Thursday, February 26, 2009
Last week in India
On Tuesday, we set off with Deepali, the medical intern, Pramoth, the community outreach coordinator, and a couple of other World Vision staff or volunteers to hold medical screenings for World Vision-sponsored children in about five or six hill villages. We were excited to be off campus on an adventure and to visit some of the villages from where our tribal patients come. We saw incredible scenery, beautiful people, and extreme poverty. Laurel and I contributed to tooth decay in the villages by giving out tons of candy; we were selfish actually because we just wanted to see the kids smile. :)
On Thursday we held a medical camp in Bhandaraj, right next to a Hindu temple. The camp is a twice annual one that sisters from a convent nearby run on their own. They provide the medicine, arrange for the doctors to come, and publicize the camp in the nearby villages. There was a cave nearby where a priest lived in bare conditions. There were about 360 patients who came in with various ailments, from minor colds to serious conditions, like probable hepatitis and cerebral palsy. So many children had conditions that had gone on far longer than it might have. Dr Steve saw the peds cases, Dr Asha the adult gen med patients, and there were also a gynecologist and an orthopedist. The ortho techs from Kothara also screened many patients to take back on the van with us to receive free eye surgeries from Dr Shyam. In all, there were 44 patients who came back with us. Most of them were older patients who had extremely mature cataracts. The doctors said many of them had never been outside of their village so coming to Paratwada was like us going to Mumbai!
It was an amazing experience for us. We are now in Mumbai, a bit overwhelmed at first but we're loving the new sights, sounds, and tastes. It's a bit chilling to walk in the same areas where the shootings occurred, like the train station, the Taj hotel, Leopold's cafe. But we know God is our protector and we are in his hands. Pray for us anyway! Yesterday we visited the dhobi ghat, where an entire neighborhood is in the business of washing clothes. It was an incredible sight. If you've seen Slumdog Millionaire, the scenes in that movie are all around us--the begging children, the slums, the trash...as well as the high rises and wealthy neighborhoods. Laurel and I were glad we watched it on Sat night because we recognize many of the places in the movie now that we're in Mumbai!
We are going sari shopping today (Monday) and buying more luggage to fit all the stuff we've bought. The doctors at Kothara told us to haggle like Indians, so we'll try our hand at it. We have so many more stories to write about but our time in the internet cafe is limited so I'll end here.
One more thing. If you remember Atish from my last post, he passed away a few days after he left the hospital. Dr Rashmi said that his dad called her up and asked her if those girls who took pictures of Atish could give him one photo of him to remember him by because he didn't have any pictures of his son. My heart breaks for him. God be glorified even in this situation! Pray that his family would come to know and experience Christ's love for them even through this circumstance. Maybe God has a glorious plan for them.
Thursday, February 19, 2009
The boy who captured my heart!
Wednesday, February 18, 2009
Pics from Aurangabad
The last cave we visited...there is a waterfall on one side of the cave during the rainy season.
One of the Buddhist temple caves...I love the arches!
The road in front of our hotel...one of the main roads in town...can't you tell? BTW, soon after I took this shot, five other piglets came squealing across the road.
Yummy! Clockwise from the top: Naan, Rice with raita (yogurt), chicken jalfrezi, and chicken...something I don't remember but it was good...
My new Korean friends
Sunday, February 15, 2009
Jesus is my protector!
We finally got the opportunity to venture off the Kothara campus on our own and do some traveling this weekend. Kothara being such a small community, everyone knew we were leaving and several people offered to help us plan for the trip, including Mr. Ravi Gaikwad, wOn Thursday evening, Pastor Silas and his wife drove us to the private bus company stop, where we got on a "luxury" overnight bus, a one-way ticket for two in hand (all for about $5 a piece for an 8 hr trip). But, no return ticket! We had to buy them when we got there, but...we were cool. We were grown women with travel experience, and we could handle it....or so we thought. Well, the bus had twin-sized bunk-style beds down each side of the bus, with a narrow aisle down the middle. (We thought one bunk for each of us, right?) Pastor Silas said that we were fortunate that the two of us were going together because if we'd been alone, we'd
The driver pulled over on the street and abruptly yelled "Aurangabad! Off here!" There was no bus station or sign to be seen, signifying our stop. Should we get off? Were they too cheap to drive us to the station? Well, we couldn't exactly argue in Marathi, so we frantically grabbed our stuff and hopped off. A group of five autorickshaw drivers swarmed us and tried to get us to go with them. "Where you are going?!" "You want hotel?" "You go Ellora? Ajanta?" Lord, please protect us, is all I could think! Though Laurel was wary of these guys, we had no idea where in the city we were, nor how to go look for hotels. So, we ended up taking an ARS (autorickshaw) after insisting on the "metered rate" and asking for the Classic Hotel, one we'd read about in Laurel's Lonely Planet. Of course, our driver drove past several hotels, asking us if we wanted to stay there instead (he'd get commission if we did), but in the end, he took us to our promised destination. We had no change to pay the 20 rupees, only a 100 rupee bill. He said he couldn't make change, but it was a lie since he gave back 80 rupees when I gave him the 100 rupees. We walked inside and he followed us, badgering us about taking his ARS for a
The Ellora caves were breathtaking! (http://en.wikipedia.org/wiki/Ellora) So much beauty yet the burden of serving all these gods hung over the place. It was interesting to see the Hindu, Buddhist and Jain caves/temples existing in one area, many of them built around the same time period. The awe-inspiring Kailasa temple is the centerpiece of Ellora, and it's twice the size of the Parthenon and carved from one piece of rock. Wow. In one of the Hindu temples, I met one of the keepers, and he told me he worked there for over twenty years. He worked shifts in the temple caves, rotating through them every month and working nights every 3 months. There was no electricity in the caves, so he'd have to walk through with a flashlight! They were creepy even during the day; I couldn't imagine guarding them at night! The temples were functioning temples, so there were people going inside the Hindu and Buddhist temples to worship. There were altars and pits in the ground so I couldn't help thinking of all the sacrifices that were offered in the past millenia and a half in those very places.We saw some Asians in one temple, and they dutifully eyed me, the other Asian in the near vicinity, as I returned the favor. (for those unfamiliar with this protocol, please see http://www.asian-central.com/stuffasianpeoplelike/2008/03/05/25-staring-at-people/). We kept on seeing them in the other areas and I finally heard them speaking a familiar language, so eventually (after several more mutual eyeing rituals) I approached and asked if they were Korean, in Korean. The three travelers, one guy, two girls, were surprised when they heard me speak, and asked if I was backpacking around India. I told them that I was working at a hospital for a couple months and they told me they were travelling around the country for a month. After the pleasantries, L & I walked to other caves, where we saw them later, and then saw them again in a restaurant near the caves. We were absolutely worn out with walking up and down the temple steps and the roads leading up to them that we set out on one last Hindu temple that was one of the most impressive. It was beautiful. On our way down, we ran into the Koreans again, and I joked about them following us. Thought that was the last we'd see of them. We went back into town, showered off the three inches of dirt + sweat that'd accumulated and changed into a fresh salwar. We were absolutely faminished but we were just ecstatic about trying out a tandoori restaurant near the hotel that the LP book said was the best in town. We arrived at 5:30pm but the door was locked. The men sitting and staring nearby said that it would open at 6pm. A security guard said, no, it opens at 6:30pm.

The next day, we explored Nirala Bazaar and the Muslim quarter of the city. We had lunch at a place called Smile, where I had "dosa", which looked like a version of pizza, and Laurel had a veggie cheeseburger and fries (with a Coke). Yay! While eating, a guy on a motorcycle with "Jesus is my Protector!" on it pulled up and sat there long enough for us to take a pic. :) Earlier in the day Laurel also saw an ARS with a "Jesus Loves You" window sticker on it. This sounds cheesy, but we could see how God was assuring us of his presence in our lives, even at that moment, and showing us that his children are everywhere, even in that city. More of the story and pics to come later...
Wednesday, February 11, 2009
Kothara and a litle girl named Kima
In the past few weeks, we've heard pieces of different stories about Kothara staff and how they or their families have come to know Christ. The Kothara Leprosy Hospital has been around for over 100 yrs and initially begun as a home for leprosy patients on land given by the government to The Leprosy Mission. Families brought people affected by leprosy and left them because they could no longer care for them or did not want the stigma of leprosy in their families. The patients then provided nursing care for each other since there were few people not affected by leprosy who'd live and serve in such a stigmatized community. Thus a whole community linked by leprosy was birthed, and many in the community came to know Christ because of Christian missionaries who served there. By the time effective treatment for leprosy was found, patients no longer needed to live in Kothara. They were treated, found jobs in the community and had families. Well, many of the staff today are either past patients or are children or grandchildren of past patients. Many patients had life-changing encounters with the living God and their children and grandchildren have also followed in their footsteps. It's marvelous to hear about the legacy of Kothara over the years and how God used a horrible disease to bring about good not only in the patients but also the generations that followed them.
Christians are still very much a minority in this area and the vast majority of the patients we see are Muslim or Hindu. We can usually tell which religion they follow by their clothes, especially the women, since the Muslim women wear the black hijab and the Hindu women wear brightly colored saris. It's interesting to see how the hospital is respected in the community for the medical care it has provided over the years, free of cost to leprosy patients and low cost otherwise.
Just yesterday, a little girl was brought in by her grandmother and uncle with an extruded left eyeball. It was an opaque white globe that was just hanging out of the eye socket (sorry to be so graphic). From what we could understand, her mom had died early on and the father abandoned her several years ago because of the deformity. The maternal grandmother found her not too long ago and decided to bring her to the hospital despite lacking money. Laurel and I had no idea what had caused the deformity or what it was. Dr. Shyam examined the beautiful, frightened little girl (named Kima) and diagnosed it as a staphyloma. We'd never heard of it. In fact, she'd never seen a case in ten years. Just in case it turned out to be a tumor, like retinoblastoma, she decided to surgically remove it since she had no possibility of vision from that eye anyway. Turns out that a staphyloma is just a protrusion of the eye when a malformed eyeball gets too big for the socket, here usually due to vitamin A deficiency...sadly something preventable but thankfully not very common anymore. Her family is from a tribal area and they'd heard of Kothara because of the free medical camps often held in the tribal areas. Dr. Shyam said they'd provide free care for Kima since the family had done a lot just bringing the girl in to the hospital and they might never see the girl or family again if they mentioned anything about money considering their extreme poverty. This afternoon, Laurel and I watched the enucleation (or surgery to take out the eye) and then stayed with her until she woke up. There were no one at her side to watch her! (at Children's Hospital, there would definitely be a nurse with her monitoring her vitals, keeping a close watch on her!) The sedation took a while to wear off and we were worried about her so we tried to wake her up every few minutes...so frequently that the optho tech sitting with other eye patients in the room chuckled at us calling out her name and me adding in various Marathi words I'd picked up. "Soondal Kima! " (Pretty Kima) She is so precious, so in need of love. I wonder if she was teased because of the deformity. I wonder if she was ever held by her mama. Her grandma and uncle must love her since they came all this way to get her treatment. We hope she is taken care of and loved, and shown Christ's love for her.
Sunday, February 8, 2009
More food and fun to be had...
It's almost the start of another work week for us. Saturday turned out to be a busier day at the hospital than all last week, and for that, and that only, we're thankful that we didn't go to Nagpur. A man in status asthmaticus came in on Friday, got better with treatment, and then all the sudden stopped breathing Sat morning. Dr. Rashmi intubated him and ventilated him manually with an ambu bag. In the States, there would be a machine doing the breathing for him but here, a person has to stand there and squeeze the plastic bag continuously...for hours! The pt then started having seizures, which we treated with Dilantin, and then he started breathing short gasps on his own. He was transferred by ambulance to a bigger hospital in Amaravati. Another seriously ill patient came in on Friday; she was a patient with pancreatic cancer. She was deteriorating and the doctors didn't know if she'd make it so had to be with her the whole time. Then a ten year old tribal boy came in with severe grease burns on his face and body that he'd incurred the night before! I don't know the exact situation but I couldn't believe that the parents brought him in so late. Much to our relief, his corneas had been spared. Wow. What a weekend.
We're heading over to Dr. Asha and Dr. Steve's house for his 50th birthday party celebration. Laurel and I are taking over chocolate cheesecake (sort of). She did a good job of substituting things that we had for things we didn't have--like cream cheese and whipped cream, sort of..umm...essential. Laurel's quite the cook! And so is Manisha, the Anands' daughter. We're going over to their house multiple times a day in hopes of getting some treat or another that she's making at any time. It's amazing to me to see the stuff she makes, like choc cake, considering that any kind of "Western" ingredients, they have to obtain in Nagpur, which is four hrs away.
Yesterday we had a good time hanging out with Mitalee, the sweet and godly counselor for Kothara. We visited her room and she showed us the awesome rooftop that her building has. You can see around for miles, including the mountain that we were hoping to climb! It was a gorgeous view. We hope to still get a chance to go. She came over for dinner and we made quesadillas with chapatis (the flatbread we get everyday, every meal), processed cheese, chopped okra, tomatoes and onions. It wasn't authentic, but it was purty good for what we had on hand. I also fried up some okra, which was sooooo good. I had said to Dr. Shyam that fried okra is my favorite food in the whole wide world, so she obtained some for me (okra is called ladyfingers here, who knew?) Everyone here has tried so hard to make us feel at home.
Today, Laurel and I taught a new song in church after practicing it with the Dr. Sunil, Dr. Shyam and their son Nihal. We sang Dennis Jernigan's Wider than the Ocean. It's been quite a long time for me since I've played instruments during a worship service, and I have to say that I'm loving it. I've gotten quite rusty at the keyboard and it's hard to keep up with the talents of Nihal (who can play anything by ear!) but the practice is good for me. I imagine Laurel's tired of me practicing at all hours, though she says that she likes it! She's a sweetie. It's interesting that some of the well-known hymns they sing have different music to them; for example, the doxology hymn is to a tune of a different song. Totally throws me off when I'm singing and playing at the same time, yet I love experiencing different ways of praising God in different cultures. I was kinda hoping they incorporated dance into worship here since dance is so prominent in Indian culture. Maybe it'll catch on soon. Maybe I can get them started. Laurel's been treated to the sight of me dancing around her room to my ipod music. Without TV or internet (until yesterday), we have to find new ways for entertainment :) I'm entertained by Laurel's yoga moves, which I think are physically impossible for me! I guess we're immersing ourselves in Indian culture in our own ways--dancing for me, yoga for Laurel!
Morning devo
1 Praise awaits you, O God, in Zion;
to you our vows will be fulfilled.
2 O you who hear prayer,
to you all men will come.
3 When we were overwhelmed by sins,
you forgave our transgressions.
4 Blessed are those you choose
and bring near to live in your courts!
We are filled with the good things of your house,
of your holy temple.
5 You answer us with awesome deeds of righteousness,
O God our Savior,
the hope of all the ends of the earth
and of the farthest seas,
6 who formed the mountains by your power,
having armed yourself with strength,
7 who stilled the roaring of the seas,
the roaring of their waves,
and the turmoil of the nations.
8 Those living far away fear your wonders;
where morning dawns and evening fades
you call forth songs of joy.
9 You care for the land and water it;
you enrich it abundantly.
The streams of God are filled with water
to provide the people with grain,
for so you have ordained it.
10 You drench its furrows
and level its ridges;
you soften it with showers
and bless its crops.
11 You crown the year with your bounty,
and your carts overflow with abundance.
12 The grasslands of the desert overflow;
the hills are clothed with gladness.
13 The meadows are covered with flocks
and the valleys are mantled with grain;
they shout for joy and sing.
Friday, February 6, 2009
Thursday, February 5, 2009
The wedding, getting back on track, and other stuff...
Saturday afternoon, Laurel and I were invited to the bride Sarita's house to have henna drawn on our hands. Actually, it was more like we begged if we could get henna done since it would complete our Indian wedding experience! ;) Sarita is (was) a nurse at Kothara and her father is pastor of a nearby church congregation. We went to her house where a gazillion family members and church members gathered to take part in celebrating her marriage, and we were welcomed by all as if we were part of their community. Part of the reason there were so many ppl there is because the pastor and even his parents have been a part of the Kothara Christian community for a long time. We rode an overloaded autorickshaw with Mitalee, the counselor at Kothara, to their house, where we saw a beautiful canopy in their yard and huge stockpots the size of a grown person from which emanated the most delectable smells. Sister Grace, who is Pastor Silas's sister, introduced us to all of her hundred and one cousins and nieces (or so it seemed). We met Grace a couple weeks ago when she came with her family and a group of students from a Bible college in Amravati of which her husband is president. Apparently, all of her siblings are married to pastors or are pastors. Her family has a really cool testimony, coming from Hindu and Muslim backgrounds.
Anyway, Laurel and I each had a "cousin" draw henna on one of our hands. They spoke English so we chatted with them while they drew gorgeous designs. The henna has a cooling effect on the skin, as well as softening and beautifying the skin as we were told, so it was such a relaxing experience! The multitude of ladies present sat down under the canopy and sang hymns for the bride in the meantime. And then...this is when the craziness, aka "Haldi" ceremony began! Haldi means turmeric in Hindi. Basically, the bridal wedding party and all those present get smeared with moistened turmeric powder, which was smeared on the groom and his party prior to the female members of his family showing up at the bride's house. First the bride and her family get smeared on the face, arms and any other exposed body surface with it, and then other ladies present go around and "beautify" everyone else standing around. Laurel and I tried unsuccessfully to hide in a corner; I guess we kinda stick out! We had yellow faces and necks for two days! After the ceremony, all the guests sat on the floor and ate delicious rice and mutton with raita (yogurt) on leaves as plates. Good thing we've been practicing eating with our hands. As foreigners and as people they had just met a couple weeks ago, we were so honored to take part of the family's wedding festivities.
The wedding itself the next day was a world apart from what we'd experienced the day before. The ceremony was held in the chapel, where Christmas lights and tinsel hung from the rafters. The electricity went out at least ten times during the ceremony, but Laurel and I realized afterwards that after 4 weeks of being here, we've already gotten used to the power outages. It's funny how quickly one becomes accustomed to what was extraordinary before (i.e. monkeys on the roof, multiple power outages per day, twenty ppl hanging off a tiny rickshaw, etc). Haha. Sarita is absolutely gorgeous so we were highly anticipating what the groom was like. :) They were a perfect pair. The whole family walked in with the bride and groom in the procession and sat on stage with them. The couple sat facing the front of the chapel for most of the ceremony while numerous ppl spoke, prayed at the podium and then prayed over them. We couldn't understand most of what was said, but I could definitely appreciate how deeply involved both families were in this marriage, supporting, blessing and asking God's blessings on the pair. Finally, the ceremony was over and the wedding party walked out amidst fake snow and colored rice. A mini-marching band paraded the party over toward the reception tent while thunderous fireworks went off in the night sky. :) The fireworks, BTW, were set off ten feet from the guesthouse...thank God it didn't catch fire. We'll put pics up of the reception because no explanation of mine could do it justice. I'll just say it was extravagant, it was dizzying, it was like going to the fair!
After the excitement of the weekend, Laurel and I were loath to start another working week. We were cranky with each other and in general and sort of lost our excitement in being here. We spend so much of our time reading Harrison's in clinic and not as much time seeing patients (since we can't communicate) that it's been somewhat frustrating. We HAVE started working patients up with one of the opthal students as translators and we HAVE seen some incredible medical conditions. Yesterday we saw a woman who had tuberculosis of the spine (or Potts disease). We see several scabies, worm infestations, and leprosy patients a day. Dr. Steve is one of the dermatologists here and our knowledge of dermatology has vastly improved since starting here. That is to say...my knowledge of derm was next to nil when we began so I now know a few things. Today we had a really sad case of a little 4 year old who we think has cancer. He came in on Saturday with massive ascites, or a hugely swollen belly filled with fluid, and though he was four years old, he looked more like he was two. He was one of the sweetest, cutest little boys I've ever seen. Well, he had an ultrasound of his belly done, which showed a probably malignancy in his liver. So sad. Laurel and I held his hand while he had some of the fluid drained out of his belly to help his breathing and decrease the pressure. He was sooo good while the doctors stuck needles in his belly! He didn't cry or protest. Laurel and I took pictures of him in clinic, and he just laughed and giggled when we showed him the pics. He could not be more delighted to see himself on the screen! We took some play animals to entertain him during the procedure. We don't know what the diagnosis is but we're referring him to a medical college so he can be further treated. So sad. His dad was crying as he left with him in his arms.

So we're being kicked out of the office since they're locking up. I'll have to post more later. L and I are going to Nagpur, the city we flew into from Delhi, to go shopping with Dr. Rashmi and Dr. Jai. We'll get some much needed grocery items...like CHEESE! And some stuff to make cheesecake for Dr. Steve's birthday party on Sunday. So excited. Please pray for travelling mercies. :) I'll post pics of the wedding next time. This pic is of Atish, the little boy. Please pray for him and his family.




