Sunday, August 31. 2008is this thing on?
So, it turns out my life here is pretty plush. I sleep in an air-conditioned ship that's sometimes too cold. I have electricity and running water and food on my plate. Most of the time, I don't really feel like a missionary. I even have access to the internet right here in my cabin. And because of that, I've gotten into the habit of reading blogs. It's becoming something of a compulsion. Whether it's blogs of friends here on the ship or people I've never met spread out across the world, I'm kind of addicted to other people's words.
The blog world is strange, honestly. I'll admit something right now: the only reason I'm here is because I was lazy. I realized that, coming to Africa, people were going to want to hear from me. And I didn't want to send out tons of mass e-mails, because I wasn't sure I'd know what to say. So I asked my trusty tech support (my brother, which is why my family is handy to have around) to set me up with a Really Easy Blog, and here I am. No mass e-mails for me; I just write whatever comes to my head and people seem to be satisfied with that. It's a pretty sweet deal. Somewhere along the line, though (pretty early on in my time here) things started to go wrong. Little boys were dying and I was so far from home and I just felt lost and disconnected. And so whatever was in my head wasn't too happy, but still I spilled it out onto the screen, throwing my words into some trackless void where there was no way of knowing whether or not anyone was reading them. (I meant it when I asked for a Really Easy Blog; mine doesn't even have a visitor counter. Not that I'm aware of anyway...) It doesn't really matter if anyone reads, though. Not really. Writing is cathartic and sharing stories about Sadie and Benjamin and Greg, even if it's just typing them out and sending them into the far reaches of the internet, helps me to sort through them. To catalogue them and file them and somehow walk away from them because there are other little people who need me. And then I start thinking about all the other people out there, writing words and putting them on the internet for all the world (or maybe no one) to see. I wonder if they need it as much as I do. If they can sleep at night because they've written something down. Or maybe it's just me. Either way, I'll keep writing. Wednesday, August 27. 2008love language
It seems that people think my love language is food.
I'm working nights again (just two more until I get to see daylight), and I guess all my friends decided I might need a little help in the eating department. It started while we were getting report. Beth, PICU nurse extraordinare and former Team Greg-er, quietly informed me that there was a plate of the famous Sajj Chicken Bread (so good it needs to be in capital letters) waiting for me in the ICU. My mouth, I must admit, starting watering immediately. My next visitor was Maria, my lovely Kiwi roommate. She slipped in behind me as I sat at the desk, finally looking at my charts after almost three hours of non-stop kissing and cuddling and laughing with my small friends. Sporting our co-owned dalmation-spotted vest (a piece of clothing which only narrowly escaped a sad demise in the boutique), she came bearing halloween candy corn and christmas gingerbread cookies. Once Maria had left and I was finally getting some charting done, my boss/friend/altogether awesome Red snuck through the door with a bag of golden oreos. We may or may not be convinced that golden oreos are made with illegal drugs (coughcrackcoccainecough), and we may or may not be addicted to them. But this is Mercy Ships, so I'm sure everything is actually on the up and up. Todd, the nurse I'm working with tonight, looked at my growing pile of provisions, shook his head and disappeared to go do some work of his own. At which point the door opened one last time and Murray, receptionist-turned-writer, entered bearing a plate of ribs from Man Night. I thanked him profusely, closed the door behind him and burst into laughter as Todd came around the curtain and joined in the hilarity. We will not go hungry tonight. Monday, August 25. 2008ten years
It's been ten years since everything changed.
I sometimes go weeks now without thinking about him. When I do, again, it's with a vague sense of shame for having forgotten at all. How can life still be going on, when on this day a decade ago my family quietly melted into the hole he was leaving? I'm at work now, awake through the night, reliving that night as my patients sleep quietly, safe in their beds. We drove through the dark to Toronto, dozing off only to be shaken alert over and over and over again by the realization that nothing was ever going to be the same. We arrived to the hospital with the morning, and my first impulse was to laugh. To tell the nurses that they were crazy because that boy in that bed couldn't possibly be my cousin. Because I'd never seen him so still before. But it was him. The telltale scars on his head shone white through his short hair, testament to a life lived recklessly. Joyfully. And he was still. And so we knew that it was him and that it wasn't him and nothing made sense. The next days were a blur, but I have one incredibly distinct memory. The room was quiet. Sunlight flooded through an uncurtained window and a nurse moved quietly around his bed. Her touch was gentle as she put vaseline on his lips and lotion on his hands. It's a sunny day, Johnny, she told him, even though she knew he was past hearing. Everyone's here to see you. They're all here. Her way, I've later come to realize, of letting him know that it was okay to go. And so he went. And we were left trying to find our way in a world that suddenly wasn't our own because he wasn't in it. It's been ten years, and sometimes I think I'm still lost without him. Sunday, August 24. 2008baby ward
Once again, the B in B Ward seems to stand for babies. The beds are full to bursting with small brown people. They crawl around on casted knees. They pop wheelies in their chairs. They lift pudgy hands to be picked up and strapped to someone's back, and today I got to be that someone. I spent the greater part of my shift with little feet sticking out from either side of my hips, another mama's child tied to me with whatever piece of cloth was closest at hand. (I'm happy to report that I tied the lappas myself and only had to readjust once, quite the accomplishment for someone as startlingly white as myself. My future hypothetical children are most definitely going to be carried this way.)
I have nothing of earth-shattering importance to share right now. I love my job. I love Liberia. I love setting up my supplies for a sterile dressing change while feeling my scrub top grow damp from a newly-repaired, formerly-cleft-lipped baby's drool as she sleeps on my back. Friday, August 22. 2008make them who they are
If you had met Yeme on the day she arrived to the ship, you would probably have been horrified. Even by Mercy Ships' standards, her problem was a grave one. The back of one of her legs was a tumor from hip to ankle, a massive, smelly growth that made up almost a fifth of her body weight. Above one of her eyes grows another tumor, deforming her eye socket and warping the line of her cheek. You would have stared.
It wouldn't have made any difference to Yeme, though, because she wouldn't have met your eyes. She didn't meet anyone's eyes when she came. Her family sent her here from Guinea to be fixed. Dropped her off at the gate where she stayed for hours until someone noticed her and brought her inside to a cold world where no one speaks her language. I have a hard time not getting angry at her family for abandoning her like they did, but I guess I can see why they were desperate. Eric, one of our translators, prayed for the patients during handover this morning. Make them, oh God, who they are.That's it, isn't it? That's what we're trying to do here. Trying to peel back the layers of disease and deformity that enshroud these victims of a fallen world. Revealing the truth: that these are glorious creatures, formed in the image of a beautiful God. I will never stop being grateful to that God that He allows us to be the hands and hearts that are part of making these people who they are. Wednesday, August 20. 2008until you reached this place
As days go by here in Liberia, I find myself realizing that I'm possibly a real grownup now. Don't tell any of the myriad kids I play with every chance I get, but I don't think I am one of them any longer.
I've gone to the same church since I was about two years old. Ever since I can remember, Mr. Don has been leading Vacation Bible School in the summers. Every year there was a missionary of the week, someone he would tell us stories about and someone we would pray for. And every time we would sign a poster that Mr. Don promised to send to the missionary in question; I've probably signed close to twenty of those posters. This year, it was me. I was that missionary, and I sent stories back to be read to the kids each day and I totally forgot about the poster thing until it showed up in the mail a week or so ago. When I pulled it out of the envelope and unfolded it across the floor of my cabin, I was overwhelmed with what I can only describe as the absolute weight of my calling and the unmistakable realization that I've grown up. I've spent my life hearing stories about missionaries. The last Wednesday of every month sees my whole church in the basement, eating potluck casseroles and listening to a different warrior of the faith from some far-flung corner of the world. I sat there, enthralled, promising my grown-up, future self that I was going to be a missionary. Going to live in Africa and take care of those laughing, dark-eyed children. Going to let God use me however He felt like it. I knew he was telling me that I'd go. Somewhere, someday. I guess I just didn't completely believe that He was serious. And so, of course, because that's what happens when you doubt God, here I am. I'm that girl, the one who grew up and became a Nurse In Africa, which needs to be capitalized because I always thought it was such a big deal. And now that I'm here, I realize that missionaries aren't anything special. Not really. And neither are grownups; they aren't the superheroes I'd always made them out to be, because if they were, there's no way I could be one. They're just people. People who laugh and worry and do things right and do things wrong and somehow get through each day more or less intact. I thought growing up and becoming a missionary would feel different, somehow. I figured I'd get to some magical point where I felt qualified to make decisions that affect the entire course of my life. And where being in charge of someone else's life while they lie helpless in a hospital bed wasn't flat-out scary. Where I'd know what to say and when to say it and then I'd be grown up. Instead here I am. Just as petrified as the day I heard that still, small voice tell me not to get too comfortable in the States. And just when I'm ready to pack it all in, to throw up my hands in surrender and retreat from this strange world of responsibility and adulthood, that same voice whispers to me again. There you saw how the Lord your God carried you, as a father carries his daughter, all the way you went until you reached this place. (Deuteronomy 1:31) These waters are not so uncharted as I've made them out to me. A wiser mind than mine is laying plans. Stronger hands than mine are guiding me. And a deeper heart than mine is loving through me. Sunday, August 17. 2008TIA (or, 'The Best Beach Getaway Ever')
I've been in Liberia long enough to really embrace the TIA philosophy. This is Africa, we say, shaking our heads and grinning as things unfold differently than they would in the developed world. This past week, I went on a short holiday that just screamed TIA. It was nothing short of hilarious.
The wards are well staffed right now. Dr. Gary comes back this week, so we're going to have to open up another ward to house his patients and things are going to get busy again. But for the time being, things are good. Since I've been here six months now, my boss suggested I use my vacation days and take a break. I jumped at the chance, and my roommate, Maria, and I booked a little cottage on a beach about half an hour away from the ship. We knew we weren't getting terribly far away (you can see the ship from White Sands Beach, where we were staying) but being off the ship, if only for a day or two, and deciding our own schedule was an opportunity too tempting to resist. There are some vacations that you'll never forget. I'm pretty sure this was one of them. (The rest of the photos are here.) Tuesday, August 12. 2008radio silence
Sorry for the rather protracted silence. I just finished a run of four night shifts and I'm now on holiday for the next week and a half. My roomate and I are braving the rainy season weather to stay a couple nights in a little cottage on the beach, and I might go up country for the weekend.
It might be a while before you hear from me again. Wednesday, August 6. 2008love like this
It's hard to know what to say when faced with the death of a baby. What can I possibly offer to a mother who has just lost her heart? What words can I say that will blunt the searing pain? And what comfort can I give when that mama is faced with the sight of her son's bed, occupied by another small, brown baby, one who is sitting up and smiling at the world around him?
Marion came to visit me today. She's something of a celebrity around here, and it took me almost fifteen minutes just to get her down the stairs to the hospital as almost everyone we passed stopped to say hello. As we walked down the hall towards B Ward, she was all smiles, laughing and greeting her friends, nurses, translators and disciplers. It was only when we were inside amidst the bustle of a full ward that the flood of memory overwhelmed her. I stood there with my arm around her tiny shoulders as tears coursed silently down her cheeks. She turned twenty-one yesterday. She's a child herself, and yet she stood there, mute and small, mourning the loss of her third baby. We turned away and went upstairs to eat lunch. We sat at a table by the window as she pushed the rice around her plate and told us about a dream she'd had. In it, she was out walking. Or working. She wasn't quite sure. People came up to her one after another and told her what a fine baby she had. Asked her how he was. She repeated to them over and over that she didn't have a baby. That he had died. No, they said, he's right there. He's right there on your back. That was a good dream, we agreed. Bendu, the sassy-pants who was burned after she had a seizure and knocked over her kerosene lamp, was back for a dressing change in our outpatient clinic. She and Marion became close while Baby Greg was still with us, so when Bendu's appointment was finished I signed her back in as my visitor too. We passed the rest of the afternoon like any silly twenty-something year old friends. We wandered around the ship, ate grilled cheese at the cafe, tried to call friends in Canada and hung out in my room for a while, laughing and filming video messages on my camera. Weeks ago, as we stood by Baby Greg's bedside, watching him fight to breathe, Bendu told me that she was very sad. I asked her why, and she went on to tell me that she was going to be alone for the rest of her life. She didn't meet my eyes as she gently touched the warped, pink skin of her cheek and forehead. Quiet tears filled her eyes and as she explained that no man would want to marry her, not given the way she looks. So I will be alone. That is what makes me very sad. Marion is a woman living under the shadow of curse. The longer I spend here in West Africa, the more aware I become of the reality of spiritual warfare. It's easy to be in my comfortable room and scoff at the idea that words could have such an effect on someone's life. But then I leave this room and go out and sit with Marion in her house and I am utterly convinced that this battle is so much bigger and so much more intangible than I could have imagined. Given all this, I was struck today at how normal the day was. I think I expect women who have lost babies and been terribly disfigured by burns to be somehow different. More sedate, more aware, in a way, of the cloud surrounding them. But apart from the small moments when they retreat into themselves, lost in worlds of pain I can only guess at, Marion and Bendu are you and I and any woman ever. They're maybe more broken, a little more shattered, but underneath the scars and shining through the tears, I can so clearly see their love. I want to love like this. Saturday, August 2. 2008action and adventureAway down the mountain, barely visible past the tree line and what looked like a deep gully, the boys spotted a waterfall. The nurse in me almost had a heart attack when the fearless leaders and Phil headed down the scree to see if they could reach it. I briefly considered yelling for them to come back and then, remembering that my health insurance does indeed have coverage for 'repatriation of mortal remains,' I took off after them. We finally made our way back through the jungle and up the rocky slope to pile, exhausted, into the cars. We drove home over rutted dirt roads through the gathering dark and yet-again-pouring rain. It was a day well spent. (Lots more photos are here.) Friday, August 1. 2008tales of a toto
There are some moments as a nurse where you just shake your head and wonder why on earth anyone would want to do anything else. Today was one of them.
Bush is two years old. His mocha features are framed by a puff of curly hair that smells faintly of earth and herbs. He's not terribly afraid of white people, and stickers work well as bribes for swallowing medicines. In short, we're pretty good friends. Or so I thought. Our peaceful relationship ended about halfway through my shift today when I realized that I had to change his bandage. Bush had surgery on a very delicate area of his small body, and men, even two-year old men, are fiercely protective of this particular part. My laughing friend turned into a screaming banshee, requiring three grown adults to hold him down as I delicately took scissors to what seemed like a cast of gauze and tape wrapped around his manly bits. Kevin, the nurse I was training, had poor Bush on lockdown and I was starting to make pretty good progress with the bandage removal when Bush's screams suddenly formed themselves into words. Hey man! Leave it! Mah toto! Don' cut it! Don' cut mah toto! Mah toto! At which point I had to put down the scissors so Kevin and I could dissolve into laughter. If you've never looked into a two-year old's eyes and soothingly said I won' cut your toto. It alright, man. You alright. I won' cut it, then I submit that you are missing out on the true fullness of life.
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this is meI'm Ali; twenty-five years old, New Jersey born and raised. I work as a pediatric nurse with Mercy Ships on board the world's largest non-governmental hospital ship, the M/V Africa Mercy. We've got six state of the art operating theaters, an intensive care and ward bed space for up to 78 patients. Following the example of Jesus, Mercy Ships seeks to bring hope and healing to the forgotten poor. Since 1978, Mercy Ships has performed more than 32,500 surgeries. We've removed cataracts, straightened club feet and reconstructed faces. I spend my days in a delightful whirl of crying babies, cast-footed kids, and even the occasional grownup. I've never been so happy. (If comments aren't working, you can contact me at alirae[at]quist[dot]ca.)
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