" "And how did you sleep last night?" "How is your family?" But the greatest part of the greeting is with what I call, the "snapshake":


Grasp the hand of your counterpart




Slide into a thumb-to-thumb grip


Pull back to clutch the finger tips of your counterpart




Release with a loud snap of the middle fingers


Bobo, our beloved patient with the bow legs found it very funny when this Yovo greeted him first thing in the morning with a snapshake.

Thursday, March 11, 2010

The Young Man and the Sea

My favorite time of the day is bringing the patients up to Deck 7 in the afternoon to catch some rays and gaze out to sea. The patient wards are located on Deck 3 and have no windows. I'm sure Florence Nightingale would have something to say about this. Without windows, patients can become disoriented and lose track of day and night, when to rise and when to sleep. One afternoon I kneeled down so my patient, 8-year-old Pere could slide off his bed and onto my back. In true West African style, I carried him and his full length leg casts piggy-back style up the flights of stairs to Deck 7.
Pere is from northern Togo and I soon learned that this would be the first time in his life he would see the ocean. What an honor! I placed him down in a plastic picnic chair. At first he was very timid and frightened about approaching the edge of the deck but gradually he allowed me to scoot him forward until he was gripping onto the bars of the deck, looking straight down to the ocean below. He was perfectly content sitting there for an hour, watching the swallows dip and dive, fishing canoes sail by on the open ocean and members of the Togolese Navy working on their boats docked next to the Africa Mercy Ship.

What a precious moment it was for me to share my love of the ocean with my new African friend. Once again I was reminded of why I love being a nurse in Africa.

"Now is the time to think of only one thing.
That which I was born for."
The Old Man and the Sea
Ernest Hemingway

Wednesday, March 10, 2010

Togo Unrest

Protesting by the opposition party has followed the re-election of president Faure Gnassingbe. Please continue to keep the nation of Togo in your prayers.


Riot police have employed the use of tear gas several times

Crew members are safe as we continue to remain on the ship on a well guarded dock. We are concerned for the safety of patients, translators and African volunteers as they travel to and from the ship.

http://news.bbc.co.uk/2/hi/africa/8553955.stm
http://news.bbc.co.uk/2/hi/africa/8559049.stm
http://news.bbc.co.uk/2/hi/africa/8555210.stm

Thursday, March 4, 2010

Togo Votes

Today is Presidential Election Day. Togo needs your prayers for a fair election and for peace following the result. Violence and hundreds of deaths marked the presidential election in 2005 in response to suspected rigging of votes. Today and through the weekend, Mercy Ships crew are to remain aboard the ship as a safety precaution. We are praying for justice and peace for this nation during and following the election process.

For further information on the history of Togo:

http://news.bbc.co.uk/2/hi/africa/8548787.stm
Togo hopes for a peaceful election

http://news.bbc.co.uk/2/hi/africa/8543973.stm
The different political parties

http://news.bbc.co.uk/2/hi/africa/country_profiles/1064470.stm
An overview of the history of Togo

Thursday, February 25, 2010

Surgery Begins!


The Nursing Crew of the Africa Mercy

Wednesday, February 17, 2010

Screening Days


Screening individuals to determine if they are candidates for surgery has begun. These are difficult, exhausting and trying days. While I have not yet participated in the screening process in Togo, I wanted to share some striking images that capture the raw joy, suffering, sorrow and hope these days present for both potential patients and screeners.








Saturday, February 13, 2010

Dirty Jobs 2

Today the ship underwent a scheduled blackout. Electricity was turned off (including air conditioning) and volunteers were recruited to assist with the cleaning of the pipes which carry seawater onto the ship to cool fresh water which cools the engines.
Periodically these pipes need to be cleaned as they become clogged with shells and barnacles. Embracing another opportunity to work in the engine room, we headed down to Deck 2 and suited up. Conditions were hot and humid, and the aroma one of a clam bake. We painstakingly inserted long wire bristle brushes into each of 1500 metal intake pipes which carry sea water onto the ship to dislodge any marine life.

Jeff the Welder
with the cooler panel of 1500 pipes
to be cleaned


Ginger, Dennis the Welder and myself hard at work


The moment the entire ship has been waiting for: Ginger restarts the Harbour Generator and electricity returns

Thursday, February 11, 2010

A Ship with a View

The Front Yard
(Starboard)
Lome is quite the bustling port city. Gazing over the top deck of the starboard side of the ship I see a flurry of activity all through the day and night. The scene reminds me of a sort of "Lego Land" with cranes and vehicles of all kinds, lifting and lowering heavy sacks of grain in nets onto other little Lego vehicles for transport. Little Lego people are busy at work wearing little Lego helmets. The nightscape features big Lego rats and big Lego cockroaches cleaning the dock of any spilled grain. The Back Yard
(Port)
Ahhhhhhh....the backyard. Definitely the place to be, with views of crashing waves, farmers watering their crops and members of the Togolese Navy participating in early morning swimming exercises. This is Africa. (TIA!)

Wednesday, February 10, 2010

T is for Togo!

This morning we arrived in Togo and as the ship pulled into port, we were greeted by a welcoming reception on the dock, complete with Togolese marching band and African dancing.

The Africa Mercy Ship will be docked in the capital port city of Lome for the next 6 months.




Coming into port, a welcome and familiar sight of beloved fishermen with their nets in their wooden pirogues


The pilot boat approaches to escort the Africa Mercy to the dock

A warm welcome from Togolese waiting on the dock



Oh when the saints come marching in!

West African Dance Party!


Bon arrive a Togo!


The gangway is lowered as we touch the African continent at last