Saturday, May 26, 2007

Mud Slide Slim


Since children in the jungle don't get to go sledding on snow, they still can slide down hills. Here, they go mud sliding.

The day started with the kids trying to slide on a large sheet of plastic wet down with spay water. They quickly discovered that the plastic wanted to slide down the hill with them. Since the first try was not fun enough, fast enough or dirty enough for the kids, the kids decided just to slide on the mud. It made a huge mess, grinding mud into their clothes. After they were done, they turned the bathroom into a new mud pit.

The great thing about kids is that they will make their own fun, and are usually more creative than the adults around them.

Blessings,
Jerry and Elizabeth

Wednesday, May 23, 2007

Premature Baby - It's Good to be Wrong Sometimes

It's good to be wrong sometimes. I thought the premature baby admitted two weeks ago was going to die. Shows how much I know. The baby at first lost weight and needed antibiotics, but now she is growing and getting ready to leave the hospital in the next few days.

Her birth weight and her Bilirubin, the chemical that makes people with Hepatitis look yellow, were horrible. She was born at 32 weeks. We have had babies 33 weeks of age die here. This tiny girl doesn't think much of numbers and statistics, she just keeps on growing and eating. When she was born, she weighed 1900 grams (4 lb 3 oz). During her first week of life, she dropped all the way to 1580 grams (3 lb 7 oz). Now she's almost back to her birth weight. She never developed any of the problems most premies develop, like pneumonia or other infections. She never ended up on a ventilator. I'm amazed.

If she can keep gaining weight and clear up her jaundice, she might get to go home to the jungle in a few days. That would be a great surprise and a time when I'll be very happy I was wrong.

Blessings,
Jerry

Monday, May 14, 2007

Premature Baby

Friday night we admitted a baby from the jungle. She was born at 7 months, 2 months early. She was the color purple, like a nasty bruise, from the waist down. Her skin was almost glassy smooth, not normal for a full 9 month baby. She weighed a little over 4 pounds.

It is a horrible situation. Her odds of survival here are really poor. Even in Quito, her odds of survival are really poor. Mom is 16 and Dad is 20. How do you explain to two children that their first child will probably die? We told them we will do everything we can, which we will, but that the odds of her leaving the hospital alive are less than 10%. Mom cried.

It's a scene we work through often. A baby with no prenatal care is born early. We work our tails off, they looks good for about 3 to 5 days, then they start spiraling down and die in a couple of days later. The whole process usually takes a week.

I find it heart breaking. One of my first questions to God, at least from this side of Heaven, would be, "Why do innocent little babies suffer and die?" I don't know the answer. I don't have any clue.

Someone smarter than me said it is because people are sinners and the wages of sin is death. He assured me that the baby didn't sin, but that because she is human, and humans sin, she suffers unfairly. It is like the students at Virginia Tech who never hurt the crazy kid who shot them, they were just the caught in the crossfire of his sin or mental illness. This baby is an innocent victim of the crossfire of human sin.

So today the little baby from the jungle with a child for a mother is OK. If she survives even a month it will be a miracle, but we have to work as if the miracle is coming, but not get our hopes up too high, so that when the worst happens, we aren't too broken hearted. The thing is, no matter how pessimistic I am, it still kills me when these babies die.

Children dying is the part of missionary medicine that I absolutely hate.

God be with you,
Jerry and Elizabeth
Koleski

Friday, May 11, 2007

Clemencia Puwanchin

Clemencia Puwanchin left the hospital today. She was a 32 year old woman I met on a malaria caravan to the jungle over two months ago. She had been sick for one year and four months; bed bound for the last eight months. She was totally blind - she could see light and dark, but not shapes or human forms in front of the light.

We brought her in with the team that went to the jungle. she had to be helped to walk to the airstrip in the middle of town. Her belly was huge, like a woman pregnant for a year and a half might look. Her community had given her up for dead, but not her husband.

We had no idea what was wrong with Clemencia until we got her to the hospital in Shell. It turned out she had diabetes. For the lack of $1 per day in medicine, she lost her sight and almost died.

We treated Clemencia's diabetes, and she started gaining weight and getting energy, but she still was blind. Our ophthalmologist came from Quito, and he operated on one cataract, and a two days later, she could see. We had to keep Clemencia and her husband at our hospital for two more weeks because her diabetes put her at risk fo infection to the eye, which would have cost her newly gained sight.

Clemencia and Jose went home for two weeks, so she could see the faces of her children, which she hadn't seen in over a year. She just came back, had surgery on her other eye, and now she has the binocular vision we almost all take for granted. She has gained weight, is doing the things she used to do, and is about the happiest patient I have seen for years.

In the Bible, the book of John, chapter 9, God tells a great story:
1As he [Jesus] went along, he saw a man blind from birth. 2His disciples asked him, "Rabbi, who sinned, this man or his parents, that he was born blind?"

3"Neither this man nor his parents sinned," said Jesus, "but this happened so that the work of God might be displayed in his life. ..."

6Having said this, he spit on the ground, made some mud with the saliva, and put it on the man's eyes. 7"Go," he told him, "wash in the Pool of Siloam". So the man went and washed, and came home seeing.

The miracle that Jesus did more than any other in the Bible was to give eyesight to the blind. It's a metaphor for how we are blind to the things that really matter in life, like God, as we chase the brass rings of physical beauty, new cars, new clothes, and all the other idols we think we can't live without. Clemencia saw all that the modern world has to offer; TV, SUVs and the latest fashions, but none of that compared to seeing her own children's faces.

It's really a privilege to have a bit role in a miracle. Here in Shell we get that privilege often. Have you thought how great it is to have two eyes? Have you thanked God for that gift? We thank God for you.

Blessings,
Jerry