Friday, August 12, 2011

Hippocratic Oath?

I wish I had the words to describe the health care conditions here.  And I don’t know the half of it I’m sure.  I hear things from people we know and from the Pastoral Team themselves.  And I’ve had a couple of first hand experiences.  I want to tell you about one.
Two nights ago, two women came to the door needing help.  This is not an unusual thing.  Folks know that if they need help, we will do our best to do so and if we can’t help, we try to steer them in the direction of someone who can …

So these two women did not want help for themselves.  Instead, they told us the story of their neighbor: an old man who is quite sick. He has cirrhosis of the liver.  His niece – his only family from the sounds of it – does not want anything to do with him.  She lives right next to the man but apparently does not look after him.  So the neighbor ladies have been feeding him breakfast and supper and checking in on him on a regular basis. 

These women had become very concerned about his condition they so had taken him to a local doctor for a checkup.  This local doctor looked him over and she gave him a referral to be admitted to the hospital in Santiago de Maria.  The doctor said that at the hospital, they could ‘drain’ the fluid buildup in his stomach and potentially save his life.   By the time they were done taking him to the doctor and then back home so they could look for transportation, it was late. They couldn’t find anyone to take him to the hospital and since they knew about us and knew we had a vehicle, they came here and asked if we would take him.  

Cecilia and I talked and we decided we needed to do this for them.  So we all piled into the truck and headed down to where he lives just below the cemetery which is not too far away.  It took about 15 minutes for them to convince him to go – he didn’t want to – but eventually they all came out – several people supporting the man as they made their way down the roughly 50 yards of the uneven path leading from his home to the truck.  It took a couple of men to help him into the front seat of the truck.  He was obviously bloated and in pain.  His left hand and fingers were inflated like a balloon.  His stomach was obviously bloated as well and his calves were like rocks.  He could barely move.

And I’m not saying this to be rude, but he smelled horrible.  Now mind you – I dearly love the people I work with who live in the country.  Many of whom often do not smell very good – but we hug them and take no notice because of our love for them.  But this man smelled sick.  It was not a lack of personal hygiene care – although I’m sure that is minimal (and I say that feeling badly for him, not as a criticism) – but he smelled very ill.  I don’t have words to describe it. 

Unfortunately, it started to rain shortly after we took off so we had to close the windows.  Thankfully within about 15 minutes the rain stopped on the other side of the mountain.

So we got to the Santiago de Maria hospital about 6:30 p.m. and I could at least drive in to the parking lot so he could be closer to the entrance.  The women were able to get a wheelchair for him and as they were struggling to get the man out of the truck, a young man came out to help.  Turns out he was the relative of another patient waiting to be seen.  So they took him in and Cecilia and I drove out to park in the street and wait.  Only ‘family’ are allowed in - and at that, only one or two of them.  The women were not family, but they had his personal information so could be with him as his guardians. 

Cecilia and I waited outside for about an hour and a half.  Cecilia talked to the guards to convince them to let her in to get an update – to see how close he was to being admitted.  She found out that there was only one family left ahead of him.  So she came back out and we waited a bit more.  About a half hour later, all three of them came out: the two women holding up the sick man.  The doctor on duty would NOT admit him!  In spite of the referral and the obvious bloating – they would not admit him.  As one of the women muttered under her breath “it’s better to just die at home.”

What an incredibly sad thing to say.  But she got no argument from her friend or Cecilia. 

My question of disbelief: what kind of doctor would not admit such a sick man?  He even had a doctor’s referral!

As Cecilia said: “Such is health care in our country”

And the next day when Blanca was here and after telling her what happened the night before.  She literally said the same exact thing. 

This is such a different world than from where I come from.  And unfortunately – throughout the entire world there are LOTS of other countries who experience the same lack of care or worse.  

What a travesty.


Tuesday, August 9, 2011

Urgent Request

In our travels this week with the Heartland delegation, we visited not only their sister communities of El Tablon Centro and Cerna, but Casa de Zacate as well. From our conversations with the 3 Directivas - and phone calls to the Pastoral Team from leaders of a couple other communities - we have discovered a vital need. By the end of this month, everyone who farms should be planting their new crop of beans. The problem is - the people do not have beans to plant. Part of this is due to the last 2 year's horrible crops. They didn't produce enough to eat let alone to have sufficient amounts to set aside for the following planting season.

The government had a seed (beans) giveaway recently - but hardly ANYONE in this municipality was given the seed. For example: only 3 out of 45 farmers from Santa Cruz, 3 out of 80 in Tablon Centro and 6 out of 25 in Casa de Zacate received their 'packet'. None out of the 48 families in Cerna nor the 44 families in Alejandria received any government seed.


So now the majority of people cannot plant. They are very worried they will not have food next year. The Pastoral Team considers this a crisis situation.


Scott Valentine (Clive, Heartland) made a suggestion - a good one. That I immediately communicate this need to Compa
ñeros and see if we could get this information out to all our sister churches as well as our non-partner supporters.

I have faith in the folks in Iowa (and beyond) that they can raise the funds. The problem is the need for a rapid response. The planting should be done within the next three weeks!


Ideally, the farmers would need about 100# of seed to provide a family with thier food needs for the year as well as enough to sell for a bit of income with some leftover to safeguard for the following year's planting. But
the Pastoral Team's thought is to try to raise funds for 40# per family farm. This quantity of seed would potentially provide enough beans for a family to eat for a year.

40# of seed costs about $50. There are roughly 1000 families in all the cantons of Berlin. That would be roughly $50,000 which we need by August 22nd.


The Pastoral Team has already started calling the Directiva of each community to ask how many families did not receive the government packet of seed and to organize and create community lists for disbursal. From this we will know exactly how many families are in need of this support.


In a related topic: Currently, InterVida (an NGO) is helping communities develop Seed Banks but they are not yet fully operational. In the event that more funds are received than are needed to relieve this immediate crisis, they would go toward faciliiting additional seed banks in communities that do not yet have them. A seed bank would help a community avoid this kind of crisis in the future.

We thank you for your efforts and await with hope your rapid support. Follow the usual manner of getting funds to the mission. Send checks to the Presbytery of Des Moines, 2400 86th St., Suite 20, Urbandale, I
A 50322. Please include in the memo section or in message to designate "Bean-Seed".

Kathy and the Pastoral Team

Saturday, July 23, 2011

More on Benigno

We were all sitting around the breakfast table this morning.  Most of us tired – not of us not sleeping well because we are worried about Benigno’s family (see previous blog).
 We were talking about this this morning – and how could it be that he could have been so sick and no one knew.  Because I did find out that no one knew!

 Apparently he felt a great pain in his abdomen (solar plexus area) early evening on Wednesday the 20th.  His house is way down the road from the ‘center’ of town.  (We’re talking 20 families in this community).  He made his way up to his sister’s house and couldn’t go any further.  They called a friend and waited for transportation to get him to the hospital in Santiago de Maria and that come quite late.  He was given something for the pain, but they only did simple exams. 

 The sad reality here is if you have no financial resource, that’s all you get: a basic exam. For example: an older woman came out of her exam with one of the doctors of the Newton Medical Delegation last March and was quite emotional.  She said that this was the first time she was ever actually touched by a doctor.  In all her years – her exams have been words only:  “How are you?  You have a pain where?  Ah … take this prescription to the pharmacy and buy …” 

Ok.  That is over-simplifying the exam I’m sure.  I hope.  And I have hopes that not all public servant doctors are like this, but I have heard it over and over from several people: that without financial resources, that is pretty much all you get.  Period.

So there are many people who don’t bother to go to the doctor for every little ache or pain.  They ride it out.  They ignore it.  They live with it.  Because in reality, what could you do about it?  If you have cancer, or lung disease, or kidney disease or whatever – you can’t afford the medicines.  You can’t afford the operation.  So why bother to know. 

After the internment yesterday we were talking to some of the family and we were told that they were told that ex-rays showed his lungs were basically ‘dead’ and non-functioning.  He ended up in a larger hospital in San Miguel and died there.  The family might never know what was wrong with him.  But it is possible he was riddled with cancer and never knew it. 

Friday, July 22, 2011

A funeral

We went out to La Llanes again yesterday.   We were just there for their Patron Saint celebration last Saturday.  And we had visited there with the Central Presbyterian Church delegation a couple of weeks ago – delivering large water tanks and getting to know them a little and visiting a few homes.

One of the homes we visited was a couple with 14 children.  They are poor … poor.  They live in a smallish house with minimal ‘furniture’ (‘furniture being  a relative term here).  Their little home is on a level-ish part of land with several hills surrounding it and a beautiful view of a valley below and a volcano in the distance.   They live smack in the middle of the land they farm for the owner who lives in San Salvador.  They ‘rent’ the land they farm – but he didn’t know how much he would have to pay that year.  The owner hadn’t said yet – but last year it was $24.  A fair price for all the land he was working! And it is a beautiful location.  When we were there, the corn was all planted and growing nicely – about 3 feet high.  The father of the family was answering our questions very graciously.  He seemed pleased by our interest in his work and our interest in his community. 

So yesterday we went out to La Llanes again.  But this time for something very sad.  The same man who was explaining about his crops and sharing his life with us – died.  He was 51.  He left behind a wife, 14 children and one grandchild.  Apparently he woke up one night with deep pain in his lower gut.  He didn’t go to the clinic right away – but eventually someone took him.  I’m not sure what the prognosis was – the family wasn’t sure.  They might never know. 

But we drove out to be with them for the first day of prayers.

The Pastoral Team helped out with all the pan dulce (sweet bread) they would need, a couple pounds of Don Justo Coffee, 12# of sugar, 100 cups and plates, misc food stuffs for the family themselves.  We gave them money to buy the funeral candles. And we paid for the transportation for the people to get home after the burial.   And we’re thinking of buying a couple hundred pounds of corn for the family.

We’re worried about the family.  How can we not worry?  How is she going to take care of all those children?  Their crops?

8 of Benigno's children, a grandson and his widow Maria
We found out about a beautiful thing – tomorrow (Saturday) – about 20 people from the community are going to go out to their fields and ‘clean’ it for them – to clear the weeds from the corn stalks.   This is a job that would normally take almost a week for one or two people to do.  And the widow would not be able to do it – her youngest is 3 years old!!  So the community is banding together to help her out.

And I bet they will help her through every step of the process all the way to harvest.

Community is something people do well here.  It is uplifting and inspiring in the midst of the great sadness.

Please pray for this family.  And all the families who struggle with life’s great challenges.

Looking back at their home from the edge of the slope at the end of Benigno's rented farmland

One of Benigno's sons perched on a stump in the field.  What a view!


Tuesday, June 28, 2011

Commissioning of a Delegation

Below are the words from Pastor Jim Wallace of Central Presbyterian Church in Des Moines.  Their delegation of 7 persons will be here on Friday.  The text is his sermon for the commissioning of this group. 

I asked for permission to share here within my blog as well as Alish's blog (we reach different audiences)and Jim graciously said yes.  He has summed up beautifully the vision and intent of the Our Sister Parish mission which is the relationship between several Iowa churches, the Pastoral Team and the communities we serve.

Thank you Jim.


Commissioning Message/Service for El Salvador Mission Trip 2011

            One of the great impulses of the Church is to go out into the world. There’s a kind of restlessness about the faith that just doesn’t allow Christian people to stay home. Christians go out into the world.
            You hear that, of course, in the Great Commission. And Jesus said, “All authority in heaven and on earth has been given to me. Go therefore and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything that I have commanded you. And remember, I am with you always, to the end of the age” (Matthew 28).
Heaven and earth belong to Jesus and so off to the nations disciples go.

Christ’s great ambassador, St. Paul, saw the Christian faith as something to share and spread. He would go and start churches, then drop by and check with the faithful to see how they were getting along and encourage them. St. Paul never stayed home. He was constantly on the go.
You might remember the maps on your Sunday school room of Paul’s missionary journeys. Going here and there, doubling back, crossing over and under, the lines and connections of his travels looked like a pile of spaghetti. 
Well, on Friday of next week seven members of Central Presbyterian church will get up and go by boarding a plane and heading to El Salvador. For a couple of us it will be a return visit from 2008. Over the last three years a number of other Central members have spent time in El Salvador on their own or with another group.
Our Presbytery, the Presbytery of Des Moines, has had a relationship with a small faith community in Berlin, El Salvador for 20 years. Many of our churches in the Presbytery have made trips to El Salvador, some churches numerous times, forming partnerships with the cantons or villages in the area.
Since the trip in 2008 our church has helped support the Pastoral House in Berlin, El Salvador. This is the place where people in the community come for help and where delegations stay as they visit and establish relationships with various cantons. The pastoral team is also in touch the leaders in the villages surrounding Berlin. And so, it is an important, even crucial, component of ministry in that community and region.
Part of our trip will be to spend time with the Salvadorians who staff the Pastoral House, so as to strengthen our relationship with them. The little bit of money that we send each month to the Pastoral House helps pay for water and electricity and simple upkeep so they don’t have to struggle as hard to meet those expenses. In turn they can concentrate on doing ministry in the community and villages that surround Berlin. Besides spending time at the Pastoral House, we have been invited into their homes—a great honor.
We will go and see some of the important places from El Salvador’ horrific and heroic past. We will go to the place where the six Jesuit priests were murdered at the University of Central America, a turning point in their bloody civil war and U.S. support of the brutal Salvadorian army that waged a war against its own people.  
We will see the humble home of martyr Archbishop Oscar Romero, who began his career in a church structure that was closely aligned with the powerful and the wealthy, all in the name of stability and order. Romero was picked because it was thought he would not rock the boat. But he had a conversion of sorts and began to side with the poor instead of the powerful and began to preach about social justice and liberation. And for that he was killed, as he stood behind the altar, breaking bread during Mass.
We will spend time in villages and at various projects supported by other churches. There will be a dedication mass to celebrate a new cooperative that was the project of the Pastoral Team, a small village, the University of Central America, and the government of El Salvador.
We will visit some marginalized schools. We will see where the coffee you purchase is produced and processed.
We are taking some things that will be helpful. We have a bag full of school supplies, a couple bags of used eye glasses, a kit donated by an optometrist to test eyes, some basic medicines—all to be donated and left with the Pastoral House.
Now less you think this is a luxury sightseeing trip, let me assure you it is not. There will be no air-conditioning. This is a country in poverty. Accommodations include flushing a toilet and taking a shower by taking a bucket of water and pouring it down the stool or over your head.
When groups go to El Salvador they don’t go there with a “top down” model of wealthy North Americans doing something for the poor Salvadorians. As much as is possible, delegations go to El Salvador with the intent to “be with” instead of “do for.” Delegations go to understand that country’s troubled and sometimes horrific history, the social and economic forces that have contributed to systemic poverty, and, as much as is possible (for people who will return to warm showers, soft beds and an abundance of food), to live day to day and to share life with the poor.
Now this idea of “being with” instead of “doing for,” of relationship building instead of building something is a difficult concept for North Americans because out of our abundance of resources and power we are accustomed to taking on the role of superior fixer, the knight in shining armor.
As a writer on short term missions (somewhat) jokingly suggests, “having an engineer on your mission team can be a mixed blessing. Engineers are trained to diagnose and repair problems; it is part of their professional DNA. They will typically go to a service site and immediately begin to calculate the most efficient approach to the tasks at hand… [but that] won’t always work in another culture, and it may even be offensive.”[1]
One enterprising pastor in another setting got around this problem by having a wall that people could work whenever they would come on a mission trip. He has no idea what the wall is for or if it will ever be done, but it takes care of the problem of visiting teams needing to do something tangible. Then, once they get that out of their system, he says the real mission takes place—meeting and building relationships with the men in the community who need long-term training and social services in order to survive.[2]  
And delegations don’t go with the idea they are taking God to these people; God is already there, among the people. Dean Brackley, an American born Jesuit priest, who moved to El Salvador after the six priests were killed, writes about the importance of not going with the idea of taking God to people, but discovering that God is already there, among the people. He says:

If we allow them to share their suffering with us, they communicate some of their hope to us as well. The smile that seems to have no foundation in the facts is not phony; the spirit of fiesta is not an escape but a recognition that something else is going on in the world besides injustice and destruction. The poor smile because they suspect that this something is more powerful than the injustice. When insist on sharing their tortilla with a visiting gringo, we recognize there is something going on in the world that is more wonderful than we dared to imagine.[3] 

            So, we go, but not with a “top down” model. We don’t go to fix or bring God. We go to “be with,” strengthen relationships, discover what God is doing.
            In one of the great passages of the New Testament, St. Paul writes, “Let the same mind be in you that was* in Christ Jesus, who, though he was in the form of God, did not regard equality with God as something to be exploited, but emptied himself, taking the form of a slave, being born in human likeness. And being found in human form, he humbled himself and became obedient to the point of death—even death on a cross...”
            “Let the same mind be in you,” Paul says. Don’t grasp power. Don’t cling to position. Be like Christ who emptied himself in order to be with us, to share in our experience, our pain our, sorrow, our joy, our humanity. He could have hung on to his position and power as Lord of all, but he didn’t. Literally in every sense of the word, Christ set that asides in order to be with us, to be one of us.
            And by implication that’s how Christians go into the world. That’s how Christians do their mission work. Not from a place of superiority, but humility. Not from the mindset that we have the money, we have the power, we have what you need and we are here to give it to you. Our attitude should be like Christ who set all claim to privilege aside and emptied himself in order to be with us, to share with us, to enter our experience and our humanity. And so we go, as best we can, following that example, not to “do for” but “to be with” and to “share in.”
            When you approach such a trip as this in that way, you open the possibility of learning, experiencing, sharing, growing. I have already mentioned Bishop Romero. In the midst of the struggle against poverty and threat and violence and death, he is reported to have said these inspiring words:

“It helps now and then, to step back and take the long view. The kingdom is not only beyond our efforts, it is even beyond our vision. We accomplish in our lifetime only a tiny fraction of the magnificent enterprise that is God's work. Nothing we do is complete, which is another way of saying that the kingdom always lies beyond us. No statement says all that could be said. No prayer fully expresses our faith. No confession brings perfection, no pastoral visit brings wholeness. No program accomplishes the church's mission. No set of goals and objectives includes everything.

This is what we are about: We plant seeds that one day will grow. We water seeds already planted, knowing that they hold future promise. We lay foundations that will need further development. We provide yeast that produces effects far beyond our capability.

We cannot do everything, and there is a sense of liberation in realizing that. This enables us to do something, and to do it very well. It may be incomplete, but it is a beginning, a step along the way, an opportunity for the lord's grace to enter and do the rest.

We may never see the end results, but that is the difference between the master builder and the worker. We are workers, not master builders; ministers, not messiahs. We are prophets of a future not our own. Amen.”

I hope our delegation from Central comes back with at least a little bit more faith like that, faith that sees the kingdom of God not as some far off ideal, some utopian someday. But the kingdom that we are called to work for and live for and strive for, not just in our hearts, but a kingdom of justice for all God’s children.  Amen.




[1] Misguided Missions: Ten Worst Practices, by Mark Wm. Radecke in Christian Century May 18, 2010.
[2] Ibid. Adapted.
[3] As quoted in Misguided Missions: Ten Worst Practices, by Mark Wm. Radecke in Christian Century May 18, 2010.

Thursday, June 9, 2011

This is what it is all about

Sometimes my heart gets very heavy.  Sometimes it seems we lose sight of where we need to be going.  There are issues and problems, grief and sorrow: things both within and beyond our control.  But then something happens to bring it all back into focus.  Thank you God!
Yesterday, we went back out to visit La Llanes –if you remember, La Llanes is that little community comprised of 20 families who are actually all one big extended family!

And if you remember – a week or so ago, all of us went through our ‘closets’ and came up with BAGS of clothing.  I later learned that it wasn’t just Blanca, Idalia, Cecilia and I that went through our closets – but all of their families did as well. And since we didn’t have much clothing for children – I went out and bought some.   We ended up with a good amount! 

So yesterday we went out to deliver.  We asked the Leadership Committee to meet us at the community ‘center’ at 3 and the community to be there about 4.  The idea was that all the clothing would be spread out and the Committee, using the census we had, would divvy up the goods.  This is because they know the relative sizes of people.  They started with one article of clothing for each person.  They bagged up by family (using tape to put the names on the bags).  After everyone got one item they went through the list again.  And again, and again.  I’m not sure how many rounds they were able to make, but it looked like everyone got several new (slightly used) pieces of clothing. 
Blanca explaining the process

She found a knit hat and loved it!

This did not come out of MY closet. 
And I don't think this ended up in his bag!

When the families showed up a little later we had more of surprise.  Alisha’s church sends her a little money now and again to be used at her discretion.  She decided she wanted to get a little toy for each child.  Prior to going out to La Llanes, we stopped at a little store that has such goods.  We went by the census and chose items depending upon age and gender.  The average price of the toys was about $2 each.  We got dolls, cars/trucks, little badminton sets, jump-ropes, etc.  Things that would hopefully last more than a week.

As the families received their bags of clothing, Alisha handed out toys.  We had a couple extra children who were not on the list – but luckily, Alisha’s parents had brought down a bag of stuffed animals so we were prepared!   And it all worked out well!  There were lots of smiles.  Alisha and I were not sure the children would know how to use the badminton set, so we gave a little demonstration.  I’m happy to announce that I did quite well!  I love that game. 
The vehicles were quite popular!

Look mom!!

Kinda like Christmas


We finished up and prepared to leave.  Of course, there were people who wanted to say a few words; expressing thankfulness and reminding us that we would always be welcomed there – with or without gifts!  They would be waiting with open arms. 
What we did yesterday was truly a ‘band-aid’ in that it will not solve anything nor make the realities of their poverty change.  But beyond the physical gifts – I saw and deeply felt a much larger gift.

We have only been there a few times – but since the very first visit, I felt a warmth and friendliness.  And it almost feels like family.  Maybe because they are one large extended family – and overall, a close family – and that carries over to how they treat others.  We are welcomed.  We are offered coffee (good, strong, residue at the bottom of the plastic cup coffee!!) and we are offered a place to sit and rest a bit. We are invited in.  And not just their homes.  But I think we are also in their hearts.  I know they are in mine.

I was humbly reminded why we are here.  Why we chose to do what we are doing. 

The parked truck is always a piece of playground equipment

Very cute and very fat babe!

THIS is how coffee should always be prepared!

Home made Capiruchi

Sod walls

Some final words


Doves at my feet

Gramma and my fat little baby

Every family received a "Trinity" bear!

Good and strong coffee!

Sunday, June 5, 2011

Busy, Busy week!

See Alisha's blog if you want LOTS of details about the week with her family!!  The link is to the right!

What a fabulous week we shared with Alisha’s family!  In many ways they were similar to all delegations in that we visited the historical sites in San Salvador, a massacre site, communities, etc.  But this ‘delegation’ was also very different.  This was family.  We had a little more flexibility with our agenda.  For example – they wanted to see some of the ruins so we did that.  We visited El Mozote to hear the testimony of that massacre, but we also visited Rio de los Bueyes to hear several ex-combatants speak of life for them during the war and the massacre that took place near there.  Incredible.  After that horrific account, we went to a local ‘pool’ for lunch.  I don’t think I’d take a regular delegation there – too rustic. It was hard to get to – lots of ‘ducking’ in the back of the pick-up truck!  And once we were finally there, there was no place to sit, it was very buggy and the water was a bit skuzzy … but I’m sure glad we went.  I thought it was pretty cool!  We dipped our feet anyway and had scores of little fish nibbling on our feet!
We visited our Don Justo Coffee with Dignity farm and got a real complete explanation of how the coffee goes from seedling to our cup.  We visited the lagoon inside the crater of Alegria and then had time to visit the actual town of Alegria – exploring the church, shops, park and beauty of this little town and even enjoyed a cup of coffee (or hot chocolate) from a vendor in the street.
The family even got to ‘help out’ delivering fertilizer: going to Mercedes Umaña to make the purchase, then they sat on top of the pooh in the back of the big truck on the way back to Berlin and then to San Francisco and then enjoyed visiting with the people while it was distributed. 
They WALKED the two miles down then up to San Francisco the next day.  We visited three families – 3 families who are being supported by their church with high school scholarships.  We enjoyed the hospitality of a cup of coffee and some pan dulce before we made the walk back to the Pastoral House.  We probably walked 5 miles that day.  UP and down lots of ‘streets’ and paths. 
They spent a morning with Alisha in her school.  Four times in each of the 9 classes they sang and did the movements to Heads Shoulders Knees and Toes, handed out stickers and pencils and had a time to visit with the students.  We visited the homes of the Pastoral Team members in Alejandria.
At the beginning of the week we ate at a new place in San Salvador called the Secret Garden (I won’t take a ‘real’ delegation there because it was way too expensive!!) and at the end of the week we enjoyed taking the Pastoral Team out to dinner in Alegria at their new favorite place with most of us getting huge shrimp which we ‘wore’ quite well as you have to eat it with your hands!  Yum.
It was a very good week.  And it really did fly.

A sad thing – 2 nights before they left – I got called down from the office – I had been working on their final budget (I give a summary of the actual costs vs the budgeted amounts) as well as a spreadsheet for the purchases that Compañeros made of Blanca’s Bags and crafts for the Latino Fest this year.  When I went back up about 45 minutes later – there was a puddle of water on my desk near the computer and in two spots on the floor.  The roof was not leaking and I had NO water in my office (nothing on my desk except a sealed bottle of water that was intact).  We have NO idea where the water came from.
There was no evident water on the laptop … but … when I moved the laptop – there was water under it.  And when I lifted the laptop, water dripped from it.  I have a fan under my laptop to keep it cool.  It essentially sucked up the water on the desk and forced it into the laptop from the bottom.
Matt, Alisha and I dried it as best we could.  Matt un-did the little doors, we gently sopped up the water … Alisha had a can of air … then we set it out to dry over night … taking out the battery, etc.  Bottom line is … it never returned to functioning.  I have a dead laptop.  Alisha’s mom took it back with her – Mike is going to putter with it to see if he can repair it.  If not, I have a friend who knows how and has the equipment to extract the data from the hard-drive.  And Mike can buy another laptop for me and bring it down when he and his church come down the beginning of July.
In the meantime I do have my little net-book that I bought last year for traveling and for my work trips back home.  I hate the keyboard (keys stick and don’t always type what I click!!) but it’s better than nothing.  But ALL of my documents, templates, pictures, reports, etc. are gone.  Hopefully not forever.
I’m hoping I don’t have to buy another laptop.  But if I do … such is life.
It really is a mystery as to how the water got in here.  No roof leak – no wet windows – no water glass in my room … The Pastoral Team said it was a ‘water ghost’ -  I have a guess that it was totally accidental and that someone feels too bad about it to ‘fess up.’  I’m trying not to make a huge deal of it here so no one feels worse than they probably already do …
There are definitely larger tragedies in life!!!  I will keep it all in perspective. 

Thursday, May 26, 2011

Shopping Spree

I decided I wanted to go buy some children’s clothes for our clothing give-away in La Llanes… we have quite a chunk of adult clothing to bring out there from our own personal ‘wardrobe purging’ but very few things for children.


I had a feeling that I could buy quite a bit with $20. And I was right. Check this out:

                                                                      
6 pairs of shorts at 50 cents each
24 shirts (tank tops mostly) at 50 cents each
5 pairs of shoes at $1 a pair

I might just have to go do that again before we go! I can’t think of a better way to spend my money. Lord knows I really don’t need much!

Tuesday, May 24, 2011

Two Blessings

I have two very cool things to share:

The first blessing: As a result of a blog about the community of La Llanes and the need for water collection there, I received an email from a very small church in Centerville, Iowa (Centerville Presbyterian Church). The pastor there wanted to let me know that their mission committee wanted to purchase a water tank! She is also going to check with the men’s and women’s groups of the church to see if they would like to purchase another one.

What a blessing! So for sure we have one tank bought … only 19 to go!
:o)

Any others out there that would like to purchase a 750 liter water tank for a family?? Only $125 each … going once … going … well … 19 more times we hope!!

I love you all. Thank you!

A second blessing: Blanca and Cecilia (two of our Pastoral Team members) were telling me that they were going through their clothing to see what they could find to give to the families in La Llanes. So I was humbled and motivated to do the same. How sad is this: I found ten shirts (tank tops), a skirt and 4 pairs of sandals to donate to the cause. And I STILL have way too much clothing.

I have often felt that the poor have the most generous hearts. I learned a lesson today from my sisters at the Pastoral House!

I think tomorrow I will take $20 and go to the market to find some children’s clothing.

Sunday, May 22, 2011

Who are you??

So I'm looking at the "stats" of my blog and Alisha shared with me how to see who my 'audience' is.  HOW FUN!

I have had people visiting the blog from all over! 

This MONTH: U.S., E.S., Germany, Iran, China, Russia, Phillipines, Denmark, France, India and Canada.
This WEEK: U.S., E.S., Germany, Iran, China, Russia, France, India and Canada.
TODAY: U.S., E.S., Germany, Russia and India.

So ... WHO ARE YOU ALL? 
I'm really curious as to who is reading this blog and why?  I think it is very cool actually.

The U.S. and E.S. are easy to figure out.  But China?  India? Iran? Russia?

Very cool.

Water ...

You might have seen Alisha’s recent blog about the things we take for granted … things that so many people do not have the luxury of enjoying: water and electricity being pretty basic (and we can’t forget food and shelter).


Well – this is something I often struggle with. I truly do live in a palace compared to the people we serve. I have walls, a roof, a floor, a private bathroom and I never worry about my next meal. And I have water. If not running – at the very least it is in my pila for the 90% of the time (literally) that the water does not fun through the pipes.

So this morning – I had a treat. Something I have not had in my bathroom since I’ve been here (as interim in 2007/8 and as permanent co-worker since January of 2009). I had a hot shower.

My shower has been ‘repaired’ several times – but the repairs never took. It took someone who knew what the real problem was and then who knew how to fix it. Thank you Andres! He had to hook the shower head up to a separate circuit breaker – and one more powerful that the one that was there. Prior to this addition, everything was hooked up to one relatively weak circuit breaker – so my lights would dim when I turned on the shower and at best I would get tepid water; just enough ‘warmth’ to take the freezing edge off. So like Alisha – I usually didn’t bother with the actual shower, but preferred the control of the bucket shower. Brrrr.  I also have a 'flash water heater' meant for heating water for tea - bet the original inventor of this lovely device didn't know it would be appreciated for other uses!

So now I not only have water running every other day. But now I have HOT water.

And along with it the guilt.

I’ve been told I shouldn’t feel guilty because I have these luxuries. But I can’t help it.

Saturday, May 14, 2011

Internment in Rio de los Bueyes

We went back down to Rio de los Bueyes – leaving the house about 11:30 to get there for the 12:30 commencement of the trip to the cemetery.

We got there a little late – but they had not left yet. They were waiting on the big truck that would carry the bulk of the people.

After about 15 minutes, they decided to leave without it. The loaded Jesús’ casket into the back of a pick up truck. Five people got into the bed of the truck with the casket and Eulalia and a grandchild got into the cab with the driver. Our pick up truck followed them - after a bunch of people hopped on of course.

It was me, Idalia, Blanca and Aminta in the cab of our truck, Alisha, Cecilia and Miguel in the back and a lot of others. Alisha later told me there were 22 people in our truck. Add the four of us in the cab.

I knew the road from Rio los Bueyes to La Barca was relatively flat and not too bad so I wasn’t too worried about the suspension of the truck. I also figured we’d be going slowly. And I was right. What normally would take about 15-20 minutes to drive between the two communities, took over an hour.

We followed the casket’s pick up the entire way. Fortunately for the people walking, about a block from the house, the big truck met us and about 50 or so folks hopped into that. There were also at least 4 pick up trucks full of people behind us – each loaded with people. Partway there we met another large flatbed full of people going to the internment and a little further on we picked up another dozen people who were waiting for the caravan to go by.

Word of mouth is incredible here. Jesús just died less than 24 hours prior. And here were all these people going to her internment. There were several people from Berlin as well as people from El Tablón, Corozal, Casa de Zinc, (probably more places) and it seemed like all the people from Rio los Bueyes were there! I would bet there were between 250 and 300 people at the cemetery.

When we finally arrived (and it was a very long and extremely hot and dusty ride and had I not been driving, I could have slept – as it was I was trying not to nod off in the heat with my hands on the wheel!  But then I thought - man - the people standing in the backs of the trucks have it way worse than I do!) When we finally got to the cemetery, I drove up the hill to the entrance so people could get out and then turned around and parked in the shade a little down the road.

By the time I got to the area, the coffin was already under the shaded ‘gazebo’ area – there is a pedestal of cement for folks to put their casket and the large lamina roof serves as a shady place for someone to say a few words, or to have the last viewing of their loved one.

We were there about 15 minutes – chatting with people. There was enough shade and a bit of a breeze so it wasn’t unbearable. One of the family members came up to us and they asked Blanca and Idalia to lead the singing at the gravesite. They were hesitant because they worried they would start crying. But ultimately, they sang.

6 men carried the coffin down the very steep and slippery path to the gravesite where the hole was already dug. The singing started as people were still carefully making their way down. The men started putting the rope around the casket to lower it into the grave.

And here there was a small glitch. The hole wasn’t big enough. So out came the shovels and they dug some more. No one seemed overly surprised or bothered by this. The singing continued on. And soon the sounds of dirt being shoveled on the casket could be heard along with the singing and then the prayer.

That is a unique combination of sounds.

There was no service per se – just a few songs and a long prayer. Then everyone headed up to the vehicles. We were not going back to the family’s house since we were now closer to the PanAmerican Highway. We headed back to Berlin in that direction instead of going all the way through the canton roads. It only took us about 50 minutes to get home. Going the other way would have been and hour and 15 at least. And a lot bumpier.

We were able to bring several people back to Berlin with us. Including two men who were selling popsicles and ice cream at the internment.

This is an acceptable thing at an internment – the selling of food and drink, ice cream, candy, banana chips … It isn’t considered tacky here.

It was a physically draining day. The oppressive heat and dust coupled with the very slow driving (after driving 50 bumpy minutes just to get to the family’s house in the first place – and then driving back to Berlin afterwards) wore me out. When we made it back, I went up to my room and stretched out on top of my bed – mostly to stretch my achy back – but I actually nodded off for about 10 minutes. By that time I was ready for a cup of coffee and to sit with the ladies of the Pastoral Team.

Friday, May 13, 2011

May 13th 2011 - Jesus

Rest in peace in the loving arms of God your father. 

We just received a phone call that Jesus died.  Not 15 minutes after I posted the story of our visit with her.

We're sad. 

We'll be driving out there again tomorrow morning.  God must have known we needed to be there because a meeting we had scheduled in the morning got cancelled.

Please send up prayers for the family.

Cancer

Jesus (in the back-ground) and Blanca two weeks ago.

Today we received a phone call from a family in Rio los Bueyes. We always visit this family when we go down there for their annual Celebration of the Martyrs. In fact, we were there just a couple of weeks ago. (See Alisha’s blog – link to the right!).


We knew that Jesus, the mother/grandmother has cancer. She has had good days and bad. When we visited a couple of weeks ago, I could see she was weak and she only stayed out on the patio with us about 20 minutes. She then had retired to her room to lie down.

So the phone call today was from her daughter Eulalia. Mom is doing very badly she said. She is not sleeping, she is not able to eat or drink and she is vomiting blood. (Sorry for the graphic image). And she was asking for ‘those from the Pastoral House’ –

We decided we needed to go see her. It is what the Pastoral Team does. They visit the sick and try to give comfort.

Normally it is over an hour’s drive to Rio los Bueyes but we learned of a shortcut and now it only takes about 55 minutes.

When we got there, she was in bed so we went in to sit with her. She recognized and acknowledged us and spoke briefly. Blanca asked about her pain. She said ‘not too much, but I am nauseous and I can hardly sleep.’

She is so thin. Her stomach is quite bloated though. She is weak and even as we were there, she was groaning the soft groans of nausea. And several times she had to spit into a rag, or TP. And indeed, she was spitting blood.

She was very hot. It is very hot in the valleys and her room is cinderblock with one window. For some reason, the door was shut – but Cecilia propped it open for air flow. Of which there was very little.

Eulalia was using a large folded towel to fan her mother. Resting her arms every so often.

We talked for a while. I myself was praying for peace and comfort for all of them and freedom from pain and nausea for Jesús. At this point, the only freedom will come from death.



We only stayed about a half hour. Before we left, Eulalia had one of the children climb a tree and fetch some oranges for us to take back to Berlin. Even in grief and suffering, people are compelled to share!

All the way back to Berlin I could not stop thinking of her. And about how Jesús is being loved by her family – especially her daughter. I was thinking about how hard it must be for the family (they live in a multi family compound so there are lots of children that also need tending).

Death is a fact of life here – I know that – I have grieved with many families in my short time here. Suffering is a fact of life here.
Pain is a fact of life here.

People suffer but they take it in stride. I’m not saying people are ‘content’ with their lot in life – but death, suffering and pain do not necessarily incapacitate people.

There are NO resources to help this family. No hospice care. No hospital that they could afford to take her to help her manage the pain and nausea.

They have each other. And they love each other. And they do what they can to soothe the suffering.

God bless these folks. And all people suffering illness and those who care for them – resources or no.

Tuesday, May 10, 2011

Wendy

This morning there was a bit of joy for us here in Berlin. I received a call from our friend Jorge T. in San Miguel. A while back we had asked him where we might be able to buy a wheelchair for a child here in Berlin – we were hoping he knew of a place in San Miguel so we wouldn’t have to go all the way to San Salvador. He said that his Rotary Club could probably get a chair. And they did! Rotary Club Siramá based out of San Miguel collaborated with Rotary Club Choluteca in Honduras to obtain a chair for us! (www.clubrotariosiramasanmiguel.org)

So Jorge called to set up a time that they could come to Berlin to deliver it. They wanted to go to the community and visit the little girl personally. So we found a time we could all go. It happened to be yesterday – Mother’s Day here in El Salvador.

Ursulo and Jorge from Rotary Club Siramá arrived about 10:15 in a smallish car. We all knew it probably could not make it on the roads in a canton so we loaded the wheelchair in the Pastoral House pick up truck and I drove us down to El Recreo.

I wasn’t entirely sure where Wendy lived in El Recreo – but I was told that we would be met on the main road by the cut off to their house. And sure enough, grandpa Alcides was there waiting for us!

He hopped in the back of the truck and pointed the way. I had never been on this road before – it was a bit rutted with some tight curves, a bit narrow in spots and well off the beaten path. We finally made it. I parked on the street but was soon told to move the truck into the yard because something needed to get by. I thought another truck, but it was an ox cart full of wood.

I went in to greet Grandma Marta and Wendy who were in the house. Wendy was finishing her meal of beans. The men unloaded the chair. We spoke for a while with Alcides and soon Marta carried Wendy out and set her in the chair. We all commented and expressed appreciation of the chair. And Jorge and Ursulo asked questions about Wendy’s condition.

It was all incomprehensible to me so I later asked Jorge to explain in English (he is bilingual). He said “the congenital defect of the girl in her back is named myelomeningocele. She went to surgery when she was one day old. Later she went back to the Operating Room and the neurosurgeon set a valve in her head to regulate the cerebrospinal fluid.”

Marta lifted up Wendy’s shirt so we could see where she had surgery. They must have grafted the area with the skin from her thigh. You can see in one of the photos a large patch.

I googled the condition to learn more. Skip the next 3 paragraphs if you are a little squeamish. It isn’t horribly graphic – mostly sad.

From the MedlinePlus website (A service of the U.S. National Library of Medicine NIH National Institutes of Health): Myelomeningocele is the most common type of spina bifida. It is a neural tube defect in which the bones of the spine do not completely form, resulting in an incomplete spinal canal. This causes the spinal cord and meninges (the tissues covering the spinal cord) to stick out of the child's back. Other congenital disorders or birth defects may also be present in a child with myelomeningocele. Hydrocephalus may affect as many as 90% of children with myelomeningocele. Other disorders of the spinal cord or musculoskeletal system may be seen, including syringomyelia and hip dislocation.

The cause of myelomeningocele is unknown. However, low levels of folic acid in a woman's body before and during early pregnancy is thought to play a part in this type of birth defect. The vitamin folic acid (or folate) is important for brain and spinal cord development.

Additionally:
Children who also have hydrocephalus may need a ventricular peritoneal shunt placed. This will help drain the extra fluid. This procedure is done in the operating room under general anesthesia. It takes about 1 1/2 hours. The child's hair behind the ear is shaved off. A surgical cut in the shape of a horseshoe (U-shape) is made behind the ear. Another small surgical cut is made in the child's belly. A small hole is drilled in the skull. A small thin tube called a catheter is passed into a ventricle of the brain. Another catheter is placed under the skin behind the ear and moved down the neck and chest, and usually into the abdominal (peritoneal) cavity. Sometimes, it goes to the chest area. The doctor may make a small cut in the neck to help position the catheter. A valve (fluid pump) is placed underneath the skin behind the ear. The valve is attached to both catheters. When extra pressure builds up around the brain, the valve opens, and excess fluid drains out of it into the belly or chest area. This helps decrease intracranial pressure.

Wendy does have Hydrocephalus. I could see the tube along the side of her neck and it’s origin on her scalp.

God bless that child!

As we were sitting and talking with Wendy and her grandfather, small talk mostly, Martha came out with bowls of beans for each of us. And then came out with heaping plates of tortillas. And then she came out with huge glasses of lemonade (which gave me no ill effects thank you very much!!)

This is another example of the generosity and hospitality of the folks who have so very little. I learned that this family does not own the home they live in … they are the caretakers of the property. Which means they at least don’t have to pay rent. But the only work the grandfather has is farming. And that does not provide much ‘income’ – especially when there is a bad harvest like the last two years.

I was very happy that Rotary Club helped this family! What a blessing!

And we will keep an eye on them. And I know their partner church in Iowa will also. They already have and I know they will continue!

Wendy in her new chair

Jorge, Alcides, Ursulo, Marta and Wendy

Jorge, Wendy and Grandma Marta

Ursulo, Alcides, Jorge, Wendy

An old wheel chair - they lead a rough life

Jorge and Wendy