Monday, December 30, 2013

She was an Ordinary Girl...



This story is the product of a recent writing assignment. Although it is fiction, it is true.
 
She was an ordinary, extraordinary girl. While her friends were giggling about cute boys and hairstyles, she was wrestling over whether she’d be willing to accept a call to celibacy and thinking about matters of mortality and eternity. She was a thinker, a doer, a strong-willed, independent, compassionate sort of girl. Her bucket list was firm in her head. One item only: Change the world.  But this journey was not one that could be planned with maps and itineraries. A cartographer had never charted a route between ordinary and world-changer.

 She required more of herself than anyone else would have asked of her. The world was brimming with people to meet, skills to learn, hope to give, experiences to have, and emotions to feel. She faced it with open mind, heart, and arms. Her mind was ready to absorb skills and information. Her heart was for those who had nothing, and she was willing to give anything and everything for them. Her arms wanted to surround the hurting and offer strength.

They balked when she told them her plan.  The family, friends, teachers, and co-workers expected so much from the intelligent girl. A politician maybe, or an architect. A doctor if she wanted more meaningful work. Her potential, they said. She had so much of it, and it would be wasted.
But the long night at the bedside of the laboring woman had made it all clear. The squall of the baby in the seconds after birth became fingers that wrapped around her heart. She was in the grip of birth’s wonder. A bit of research in the days following made clear to her what she needed to know. The world needed midwives.

At the outset of the adventure, she pictured a book filled with happy endings. Newborn babies swaddled in the arms of beaming mothers. Empowered women living up to the feminist ideals of being in control their births and their bodies. Education that gave women value and the knowledge they needed to bear healthy babies.  Her training did little to change that perspective. Somehow, she wanted more. She was tired of catering to the ‘build-a-birth’ mentality. Her heart longed to offer care to women who had none, rather than to classify as yet another birth alternative.

This time there were varied reactions. Shock, horror, fear, excitement, respect, dismay… even hurt. The people who loved the girl were not all willing to let her go. They did not understand. But she had a world to change. She purchased a plane ticket and sold her belongings. Her noble intentions and idealistic goals kept her strong through the goodbyes. The other side of the world was calling her home.

It was not what the girl had envisioned. Instead of empowering and being empowered, she learned about helplessness. Sometimes supplies were not there or women arrived too late. Sometimes there were desperate battles waged for a first gasping breath. Other times, it seemed as though it were better if a little one did not tarry long. The thought was at once horrifying and liberating to the girl. Death was real, and it visited when no woman watched for it.

One day she learned how easy it could be to die. How a woman’s life could pour out behind her baby in a pool of red.  Sometimes love was not enough to persuade life to stay. Or maybe there was nothing to stay for. She came to understand the combined beauty and sorrow that was death, and the reality called giving one’s life for another.

At times there were beaming mothers and swaddled babies. Just as often there were tear-stained faces and empty arms. Very rarely did two parents welcome a child. Sometimes there were no waiting arms for those swaddled babies.  Birth could not be controlled. Bodies could, but often not by the women they belonged to. And sometimes she gave everything she had, yet it still wasn’t enough.

There were new things learned in this new home. The girl learned what fear really was. She learned about little boys who carried big guns. About men who did not value life. She came to understand phrases like ‘run for your life’ and ‘scared to death’. And that some things are worse than dying.
For the first time she experienced real hunger. The kind of desperate hunger that makes a woman sell herself… or her child. She heard cries that would only cease with food or death… whichever came first.  In this new context her needs diminished even as her possessions did.

She also learned about breathtaking things called hope and survival. Humility and love. Things she thought she understood before. About real life and really living. She learned how to be happy even when she was sad. Her book was no longer filled with happy endings, yet it was filled with happiness. 

For the first time she came to understand humanity. It was ugly. It was beautiful. It was tender tears over the loss of a life, yet mass executions with no discernible hesitation. Saving a life, and taking a life with the same pair of hands. Loyalty so strong it caused treachery, and love so powerful it taught hatred. She understood that a good person is an oxymoron. 

Change the world. It had been her goal. For some, she did change the world. But something significant happened to the girl on her great adventure. Something she had not anticipated. She had gone out to change the world, and somewhere along that journey the world changed her.

Friday, December 6, 2013

On a Happier Note...

Violet and I decided that Larissa's camera needed to see a good time.
This little man has already got some style at just one day
This girl can always make me laugh. Go Dutch!



The headband I made this cutie pie is just too outrageous.

My always favorite supervisor, Ate Susan.

Big brother had a smile for me.

Monday, December 2, 2013

A Tribute....


... To a life that wasn't.

I cry for you, little boy.
For the fact that you have no name.
I cry for your mommy's empty tummy and empty arms.
For your daddy who came in after you were born.
He was wearing my shoes.
I cry for the aunty who examined you before I covered your still face.
And I cry for your 3 brothers and sisters who will never know you.

Little boy, your face was perfect.
Your mouth was a little 'O'.
You looked like you were sleeping, once I wrapped you all up tightly.
You had ten fingers, but they will never grasp your mamma's nose as she laughs.
You had little knees and elbows, and black hair, of course.

The silence, little boy.
It was loud. So, so LOUD.
Louder than any newborn wail.
I couldn't shut out that silence, little boy.

Your midwife was so strong, little boy.
She bravely helped you out into the world.
She told your mamma, softly, that she had done well.
I was so proud of her for being willing.
Willing to feel the pain of a life that wasn't.

I tried to be gentle, little boy.
Gentle with your mamma when I told her she had a son.
Gentle with you when I wrapped you and laid you beside your mamma.
And later, when I covered your face.
Gentle when I laid you to rest in your little box.

Little boy, you were so fragile.
So delicate. So tiny.
The box we brought for you was small, but you fit.
My hands shook as I cared for your still form.
I didn't know how to do this, little boy, I hope I did alright.

Life is a gift, little boy.
Yours was so short.
7 months or maybe 8.
I cried for you, little boy.
And in a prayer, I sent you back to the Giver of Life.

Sunday, November 24, 2013

To The One Who is Struggling...

To The One Who is Struggling,

I don't know what it is that leads you to read this letter, but we all have struggles. There is no such thing as a silly, or insignificant struggle. Sometimes the 'little things' destroy us faster than the big ones. I want to offer you encouragement. You may be the main cause of your own struggle, or it may be someone or something else. That doesn't really matter. It's real, and it needs to be faced.

They will try to tell you that it could be worse.... and they're right. But it could be better too. And while we must focus on thankfulness, it is also important to face our difficulties, not to stuff them. Think and pray through your struggle. Take responsibility for what you can change. If you cannot change it, let it go. Put it in the hands of the loving Heavenly Father and let it go. It is not necessarily dis-contentment to realize that whatever you're going through isn't ideal. Sometimes that's really healthy.

They might not even recognize that you are struggling. It's ok to let them know. In fact, it may be the very strongest thing you could ever do. It takes courage to admit that you're not ok, and that you need somebody to lean on. That is being vulnerable, but you may actually be giving your friend a gift..... the gift of going second. It is always hardest to be the first to admit your weaknesses. Offer them a chance to be used by God to speak into your life. It will be good for them, and good for you. Do it.

They will tell you it's just part of life. Loneliness, sorrow, an unclear life path, a bad mood, the perpetual cycle of besetting sin, hurt from others, disappointment with yourself..... And it is. But guess what. Life is hard. We're not supposed to do this by ourselves. That is the purpose of the church, the Holy Spirit, and scripture. It may be 'normal life', but we cannot even do that by ourselves. It's ok to have a hard time, even with standard struggles. We're humans in a fallen world. Don't let yourself become isolated in struggles because they feel too small to share. Chances are, the person you share with will have some experience with the very same things you're going through and some godly wisdom to offer.

They will tell you to find yourself so you can help others. I cannot possibly think of a worse piece of advice. If you are struggling, most often the best thing you can do is to reach out to someone else. Not only will you find joy in service, but you will take the focus off of yourself and your problems for a while. The struggles of others will force you to cry out to God for answers, and in the process, you may find some for yourself. You will form your character into a more Christ-like image in the process, and maybe, just maybe you will come to a more full understanding of the gospel.

They will tell you to hang on for a while.... life will get better. There is no assurance of this. Struggles do tend to ease as we become familiar with how to approach them. But sometimes they stack up all at once, and things seem only to get worse. Sometimes, when we struggle, we're really in it for the long haul. They will give you the same three commonly-quoted, generic, "trials" verses. Sometimes the attempted comfort just makes things worse. It intensifies the isolation as people try to put a band-aid on a ruptured appendix instead of finding the problem and going through the whole mess with you. Know that it may take a while. There may be no quick-fix, but sometimes it's ok to be broken. Humans want to fix things, but God accepts us broken. Sometimes, these periods of prolonged darkness are the times that we most come to know God. Because He's all we have.

They will try to place blame. Sometimes that feels like the easiest thing for anyone to do. It's how we understand things for which there is no explanation. Whether the finger is pointed at you or elsewhere, please remember, it's mostly an exercise in futility. No matter what your struggle is, the gracious Father has allowed it for a purpose, and without exception there is some construction project that needs to be done in your heart. Beg God to show you. No matter how innocent you are, there is always something to be learned. A wise man will seek for that project and submit fully to it.

You will most likely feel the need to beat yourself up. You will feel like you are not growing anymore, you're just surviving. You may not even feel like you're doing that. Please, this is not the time to evaluate that. Visibility in a storm is not usually very good. Hang on to the basic truths. Trust that God is responsible for your growth, and you are responsible for clinging to him, and submitting yourself to his strong, shaping hands. Continue to make wise choices such as worship, the word, fellowship, and prayer, but don't be so presumptuous as to think you have that much control.

To the one who is struggling: I cannot promise you relief. I cannot prophecy the duration of your struggle. I cannot take away the troubles you face. But I can offer you wisdom and hope. Hope that life is short, and eternity is long. That joy and suffering are not mutually exclusive. That God does indeed know what He's doing. He is the one who tells storms to be still. That at some point, He will make all things beautiful.... But that will be in His time. Until then, let go of everything but God and hold tightly to His truth.

May your day be filled with peace and joy in knowing that He is in control, so you don't have to be.
Love,
Missowissa



Friday, November 22, 2013

It Took my Breath Away...

It took my breath away...

Almost everything last night did. It started with my assisting a birth for a friend. Pretty straight-forward at birth. Everything seemed normal. But then with every check she just kept bleeding. I inserted an IV for her. And suddenly, with one check, a blood clot that was a half liter, and we couldn't get her uterus to clamp down and stop. I found myself inserting a second IV, this time with a bit more urgency.


It took my breath away...

 Another friend and I were both caring for women who were about to give birth. The sudden splash of fluid in each of our cubicles, and the excitement of both laboring women beginning to push their babies out. The thrill when they were born within two minutes of each other, and the little newborn wails filled the room. The beautiful moment when the mother I was caring for reached out and helped deliver her own baby
then held her close. She stroked the baby and told her she was welcome and to cry.

It took my breath away...

When my patient started bleeding, and I could not coax the placenta to come. The time limit was approaching and still it persisted. Prayers went up, and answers came down. An IV, a bit of persuasion, and some hard work on the mother's part and finally the placenta arrived. Minutes later, I started an IV on my friend's patient in response to yet another hemorrhage.

It took my breath away...

Before I had time to turn around twice, two more women were giving birth. The baby I was watching over was  relaxed about his first breath Again, gushing, gushing blood. Again voices lifting requests to the kind God who was graciously granting those requests. Again an emergency IV and a bit of coaxing to get the placenta out.

It took my breath away...

Overhearing complications from the next cubicle over, and knowing we were caring for 4 vulnerable women. Then the power went out. Trying to catch up, finish up, wrap up everything so we could endorse to day shift. Watching wide eyed as two more laboring women walked in the door. Listening as one gave birth before we were even able to hand over the shift.

It took my breath away... 

I dragged my weary body up two flights of stairs to my house. A few bites of food satiated my piercing hunger pains. I drank some water. Then, just before I climbed into bed, I wash away all the evidence of my busy night in a cold, cold shower....

...It took my breath away.

Monday, November 18, 2013

Of a Sudden....

It came to me of a sudden....

I am not who I want to be. I am not good. I am not noble. I am not
a self-sacrificing, humble, diligent, wonderful person. I am not fearless. I am not sinless.

In me there is no good thing....

After a busy week of work, learning, late nights, and coffee, I was living on the spiritual energy of weeks past. My times of devotion were motivated from habit and discipline rather than from passion and love. Again my depravity slapped me in the face. My priorities took a nosedive and my choices became sickeningly self-centered.

I cannot do what seems right...

I find myself making choices that do not live up to my standards. I discern in my voice and actions attitudes that I despise. Entertainment becomes a substitute for godly joy. Somehow, just as physical hunger pains vanish after three days without food, godly appetites tend to disintegrate on about the same schedule.

Shifting perspectives creep up on me....

Suddenly, without my knowledge, I'm looking through life's binoculars the wrong way. Everyone and everything that should be important seem distant, and at once, I find that I am the biggest thing in my life. My own self is so grossly out of proportion that I find it frightening.

The realization overcomes me....

I'm humbled. Astounded. Once again caught off guard by this sinful, human heart that cannot, of itself, seek God. Shattered. Realizing again the critical role that sustaining grace plays in every moment of my life. Incredulous. Trying to comprehend the sort of love that sustains a relationship which, if viewed honestly, consists of one Great God giving, and one lowly human taking. There is no balance in this relationship. No give and take. All giving and initiating from one side, all responding and receiving from the other.

And yet He persists.

Sunday, November 17, 2013

On Kisses and Faces....






 I have kissed a lot of faces. Chubby faces, crying faces, sleepy faces.




Some are more impressed than others. Sweet miniature human beings.












Such fascinating little beings.... making all sorts of interesting faces. Happy faces, surprised faces, hungry faces.

















They teach me to make new faces. Early mornings, late nights, trying out our facial muscles.













Sometimes we're in the same mood and we have the same taste in colorful clothing.





Other times we're peaceful, both just happy to be alright.

Saturday, October 26, 2013

Confessions of a Missionary

Today I slept until 2pm. After that, a friend and I went to an air-conditioned coffee shop for a few hours. Later, I got together with friends and ate pizza, salad, and chocolate brownies, followed by coffee and good chats. I came home, watched two movies with another friend, and now I'm headed to bed.

I call myself a missionary.

So I could justify.... after all, I did stay up all night catching a baby and caring for a few other laboring women, so 2 pm isn't so outrageous. I did study at the coffee shop, so it wasn't wasted time or money. My host provided the American-style food, so that little pleasure wasn't my splurge. And the movies were a fulfilled promise to a friend.

But I call myself a missionary.

One day I ate an entire chocolate bar just because. Two days ago I got a pedicure. I have wifi in my house. Earlier this week I went out for ice cream. I own a computer and a camera. I have nice clothing. I own a bike.

And I call myself a missionary.

I haven't seen my family in 3 months. I recently spent 24 hours at the clinic with my patient who was in labor. My niece and nephews are growing up, and some of them won't remember me when I see them again. I have missed the weddings and funerals of several close friends. I get stared at everywhere I go because I'm white. It's been ages since I drove a car.

Yes, I call myself a missionary.

Sometimes I just want to speak English. Sometimes I stay home because going out requires so much effort. Sometimes I want to hug my sister, or exchange witticisms with my dad. Sometimes I miss snow and fall leaves. I get sick of sweating. I don't want to wait for absolutely everything anymore. I am tired of things scurrying away every time I turn a light switch on.

And I call myself a missionary?

More than all of these things I want to see souls saved. I want to accurately state, "And they praised God because of me." I want to see prisoners set free, broken healed, and light and life in the eyes of the hopeless. I want Heaven to have more occupants. I want the name of Jesus to be lifted. Lives saved. God's love spread abroad.

So I call myself a missionary.

I don't always know how to justify things. I don't find justice in the duplicity of life here. I don't know how to feel about days that are filled with things like laundry, coffee shops, movies, and wifi. I don't understand how to balance the mundane with the eternal. I don't understand why to half of my people I live a life of sacrifice, and to the other half, a life of luxury. After all these months, it's still a bit of a conundrum to me.

Still, I call myself a missionary.



Tuesday, October 1, 2013

Continuity.... Continued

Continued.
 
So, after my first weekend of continuity patients and my mid-week birthday celebration and catch, my schedule was full of baby checks. I figured, since both of my other patients had almost two weeks until their due dates, that I'd buckle down and get some learning done. But babies are really surprising creatures, and they tend to come at the most unpredictable and unexpected times.


 Complicated.

After a late night with a heartbroken friend on Friday, I expected to sleep in on Saturday. Carl Wesley (pictured above) had another idea. He was planning to show up before his mother expected him, and before his daddy could get off work.

Unexpected.

At about 9 am I got a text. Ma'am, the pains have started. I really think this is labor. That's the rough translation. Since Carl Wesley is Rosalie's fourth baby, I decided that it would behoove me to believe her. I packed up a bag, and continued to text Rosalie as I prepared some lunch and dinner. I figured it would be best to be prepared, as I had night shift Saturday, and I might be at the clinic for a LOOOOOONG time.


Hurried.

Rosalie showed up at the clinic, and it was pretty obvious there wouldn't be much time before we met baby. I put on gloves and assessed her. She wasn't quite ready, but her body was in a hurry. With the next contraction, her bag of waters broke, and the following contraction resulted in the birth of a screaming baby boy. All of the sudden, he was here, and the rush and hurry was over. About two hours later I biked home at warp speed to get in a quick shower before my night shift started in 20 minutes. A long night full of a beautiful family. And they named him for a friend of mine.


Surprised.

That's how I felt the next evening when I got another text from the clinic. Melissa, your patient is here, and she's active. I asked if I might get a ride, but they told me to hop on my bike and ride like mad. I arrived at the clinic just minutes before the birth of this little girl, Joylyn. I had taken her momma as my patient because she was so young, and so lost seeming. Yet even in my wildest imaginations I couldn't have guessed her whole story.






Grieved.

My heart was broken as more and more of the story unfolded. At just 14 years old my patient had become pregnant. Just a child herself. Worse, the father of the baby was 46.... and married. A series of poor choices, and several lives forever changed. A little girl, confused about her identity, choosing a lesbian lifestyle. A drunken evening. A fight. An 'understanding' neighbor man. And at the end of those choices, she was pregnant. Scared of the father of her baby.... and rightly so.

Crying.

It's what I felt like doing every time I walked into her room. Every time the father of the baby asked me creepy questions, and touched his daughter. Every time the mother of my patient looked at me with worried eyes and tried to understand what had happened to her little girl. It's what I did that night when I got home, and the next few days after every checkup.There are no words, no scalding, salt-water drops, no heaving sobs that could express the sort of heaviness and pain.

Amazed.

This describes me as I held Joylyn about 2 hours after she was born. She looked at me, and she was so alert. Suddenly, I wanted to protect her from all the ugly her life may hold. I told her how she will serve the Lord. I told her how it doesn't matter that she was conceived in rape, or that her father is dishonorable. It doesn't matter that her mother is still a child. It doesn't matter what her life may hold, all she is belongs to God. I spoke over her that she will be a strong woman of God, a prayer warrior, and a testimony of His grace. As I spoke, she just stared at me like in these two pictures. As though she UNDERSTOOD. And there was rest in my soul.

Tired.

It's how I felt after my whirlwind 8 days in which 4 babies were born into my waiting hands, 5 women were coached through labor, and countless hours were spent at the clinic. It's how I felt when I thought about the world and how many tragic stories it contains. It's how I felt when I curled into my bed in the wee hours of Monday morning. Tired, Fulfilled, Sad, Happy, Peaceful, and finally.... Relaxed.

(Pictures of Joylyn's mamma will not be posted due to the sensitive nature of her story. I would, however, love if you will continue to join me in prayer for her dear little heart.)

Wednesday, September 18, 2013

On My Birthday...



One night, not long ago, it was the-night-before-the-night-before my birthday. As in.... two nights before my birthday. Well, that's the night it was. And this is how I spent it. I mixed up some flour, cocoa, coffee, and a bunch of other stuff that's not nearly as interesting. Then I put it in the oven. After all that, I put some frosting and chocolate chips (which I bought in States and have been hoarding) and some coffee beans on top. In the end, it looked just like that picture on the right. The reason for this, is that the picture on the right is actually a picture of the results of my labor. Like... Tastie!





Now the reason that I spent the-night-before-the-night-before my birthday baking, is that I had a party planned for the DAY before my birthday. Parties are rather fun, and I take great delight in planning them. So mocha cupcakes and Coke were on the menu. I invited all the Filipino staff, and prepared for a large turnout.






  First though, I had to teach a room full of women about fetal development in another language, and do about 11 prenatals in Visayan while explaining the whole thing to my shadow in English. This requires quite a bit of vocal stamina, mental flexibility, and a good sense of humor. Thankfully, all were in stock. The invigorating anticipation of my party supplied all the essential elements.


My party started out slowly. As in, there were two girls and myself. However before long, and in very classic Filipino timing, my Hair-Accessories-Making-Party/Lesson was in full swing. I had a full range of ages, and a representation from both genders... who knew? So in a flurry of hot glue, scissors, and sparkles, all my dear, dear Filipino friends began creating their unique versions of beauty.

My heart just swelled with happiness as I watched so many friends enjoy themselves. We chattered in mixed languages, giggles and exclamations accenting the musical flow from time to time. I just fluttered around like a regular.... something winged and energetic.... and gave instruction and opinions everywhere. These people were BRILLIANT! Super creative and wonderful.


So obviously, after a party like that, I was totally bubbly and overwhelmed with happiness. I just couldn't get over how GOOOOOOD my life was, and I had no clue how my actual birthday could top the beautiful day I had. But guess what? Well, just wait for me to finish my story, ok?

So... Now I'll tell you about my birthday. Like the ACTUAL day I was born, except 27 years later. First I woke up. That's how I start most of my days around here. Then lots of girls who live in my house told me "Happy Birthday, Melissa!". "Thank You" I replied. I think that's a pretty boring response, but it's also pretty classic, so I figured I couldn't go wrong with it.

After that, I walked to class with one of my housemates. When I walked in, I was startled to hear a lot of voices that were simultaneously saying the same word. That word was, "Surprise!" Which is exactly what I felt. Because there, in the middle of the table, was a bunch of really yummy desserts, and some soda and stuff. So while we learned all about genetic screening, we stuffed our pretty faces with delights such as pound cake, Chai cookies, cookie dough dip, and donuts.


Following the party, I had swing shift. I have this super cool housemate named Nancy. She has the gift of sarcasm, but also, she is really cool in a lot of other ways. She knew I wanted to catch a birthday baby, so she let me take the patient that was  already admitted. But the really great thing, is that God rewarded her generosity, and we BOTH ended up catching a baby on my birthday. My baby was a girl, so I gave her this headband I made, which matched the scrub top I was wearing (which I also made). And wouldn't you know, but the partying wasn't even over at this point. Wanna know why?


Well the reason has to do with the fact that Nancy is not the only really cool girl I live with. I actually live with 9 really cool girls. So all of them baked me this cake, and brought dinner and a present and this cake to the clinic while I was on shift. They also blew bubbles at me, and threw balloons at me. That was pretty special, because I never before had a birthday party where people came and threw balloons at me. Plus also, the bubbles.

So in the end, My birthday kinda lasted for TWO full days. It might be a bit extravagant, but I guess you only turn 27 in the Philippines once, right? As the day was ending, Nancy and I got our picture taken together. Her baby boy wore a shnazzy bow tie that we'd designed. So it was kinda a fun photo shoot. Except for the one thing, which was that my baby kinda cried. But I guess you could probably deduce that from the picture.

The end.

Tuesday, September 17, 2013

On Continuity...

Continuity.

It's a word used to describe the type of care we give to some of our patients.Sometimes we adopt certain patients and really give them all their care. Some are because we need the experience, and some we adopt because they need us. We come in for every prenatal visit, and we spend weeks glued to our cell phones, just waiting to hear that they're in labor. And the last 8 days have been rather... well....

Crazy.
 
They told me I was when I took 4 continuity patients in the middle of September. But either I needed them, or they needed me. Maybe both.  And although their due dates spanned 19 days, they all gave birth within 8. I'll have to tell you the stories over the course of 2 posts, because it'll get rather long. First, let me tell you about Claire, the cute little girl in the picture above. 

 

Long.

That's how her labor was.... really, really long.  She had a good attitude, and we spent a lot of time walking, swaying, and sitting on an exercise ball. Finally, after 12 hours of hard work on both of our parts, she had to be transported. Her body was just not progressing as quickly as it needed to, and she was now outside of the normal time limits for giving birth. The hospital was now a better option for her, as they could handle out-of-normal births.




Sad. 

The feeling rushed over me as I prepared papers for transport. As I crawled into bed around 4 am, I prayed that God would watch over her and her baby.  I slept deeply, only to wake up to a text at 11am. "Maam, my panubigan is out na. I think paglabor ko".

Upset.

Because her bag of waters had already ruptured, she was on a 12 hour timeline to give birth at our clinic.  Since she hadn't texted me right away, we only had 6 of those hours left. For a first baby, that's pretty fast. I knew her chances of getting transported were pretty high. Just 8 hours after my last patient as transported, I was prepared to feel devastated. But the shift was busy. Crazy busy. And one of the babies was born with some of its organs in the umbilical cord. Like the one in the illustration here. My supervisor let the mother kiss the baby, then she and I jumped into the ambulance within seconds of the birth and rushed her to the hospital, praying for all we were worth. She hung on for 4 days and one surgery, but she's gone now, leaving her family with a gaping wound.
Determined.

Both of us were. I rushed back into the clinic and my patient was still there, dancing with her husband. Slow dancing. He turned on music for them. Tenderly, he swept the hair back off her forehead and kissed her gently, murmuring in her ear. I recall the day she came into prenatals and giggled as she smoothed out a paper on the bed next to where I was writing. Her marriage certificate. "This past July, ma'am." She was shy, but so happy. And I knew I just LOVED her!

Loving.


It was the feeling in the cubicle. Between her husband, the other midwives and I, the woman was well cared for.  The supervisor gave her more grace with the time than expected. Her husband held her, pushed with her, and encouraged her after every contraction. We told her she could, and then a look of confidence would come over her face, and she would try again. And as her baby was born, the whole room erupted in praise to God, congratulations, and cheering. The baby took a bit to start crying, and again, cheers as the first sweet cries were heard. The dad held his cell phone up to let the caller hear the baby.

Intense.

That's how  the whole shift was. Intensely happy, intensely sad, intensely fearful, intensely loving. It was intensely busy, intensely tiring. And all in all, it was intensely wonderful.




Friday, September 6, 2013

I Have Decided...

 In the absence of inspiration, I have decided to re-post something I wrote about three years ago.

I Have Decided

I have decided. I will not be dissuaded.
I have determined. I will not look back.
My path is set, my course, established.
...and yet, I know not what it is.

This I know.
God is good. His ways are good.
God knows the end from the beginning.
He has determined my course.

I know I'm walking a road of death.
But this death leads to life.
The death of me results in the life of Christ.

I know I'm choosing a life of pain.
Because I'm seeking the Healer,
Not the approval of man.

I know my path is that of rejection.
Because I've been accepted.
And they rejected Him.

I understand that I will be hated.
Because I am loved.
And I will love in return.

I know I've chosen to give up my dreams,
In order to fulfill my dream.
To know and be known of Him.

And yet, I've decided.
I've said "yes!"
My life is no longer my own.

I take you, Jesus, to be my King.
Whether in life or in death,
For richer or for poorer,
In sickness or in health,
For better...
Even when worse is the temporary result.
Because death will not part us.
It will be our wedding day.

 Ephesians 5:27 That he might present it to himself a glorious church, not having spot, or wrinkle, or any such thing; but that it should be holy and without blemish.

Philippians 3:7 But what things were gain to me, those I counted loss for Christ.
   8Yea doubtless, and I count all things but loss for the excellency of the knowledge of Christ Jesus my Lord: for whom I have suffered the loss of all things, and do count them but dung, that I may win Christ,
   9And be found in him, not having mine own righteousness, which is of the law, but that which is through the faith of Christ, the righteousness which is of God by faith:
   10That I may know him, and the power of his resurrection, and the fellowship of his sufferings, being made conformable unto his death;

Friday, August 16, 2013

Not Every Day....

Not every day is a good day.
Some contain tears.
For others
For myself.
Not all tears are bad.
But sometimes.

Not every day is a good day.
Some contain disappointment.
With others.
With myself.
And disappointment can crush.
Even resilient hearts.

Not every day is a good day.
Some contain goodbyes.
To others.
To myself.
Goodbyes are necessary.
Hellos are better.

Not every day is a good day.
Some contain mistakes.
Of others.
Of myself.
Mistakes can change lives forever.
Even innocent ones.

Not every day is a good day.
Some days are.
For others.
For myself.
Good days should be cherished.
Especially on bad days.


Tuesday, August 13, 2013

How Can I Explain....

How can I explain....

I gently lay my hands on a full rounded belly, trying to ascertain the position of the little one inside. In response to my touch, the baby kicks. It's like a conversation with a miniature person I have not yet seen, and who has no power of speech. My eyes meet the eyes of the mother lying before me, and we share a sweet smile.


How can I explain....

I look through the chart. Her 'Risk Status' tells me that she has already been with multiple partners. Her Gram Stain results tell me that one of them has left her a nasty infection, and her doctor referral tells me she's been treated. I look at her. She tells me that she still has symptoms, in spite of her treatments, and that this pregnancy is uncomfortable for her. And she's 15 years old.

How can I explain....

I place the fetoscope on the belly of another young mommy and it sounds like there's more than one heartbeat. My hand rests lightly on her belly, beside the bell of my fetoscope and I feel it too. Then I come to realize... I'm hearing and feeling the hiccups of the itsy bitsy human inside.


How can I explain....

 I greet a tiny mommy, not even 5 feet tall. She doesn't look as young as the others, yet I gasp when I read that this is her 11th pregnancy. Her beautiful tummy does not even exhibit stretch marks. I could've believed this was her first baby. And it seems the whole family lives off an income of $5 per day.


How can I explain....

 I glance around the room filled with 60 pregnant women, listening as their voices combine in a praise song. Beautiful, Filipina voices singing in their native tongue. Singing songs they've learned in this place I work. This place that exists for the very purpose of bringing others to sing with us in honor of our God.

How can I explain....

I cannot help but love every moment of my life. How can I explain it? These amazing experiences all happened within the space of one day, and yet every day holds these sorts of emotionally charged occurrences. And try as I might, I really cannot explain it. I cannot explain the intensity of joy and sadness in this life I live. And through it all, the intensity of my wonder at the greatness of the God I love.

Wednesday, August 7, 2013

I Believe in Purgatory....

....I've been there.
Yes, and I am there. My life consists of two worlds, and presently I'm in limbo between them, sleeping on airport floors in multiple Asian nations (one at a time, of course). I'm at the mercy of the 'powers that be' who decide whether such-and-such a flight is full enough to fly.
The trouble is, I cannot get out.
 And as I sit here, waiting for the last leg of my journey, the layover time increases and an extra flight is added to our travel plan. I feel like just a few good deeds and a few prayers would get me out... Just like purgatory. And maybe if I'm really, really good, I'll finally make it to my home.
Home.... I cannot wait.

Tuesday, July 30, 2013

Why Not Me?

Why not me?

I have asked this question, or some version of it throughout my life. I think it started as a kid, when I wasn't allowed to do something, or go somewhere. When my older sisters were allowed to do something exceptionally wonderful, or my younger siblings were still young enough to participate in a certain coveted activity

Why not me?

I have asked this question when I watched people I love going through horrible, difficult things, yet my life was untouched. When friends hurt so badly and all I could do was offer my tears, hugs, and support. And when I faced situations to which there was no good answer.

Why not me?

I have asked this question when I watched other follow their dreams, travel the world, and share the gospel while I sat at home, learning to be content with local ministry. When I had unfulfilled longings and desires that seemed so good to me.

Why not me?

I have asked this question when I saw someone blessed, but not content with their blessings. When friends despised their life situations I craved so badly, and when my blessings would have been their desire.

Why not me?

I have asked this question when I read scriptures about people doing miracles, seeing God's power, and saving souls. When my life didn't display the power I see promised in the Word, and when I had compassion for people whose lives I wanted to impact.

Why not me?

I have asked this question in my prayers and journals as I seek God to use me in bigger, bolder, and more impacting ways. When I knew there was more and I wanted it. When I wanted healing hands and supernatural words for others.

Why not me?

Now it is a prayer, an anguished plea, a hungering desire. God, I see all this lack, pain, and darkness in the world. I see souls who need Jesus. I see heartache and bitterness and hopelessness. Who will go? Who will love them? Who will tell them about Jesus? Who will bind up their wounds and bring the salve of love to their broken souls? Who will set the captives free?

Why not me?

Friday, July 26, 2013

On Magnet People....

"He's like one of my magnet people, ya know?"

She was trying to explain how well they got along. The description was perfect. The inexplicable attraction between two people, the automatic gravitation towards one another, the 'click'. Between  some people friendship is just effortless.

Those people about whom you are always interested and with whom you always feel at ease. These rare gifts that come into your life at the most unexpected times. They nourish the soul, challenge the spirit, and refresh the mind. These are the ones who know how to be firm with you, but have the gentle graces necessary for you to really hear what they are saying.


These are the ones that you can laugh with. Gut wrenching, gasping, unladylike, snort-inducing laughs. And the ones you can cry with. Blubbering, makeup-smudging, nose dripping, ugly crying.


With these special souls one needn't explain one's sense of humor. It is difficult to feel annoyed with them, and their opinion is treasured... not easily disregarded. These people intuitively understand your soul, and can confront you to your core without destroying you.





A magnet person can question everything you ever believed in, yet somehow they are not questioning your faith. Their lives teach you how to love, how to grow, and how to admit failure and human need. These are the ones with which we can fearlessly share our dreams because they will be addressed with insight, cherished, and nurtured. Our thought processes don't need to be articulated, because they are followed.

When you find one of your magnet people, you are able to say more with a glance than most could be made to understand in an hour of fine oration. You are able to feel the condition of each other's hearts without words. I groups, magnet people tend to migrate towards one another. They enable those around them to feel at ease because of the comfort created by their friendship.

A couple wonderful times in life, we are gifted with magnet people. One walked into shift a bit ago, and we've been treasuring the few months that we'll have together.