Collaboration & Gratitude

We continue to be humbled by the patients that present to our hospital. As our time at Mbingo continues, it sometimes seems that the cases get more and more challenging. Granted, we see our fair share of typical malaria, pneumonia, viral upper respiratory infections, and thankfully, well-babies too; but we also see incredible pathology, not only secondary to late presentations, but disease processes that most people would only read about in a textbook, and not actually try to manage in person! These cases are intensely challenging, and although MBH is a good hospital, we are limited in both diagnostic capabilities and at times treatment modalities. However, we are incredibly blessed to have friends both here and back home who partner with us to help us provide the best care we can for these children and their families. These are just a few examples.

• 6-yo boy with disseminated staphylococcus (source point: left septic hip) leading to tension pneumatoceles requiring emergent chest tubes. These pneumatoceles developed rapidly over 9 days, completely compressing the right lung to where he had no air entry on the right side of his chest and his heart was beginning to be compressed as well. We are blessed to have incredibly skilled surgeons here at MBH as well as a pediatric anesthesiologist who were willing to take this child to the OR and perform life-saving surgery. He is still quite sick, but he has gone from saturating 75% on room air and breathing 70 times per minute using only one functional lung to being stable on room air and getting almost normal oxygenation and ventilation from both lungs.

 Series of 3 chest X-rays over the course of 1 week

• 13 year old boy presented with a vasculitis (SLE, Wegener’s, Goodpasture’s, pauci-immune vasculitis, etc.) – acute renal insufficiency, hemoptysis, hematuria, etc. We have been able to send serum back to the US to have specialized labs performed free of charge so that we might make a true diagnosis and treat this child, who otherwise would die without ever knowing the cause of his illness. We are thankful to the volunteers who took his serum samples back to the US, the lab that has run his studies, and the countless friends we have consulted to help guide us in his management.

• Young couple with one living child and 15 other failed pregnancies – numerous spontaneous abortions and three perinatal deaths. Again, a lab in the United States was willing to run blood samples from mother, father, and the baby to perform a thorough work-up evaluating for a hemolytic disease process that might have been leading to the fetal demise. Thankfully, the newest baby has survived, and we are all so incredibly grateful to the lab staff who performed the needed studies and to the volunteers who hand-carried the serum back for proper evaluation.

These are just a handful of the numerous cases that require true teamwork and collaboration to provide care for the children. These are not bread & butter pediatrics, but they are the patients that show up on our ward on a daily basis. We are unable to make sure diagnoses and to appropriately treat many patients without additional help and support. We are indebted to our friends and colleagues around the world who have made a commitment to helping these children and families.

Thank you, and God Bless!

JR, Lindsay, and Cathen

Christmas Is Here

Christmas is here, and although we are far from family, the weather is 70 degrees, and the celebration of Christmas is somewhat different here, it is finally beginning to feel like Christmas. We greatly miss our family’s Christmas traditions and the beautiful Christmas Eve candlelight service, but we are realizing that there are many advantages to being apart from the hustle and bustle of the western Christmas season. We have been able to really focus on the meaning of Christmas and to begin to teach Cathen this greatest gift – Jesus Christ – and celebrate this gift with our Cameroonian and missionary family. This year our celebration began with a Christmas party on Children’s Ward. Together with the Cameroonian staff, we prepared songs, gifts, and food for the children and families admitted on the ward. Then on Christmas Eve, we joined the other missionary doctors in caroling through the hospital wards. Though the ideas of “peace on earth” and “joy to the world” are all too easily lost amidst suffering and sickness, there remains the glimmer of hope in people’s eyes, and we greatly enjoyed singing and sharing these timeless messages of hope and joy. 

As part of this season, we wanted to share with you the love that one of our dear friends has shown the children of Cameroon. You will see in many of the pictures below, beautiful fleece blankets. A wonderful woman, Peggy Payne ("Gigi"), who lives in Charlotte, NC, has lovingly made these blankets for the children here at Mbingo Baptist Hospital. Gigi is not only a wonderful grandmother to her granddaughters, Christina and Kelly - now all grown-up and married - she is a grandmother to the children who have come to our hospital. For the last year she has spent countless hours making blankets for these little ones. With each blanket she is sharing love with a newborn, a sick or malnourished child, or even a mother and father grieving the loss of their child. This Christmas, we want to say thank you to Gigi, for her precious contribution to caring for and loving the children at Mbingo Hospital.

“Truly I tell you, whatever you did for one of the least of these brothers

and sisters of mine, you did for me.”

Matthew 25:40

Merry Christmas to you all! May God bless you richly this Christmas season and may you be ambassadors for Christ as you share His love with those around you.

Much love,

Lindsay, JR, and Cathen

Gigi's "grandkids" and their blankets

 The Children's Ward Christmas Party

What's For Dinner?

Towards the end of the rainy season and the coming to the commencement of the dry season, just as the two seasons collide, there is a wonderful phenomenon that occurs here at Mbingo. I was walking home one day from work and I realized that literally everybody was outside! This was not a typical site. I see farmers tending their crops, and laborers working on the landscape daily, but this was something different. Men and women, young and old, boys and girls alike were outside, running, jumping, dashing, and darting; talking, laughing, pointing, and signaling. Everyone was outside. Granted, it was a nice day, but why the swarm of people? Then I saw what had everyone’s attention… They were not outside for the fun of it. Indeed, they were outside for the swarm – of grasshoppers!

There is a delicious little grasshopper that makes his way into our lives this time of year. He is slender and green, quite docile, albeit a little bit pesky. He will be found on your laundry hanging in the sun (or in the washing machine because he didn’t quite jump off of your dirty clothes before you shut the door), in your shoes, climbing on your back, in your patient’s hands in the clinic room, and anywhere else, private or otherwise that you might think of. These little critters might seem a nuisance, but they are truly a delicacy. Pull off the legs (they have sharp little barbs), put them on the frying pan with some salt and pepper, and you have dinner!

Anyway, there we all were, outside, shaking trees and leaves to cause the critters to take to the air, then to corral them into a group so the children and adults alike could pounce on them, and quickly put them in a plastic bag, a bottle, or just in the grasp of a hand. They’re only here for a short season, so when the time is right, you’ve got to act quickly! Let’s all get outside, and no need to ask what’s for dinner!

JR (Lindsay & Cathen)

THANK YOU SIPA

Vitamins changing lives!

We are so thankful to the University of Nebraska's SIPA for collecting calcium and vitamin D supplements to share with the children of Cameroon. Cameroon, like many other developing countries, is plagued with Rickets, a softening or weakening of bones leading to severe skeletal deformities.  Children who do not get enough calcium and/or vitamin D develop bowing of the legs which can progress to such severe deformity that many lose the ability to walk. This happens all too frequently as children receive breast milk until 6-12 months of age and then no further calcium sources since milk, yogurt, and cheese are too expensive. Here are a couple of pictures of children who have come to our clinic in Mbingo, Cameroon.

If identified early enough, calcium and vitamin D supplementation can correct these devestating abnormalities and change the future for a child. Unfortunately, in Cameroon appropriate calcium and vitamin D supplements are almost impossible to find, and often cost prohibitive if found. Rory Ruma, a pharmacy student from UNMC, spread the word of our need and partnered with SIPA (Southwest Iowa Pharmacists Association) to donate these much needed vitamins. She was able to bring > 25 lbs of donated calcium and vitamin D. Greater than ten patients have already benefitted from this generous donation, and we look forward to treating many more. We will keep you updated on the improvements that are made with the appropriate treatment.

Thank you, SIPA, for giving these children a new future!

Lindsay and JR Young

Resolution

August 26: we left Mbingo in the mid morning after rounding on the wards to travel with Valentine and two of Christabelle's uncles to her home village, Abuh, located about 2 hours away by car over rough dirt roads, through tiny faming communities, up and down valleys and mountains, and back and forth through winding switchbacks. It was a beautiful sunny day when we left, but as the ceremony started, the heavens opened, and the earth wept for the loss one of God's beloved children.

Hiking with the coffin up to the family's compound

Walking along the ridge line and down into the compound

Christabelle's funeral was a community affair. People throughout her farming village - situated on a lush, green mountainside with a strong river running below in the valley floor, and groves of coffee plants and banana trees on the hillside - as well as nearby villages attended. Lindsay and I and the three dialysis nurses from MBH (Ivor, Genevieve, and Mercy) were able to attend as well. She was a well-loved young lady as demonstrated by the throngs of people who came to give their last respects.

View of the village landscape

A local group of women sang, one of the village elders spoke, and I was asked to give the eulogy for the girl who touched our lives in such a dramatic fashion in such a short amount of time. We wept for Christabelle, but we rejoice in her final rest with her Father in heaven. Although a time of grieving, her funeral was a celebration of a life well lived, a reflection on her vibrant faith, and a challenge to us all to live in the present and to be appreciative for God's daily blessings.

JR giving the eulogy in the rain

September 5: I spoke with Valentine again this morning. He called to let me know he has found work in the Southwest of Cameroon, and will make the journey to his new work site in the next couple days (many families here in Cameroon live separated. Work is very difficult to find, and so husbands and wives and families are often separated by 6 or more hours of travel). He said that he and Christabelle's mother are still struggling with the loss and heartache, but that they are coping. They remain steadfast in trusting God's provision, but the loss is still fresh on their hearts and minds.

Christabelle is home. She is safe, and her journey is complete. We have been privileged to know her, to work with her, and to see her trust and steadfast faith. There is resolution.

We love you all. Thank you for partnering with us to fight for this young girl's life. God always has the better plan, so we trust in His providential will. Please pray for Christabelle's family, for healing and for strength.

Blessings,

JR & Lindsay

"I have fought the good fight, I have finished the race, I have kept the faith." 

2 Timothy 4:7

"Precious in the sight of the Lord is the death of His saints." 

Psalm 116:15