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.