Tuesday, May 17, 2016

Medical Ministry

My vision has been to provide healthcare in partnership with local churches so that together we can meet physical and spiritual needs in this remote corner of Uganda. Jesus said,"What does it profit a man to gain the whole world and forfeit his soul?" I have always thought the same thing about medicine. What have I done for my patient if I have cured his physical disease, yet have done nothing to care for his spirit? As a busy doctor with limited time and abilities, I feel that the most effective way I can do this is by partnering with local churches and pastors, who have the special gift and calling of caring for the spirit.

When I launched my medical ministry, I started by asking to meet with church leaders in our area so that I could explain my desire of providing healthcare in partnership with them. Here's a pic of our first meeting.
 From there, we began making plans on how we could best work together to serve our community. So far, I have travelled to 8 villages to provide medical care, often visiting over multiple days so that I can see the majority of the patients who present. I have been thankful for our Toyota SuperCustom van, a diesel, 4-wheel drive, beast of a car that has gotten me everywhere (well, almost!) that I have needed to go. I pack up medications, medical supplies, a portable ultrasound machine, and our healthcare team and we set off down potholed, dirt and mud roads with low hanging trees that often scrape on the roof rack of the van to reach remote villages. After spending 3 years working primarily in an office and hospital, it has been really exciting to set off in this mobile medical vehicle taking in the landscape of Uganda, bumping down small roads and footpaths, often with amazing views of the mountains to bring healthcare to people who need it the most. Here are some snapshots from one of my recent adventures...
 Thomas and Bihwa, two close friends who have been working as translator and church facilitator, respectively. Thomas is also my language helper and is fluent in 5 languages. I'm struggling to learn just one of those! Keep praying for me!
To date, this was the only village we could not reach by car. We had a big rain the night before and the road was very slick with mud. The van kept sliding and we had a hard time staying on the road. We decided it was safer to park and continue on foot. We briefly stopped here to ask for directions to make sure we were still heading the right way.
It was probably for the best that we left the car because the road soon turned into a foot path that went through a cocoa shamba.
After an hour of walking, we finally reached this church with a room full of patients waiting for us.

In each village we visit, we set up clinic in a church, roadside building, or home. Here are a few snapshots of "clinic" spaces we have used.
We usually draw a crowd of onlookers who stand at the doors and windows to see what is going on inside.
I have been so thankful for the portable ultrasound machine I brought from the U.S. (in the bag I am carrying), thanks to generous donations from our supporters and a grant from SonoSite. I cannot explain how helpful this has been while caring for patients in a place with limited diagnostic equipment. I have done many prenatal ultrasounds, abdominal ultrasounds, and echocardiograms for patients who would otherwise not have access to these services. Thank you to everyone who helped us to purchase this machine!!

One of our more interesting clinic days was in Bubukwanga, about a 25 minute drive from our home. Pictured above on the right is Holly, our team nurse. We worked at a small health center adjacent to a camp for internally displaced persons (IDP camp). This camp is home to 8,000 - 10,000 people who had to flee their villages during recent tribal conflict. The health center was overwhelmed by the number of patients who needed care and was severely depleted of medications. They also lost several staff members who fled out of fear of retribution from people in the camp because they were from conflicting tribes. Thomas' (above middle) mother was living in the camp at the time. More on that story in a later blog.

I hope to post a blog soon about some of our interesting cases. Stay tuned!

Safari!

For Eli's 7th birthday, we travelled to Queen Elizabeth National Park. Located in southwestern Uganda, this beautiful reserve stretches 764 square miles and is home to an array of African wildlife. We had a wonderful time relaxing at a safari lodge, driving into the park in search of animals, and taking a boat tour on Kazinga Channel, which connects Lake George and Lake Edward. Below are some snapshots from our trip.

View from Kingfisher Lodge with Mount Stanley (the 3rd highest peak in Africa) in the background.

The kids were excited to have great views from our van while on safari. Our guide didn't know how to drive, so Marc had the adventure of navigating through the mud and potholes in search of wildlife.
We saw lots of amazing animals. Here's a Water Buck grazing near Kazinga Channel.
Water Buffalo. We saw many of these in large herds.
Ugandan Cob - so graceful and beautiful.
Roadblock! We saw lots of these very close to the road. I guess you don't have to be afraid when you are bigger than most vehicles.
The kids enjoyed having a closer look at the animals from our roof rack.
Marabou stork. Queen Elizabeth is home to over 500 species of birds.
Monitor Lizard
Baboon mother and baby enjoying a banana.
Katelyn directing us to the animals.
Our favorite part of the trip was a boat ride where we got an up close look at some of the more dangerous wildlife.
Crocodile
Ahhh! Isaac and Katelyn made us so nervous as they ran all around the boat and insisted on getting as close to the edge as possible. We certainly didn't want to have to jump in after them if they fell in! Check out that hungry hippo submerged in the water.
Hippo family
Enjoying one of the many beautiful sunsets over the park.
The kids loved the pool, even though the water was frigid!
Had to stop for a pic as we crossed the equator.
It was a memorable birthday for Eli Marcus!