Wednesday, August 31, 2011

one of those days

"i think part of the struggle just of everyday life is
remembering that the love is there...to wake up in
the morning and realize that love is there in the world -
if i can do that, that's half the battle." - kathleen norris

i was grumpy. and exhausted. and sick.  and i had an out. 

but i was also stubborn and trying to prove i wasn't that weak, and i said i would go see patients in clinic that afternoon anyway.  then take a sick day tomorrow. 

i regretted that decision as soon as i walked into the building.  it hit me how very tired i was. how i could be home napping instead. but it was too late now.  oh well.

the first chart i grabbed wasn't that heavy. i figured it would be an easy patient. until i realized that this was chart volume 2.  i scanned the face sheet: hiv. bone disease causing 2 hip fractures. cancer. depression. chronic pain. neuropathy. 

as i was heading down the hall, the nurse practitioner gave me a heads up: he just got a new electric wheelchair. and he cut his hair.


i walked in the room, expecting someone grumpy and bitter and sick.  instead, he was smiling. 

how are you, i asked. honestly, i think this is the best i have been in my life, he said. 

how is the pain? it's there. but i have this new wheelchair and it's totally opened up the world for me. i can go places now, i don't have to sit in my apartment. i may try to take a computer class at the senior center soon. they offer them sometimes.    

i hear you cut your hair?  yeah, i donated it to locks of love. i wanted to give back. i smiled inside, wondering what kind of wig would be made from middle-age, graying, ex-hippie hair.

the attending physician came in. we talked some more, sorted out some medicines, set up follow-up visits.  at the end, the attending prayed with him: god, we thank you for the blessings you have brought in this man's life, for his health, for your grace.

i cringed inside.  blessing? very little of his story felt like blessing.  but he took those small moments - leaving his house without the pain of walking and giving away his hair - as gifts.  and i was humbled...because i know there is sickness in my body too. there are limits and exhaustion and fevers and feeling like i am missing out on life and worry that these little symptoms now could be harbingers of a coming disaster. but there are moments of grace too - people that notice when i need a day off, sunflowers blooming on my walk home, sisters who don't care if you use their popcorn maker, dinners with friends, and patients who remind me to name the good in my life.

Thursday, August 18, 2011

on healing

do you think god will heal anyone who asks and has faith? my sister asks me. 

me, who witnesses sickness every day in the lives of my patients.
me, who lived in the nation with the highest hiv rate in the world, who buried friends before they reached age thirty because they were born in the wrong place as the wrong gender.
me, who carries sickness in my body every day. 


if the answer to her question is no, then why pray?

and if the answer is yes, then where have my prayers for healing gone? why do my swazi friends still fight HIV despite their prayers (and lives) of faith?  why does my body still feel like it's breaking even though i have lit candles and cried out, "how long, o lord?"

i don't have an answer for her question. i only have a story, one i re-tell myself in the moments i feel faint:

i met jabu shortly after i arrived in swaziland.  her name means "happiness" and that is what she was.  she got sick quickly though as HIV spread through her body.  she shuffled slowly down the hill as if every step took all that she had.  she seemed to get smaller every day.  soon, she just stayed home. 

i stopped by to visit jabu one afternoon, like usual.  only this time, she was barely moving, barely opening her eyes. her mom stood fanning her, trying to move the heavy african air across her feverish body.  we lifted her into the car and sped across the 30km of curving dirt roads to the nearest hospital.  by the time we got there, she wasn't opening her eyes at all.  her blood pressure was unreadable on the archaic cuff they used to measure it, barely palpable.  the doctor looked at us sadly: we have no beds left. and there is nothing we can do anyway. 

 we begged for them to keep her, knonwing if we took her home, she would surely die.  knowing too that if she stayed, she would still likely die.  the doctor finally caved, offering the floor under the bed of another patient.  we left her that night, her tiny body on the floor under the bed of another dying woman.  chickens walked past her spot on the floor.  a meager bag of IV fluids hung - the only attempt at treatment offered for her. 

the next morning she could open her eyes, and was discharged to home.  miraculously, over the coming weeks, jabu regained strength and life. 
we were sitting on her bed one afternoon, laughing and talking. i asked her what happened that day when we thought she would die.  she answered: i was lying there, and i was flat. i couldn't open my eyes, couldn't speak. but in my heart, i prayed "lord, extend my days." and he did.  i will never forget what the lord has done for me.  

she never forgot. she never stopped praising. one month later, jabu went to be with the one who had heard her prayer and extended her days. i'm pretty sure she's still singing her praise.

Saturday, July 9, 2011

why i hate missions

a letter in the mail, penned across an ocean.  i know it is filled with words of grief.  recently, her sister lost.  but her words of loss go deeper: the leaders are fighting with the donors, and they are no more sponsoring our town. 

it was a town imbalanced from the beginning.  built up the sides of two juxtaposing hills, the potential for rifts and separation is always present.  i don't know what happened here before the british colonists, before the asbestos mine opened in 1939.  i do know that the mine owners and skilled laborers built beautiful houses on the higher of the two hills.  and i know the unskilled miners were allotted small mass-produced homes that were packed onto the side of the smaller hill.  those who lived there at the time tell me it was split black and white, with the swazis getting the short end of the stick. 

as if colonialism (further tainted by apartheid spilling across the south african border) wasn't enough, the town took another blow.  the mine closed.  initially only portions of the mine closed.  then in 2001 it completely closed (likely due to the world-wide awareness of the dangers of asbestos). workers were told they had 24 hours to leave. so jobless and homeless, they scattered.  the town was abandoned.  textbooks left in school desks, the night's assignments still on the chalkboard.  hospital wings lined with beds and posters describing treatments for tuberculosis.  houses with large pieces of furniture, dishes, anything that couldn't be carried.

for four-ish years, the town sat empty.  the surrounding villages fell into further poverty, cut-off from the only local economy.  and hiv swept through the country, reaching even these abandoned places with further destruction.

a christian missionary with a vision saw this abandoned town as a place to breathe life into a dying nation. valley of hope, he named it. he relocated several missions groups there: a home for abandoned babies. a church-building company. a school. a clinic. food donations. a continuous stream of short-term mission teams from the united states eager to renovate the abandoned houses to become foster homes.  

it was imagined as a microcosm of good.  but there was fighting. there was racism and elitism that lives in our hearts, that comes out even in the places we are supposed to be loving.  a similar split to the old mining days occured, this time with white christian missionaries in the beautiful houses on the higher of the two hills.  it took a few years, but that organization crumpled.  another one quickly took its place.  this one continued many of the programs already started, and added some of its own, including a dairy farm and bakery in hopes of creating a sustainable economy.   apparently, there is fighting again, and a withdrawal of funds that empties the economy of this mal-developed town.

which brings us to now.  to zandi.  who lived through the closing of the mine. who was employed then unemployed by the first mission organization.  then employed again by the second. who now sits in uncertainty again, yet still fiercely believes in the god in whose name all who have destroyed her town have come. 

i don't know what to pray for this town that has changed my life, to this town that angers me yet taught me hope.  i don't how to end this, so i close the same way zandi closed her letter:

I said in my heart, God will judge the righteous and the wicked,
for he has appointed a time for every matter, and for every work.
-ecclesiastes 3:17

Monday, July 4, 2011

thunderstorms


"what if your blessings come through raindrops
what if your healing comes through tears?"
- laura story

Saturday, July 2, 2011

heart cries

"God is within her, she will not fall;
God will help her at the break of day." -Psalm 46:5

lots of deep breaths.

i look at the schedule for the month, and i'm not sure i can make it.

i'm okay at the moment.  four carefree weeks of quenching wanderlust and catching up with friends and sleeping late has seemed to silence the disease that hides within me.

but what about the coming days?

the easy prayer is to beg over and over that i would be well. it becomes compulsive, enslaving, demanding.  the hard prayer is to ask to be sustained, for grace to survive whatever comes - whether sickness or wellness or a chronic state of unwell, for eyes to see the love around me, for a heart of compassion for those in my care. 

and so i wait, and pray, and hope for health, knowing that may not come, and step forward into this new place anyway.


Monday, June 20, 2011

life opening

"for there is hope for a tree,
if it be cut down, that it will sprout again,
and that its shoots will not cease.
though it grow old in the earth
and its stump die in the soil,
yet at the scent of water it will bud
and put out branches like a young plant."

- Job 14:7-9

it started as a couple sticks protruding through the frozen earth.  so unimpressive that i didn't think to photograph it.  so bland that i stuck a hideous pink flamingo lawn ornament into the soil beside it. 

i didn't notice it begin to open. its growth was shadowed by daffodils, irises, and lilies that bloomed around it. 

yet despite my oblivion, it came to life:

it buds.


and blooms.

until the flowers overflow.

and in my heart, i begin to look for those ignored places of life. the ones shadowed by other things. the places that look like dead branches in an unforgiving earth. and i hope and wait for the scent of water to come and bring life.  


Saturday, June 11, 2011

naming the good

she dared me to name one thousand gifts.  and i tried. kinda. twenty photos of spring happening in the back yard.  seventy written in a notebook and tossed into the abyss of my purse. 

in a late (and likely delusional) conversation, i told a friend about this list that still sat in the bottom of my purse. what if we each blog about something good each week, she asked.  to maybe try to find good amid the chaos of our lives?

this is for those two lovely ladies:

i was greeted at the door by buzz lightyear.  cinderella came running down the hall, still adjusting her elbow-length satin gloves. their beautiful mother offered the hugest hug and ushered me inside.  buzz handed me a gift bag.  we got this for you, he said.   cinderella was on my lap before i landed on the couch.  i re-introduced myself to buzz; we last met when he was only weeks old.  i told cinderella how much she had grown.  buzz helped me unwrap the gift that cinderella had clearly helped pick out.  she may have been more excited about the candy-flavored lipgloss than i was. 

i have our night planned, their beautiful mother told me. we are celebrating. are you hungry?  the answer is always yes if you just de-planed.  

over dinner, we reminisced about our college days - the people who had touched our lives, our adventures, our friendship. 

we remembered the dark ages of our lives since then. unplanned pregnancy. broken relationships. chronic illness. 

and we celebrated. two beautiful children. jobs that bring life. completed education. triumphs over seeming disasters. resilence. hope. gratitude for our persistent friendship and for the faithfulness of god in our lives.