News From Guatemala

    

The beautiful [empty] clinic that God-willing will soon be a casa materna! 

      In these past few weeks I have come to love the people of San Juan and the surrounding communities. Lesbia and her family (husband Juan, daughters Elena (17), Oneida (16), and Cana (11) have welcomed me into their family and so kindly taken care of me. San Juan is one of many little towns on Lake Atitlán, situated deep in the beautiful mountains, which on many days jut out high above the clouds. 

     Besides learning much about the culture here and learning to make tamales and tortillas (though I am far from perfecting this skill!), Lesbia and I and the people we are working with have made much progress with the casa materna project (see last section of my last post for background info). This beautiful clinic that was built by an organization in Spain has never opened because the community does not have the funds to staff it and keep it running.
     The people of these communities and their local representatives of San Juan and its three villages, Palestina, Panyebar, and Pasaquim, all have shown huge support and gratitude for those who are making this casa a reality. 

     It has been encouraging for me to be a part of meeting with these people and hearing their thoughts about this project. During our second to last meeting, one of the younger representatives told us of the terrible experience he and his wife had a year and a half ago when their baby was born. He excitedly told us that now in the future he is going to have another baby with the implementation of the casa! 

     The next months will be exciting as Erica organizes training teams to come down and they prepare to staff the casa. We are praying for many saved and many changed lives in this region of Guatemala and beyond. 

Birth Stories

    While here on this casa materna project, I have been working alongside Lesbia doing prenatal house visits and also in the clinic she works at two days a week (Clinica San Juanerita). We've had 3 births in the month that I've been here; the first one was due to be born at the house, but after hard labor all day with no progression, the poor young first-time mama was worn out and wouldn't work with us anymore. We took her to the local centro de salud (health center) as the only other option. The doctor there saw that the baby was ready to be born, but told us that if it isn't born in two pushes she'll have to send us to the hospital (closest hospital is 2 hours away in Sololá) because the baby was beginning to go into distress and they are not equipped for emergencies (much less fully equipped for a normal birth). We are very thankful that the baby was born within minutes with no complications- it is by the grace of God. The baby most likely would not have survived had we gone to the hospital. A little girl of 6 pounds, 6 ounces! 

With Lesbia, just minutes old in the centro de salud

     The second birth that was due to happen was not happening- it was seven days past her due date and she wasn't going into labor. When this happens, Lesbia sends them to the hospital to be induced. Paying for transportation is usually and issue for families here, and was an issue in this case so I am thankful that I was able to help them get there. Lesbia and I left with them at 5am to arrive by 7am. They were supposed to induce her that morning, but by that evening she was still only two centimeters dilated. Her poor husband had no where to stay that night (families are not allowed in the hospital rooms). We were wondering how long they would let her go before they increased her induction medicine. We found out early the next morning that at 3am a baby boy of 8 pounds 6 ounces was finally born- and they did not end up with a C-section! Although they still hadn't permitted the father into the room when he called us hours after the delivery, we were very thankful for this news of the birth. By 2pm that day they were on their way back to San Juan. 

Visiting after arriving home from the hospital 4 days prior

     The third birth came more quickly than expected. It was still two weeks before the mother's due date, but after dinner we heard that she was having regular contractions so we went to check on her progress and see how the baby was doing. We didn't expect her to go into full labor upon our arriving, so I wasn't prepared to stay for the long haul. Lesbia had all her equipment with her as she is always prepared for anything. Around 11pm she told me to rest so that I would be ready when the baby came. At 1am she woke me and it was evident that the baby was ready. This poor young first-time mama was just worn out (which is a theme here!) but with our strong encouragement she managed to push out a baby boy before 2am! He was healthy in appearance and began crying right away, but the mother began to hemorrhage profusely. I quickly helped Lesbia prepare two oxytocin injections which she administered immediately, but the mom kept bleeding. As I massaged her uterus and the grandmother kept giving her gatorade, Lesbia called out for someone to call a tuk tuk (taxi) immediately because we needed more oxytocin and we had none. We were praying for God's grace to intervene and we hoped that we had enough time to get to the San Juan centro de salud (health center) by the time a tuk tuk arrived (in the middle of the night they are unreliable). By the time the tuk tuk got there, her bleeding has lessened and soon it stopped. We told the tuk tuk to stay in case she were to start bleeding again. Thankfully she never lost consciousness and didn't bleed again. Baby boy of about 7 pounds began nursing right away, and around 3:30am everyone was hot and ready to sleep! 

Just minutes old! 

     Seeing first-hand the birth experiences of the women in this area of Guatemala makes me all the more thankful for this casa caterna to be implemented. 

     I thank each of you who are praying for the people of Guatemala and those who will be impacted by the implementation of the casa. We pray for God's will to be done above all else. 

a summer to love.

     may 5^th came and i was so thankful that the seemingly never-ending semester had, by the grace of God, come to a successful close. what better way to celebrate such happiness than cinco de mayo! although maybe the most challenging season of my life, the semester was also one of the best. I have learned and gained so much experience and I am so thankful to be in this nursing program. 

the next day i flew with my best pal (aka sister) claire to sanibel, florida where my parents and three youngest siblings are now residents. the sun and sand and salt air and bike rides and the pool and boat rides and the relaxing and having fun with my siblings has finally arrived.

     in just one week that went by way too quickly, i was back on a place to pennsylvania for the wedding of lauren, my close friend since childhood. my sister emily and her husband shami had already arrived from rwanda; I hadn’t seen them since their wedding 7 months prior. emily and i were the matron and maid of honor in lauren and josh’s wedding, and it was a beautiful and fun day.

     two days after the wedding, i flew with emily and shami and sister sarah and her husband dan to newport beach, california, to visit shami’s family, where his parents and brother and sister live. my brother jon lives about 5 hours north of newport beach, so he drove down to spend the week with us. although i wished that the rest of my siblings could have been there, we had such a fun time! we walked the beaches and watched the surfers and i daydreamed about the day when I would be a california resident and learn to surf. we ate the most amazing food (seriously), explored the shops at fashion island, took a duffy boat out in the harbor and saw wild seals and beautiful homes. and at night i fell asleep by the fire place outside under the stars and the olive tree. shami truly has a wonderful family who have not only taken emily in as family, but all of us! so far, i’d say my family is 3 for 3 in the in-law family department!

     when we returned fom cali to pennsylvania i went to bear creek with my friend from school, thanny, for a few days to hang out and see my cousins and also my family who had just arrived for the summer from sanibel. we had fun on the lake with the new paddle boards and awesome rope swing. may 2015 has been a month to love and remember forever. 

     that has brought me this week- welcome june! i went to central PA (danville) to visit my friend erica and her wonderful family (she and her husband have 4 precious kids). erica is a doctor at geisinger and is working with some people in guatemala to start a maternity clinic in the town of san juan. i am going for the month of june to work with a guatemalan midwife, lesbia (friend of erica's) and the mayor's office of san juan to begin the process of raising awareness and support in the surrounding communities for this new clinic. the closest hospital from san juan is about two hours away on terrible roads, and many times the town ambulances don't work or refuse to take patients if they don't deem it an "emergency." most families don't have the money to pay for transportation to and from the hospital, and in case of emergency it is far away. the local health centers have few recourses and usually have little or no medicine. 
     the plan for this clinic is to make it a casa materna, which are birthing centers that are staffed 24/7 for these mothers to come and give birth in a safe environment. we will have ambulances that can bring women from the surrounding areas to the casa at any time. curamericas-guatemala has a successfully functioning casa in northwest area of guatemala, and we hope to implement the same here. 
     using the care group model (created by world relief), the casas teach the people of the communities about health care and equip them to peer-educate so to create sustainable behavior changes in maternal healthcare and decrease the child mortality rate in these communities.

     i am very excited to be a part of this endeavor in its beginning stages as i look forward to all that i will learn about creating sustainable healthcare in communities with few resources. i look forward to updating my blog with progress notes from this month!

Judge Not.

          I have had several interactions recently with people in my family where I have felt extremely judged. I used to feel guilty when I felt judged, but now I just feel angry. And I am not out to blame anyone, because I have been one of the most judgmental people that I know. As I stated in the previous post, there are many ways that I am a product of my culture. But as Dr. Henry Cloud has said, “At some point ‘that’s how he [or she] was raised’ ceases to be an excuse.” I think we are responsible for our own thoughts and actions, hence why I have been thinking about and am now writing about this.

So back to my opening statement, since I have been more acutely aware of my own tendency to judge and my gratefulness to God for the many ways that I am growing in this area and becoming a more loving person, it bothers be to maybe an exaggerated extent when I feel judged by others. Thus I’ve felt very angry at these people whom I love, and am trying to figure out whether it’s better to mention how it bothers me or to simply let it go and pray for more grace. In thinking about all of this and the topic of judgment, I’ve come up with three conclusions: 1) Don’t judge your fellow humans! You are not God and you do not know the heart of that person completely nor the will of God for that person. Don’t project your opinions or God’s plan for you onto other people. 2) The Bible is (obviously) not interpreted the same way by all people, and it’s not our job to judge whether others are right or wrong in their interpretation. Shoot, anyone has as good a chance (or better!) as me in interpreting how the scriptures apply to life. It’s God’s place to judge, not ours (I often wonder why I try to fill those shoes that I was never meant to fill. I cause myself so much unnecessary stress!). And I’m pretty sure humans will experience the love of God more profoundly through love than through judgment. 3) When you feel the need to talk to someone about an issue, approach him or her humbly, not accusingly or blamefully. 

Do not judge others, and you will not be judged (Matthew 7:1)

Do not judge others, and you will not be judged. Do not condemn others, or it will all come back against you. Forgive others, and you will be forgiven (Luke 6:37)

He [Jesus] did not retaliate when he was insulted, nor threaten revenge when he suffered. He left his case in the hands of God, who always judges fairly (1 Peter 2:23)