Yes, those are triplets. Three boys, born at 1, 1.1, as well as 1.4 kg at 31 weeks out of 40. At home. Then rushed into our hospital, where they stayed for 53 days, doubling in size. Yesterday they went home, about 10 days before their actual due date. Surviving in Kenya as triplets is actually no common occurrence. Their mom L.C. deserves a round of applause, 53 days of day as well as night feedings, hand-expressing milk as well as pouring the idea into their nasogastric tubes. as well as the nurses, who gave them antibiotics, a blood transfusion, oxygen by CPAP, cleaning septic umbilical cords, teaching skin to skin kangaroo care. as well as the interns who patiently recalculated daily fluids as well as feeds in tiny increments, who gathered vital signs as well as paid attention to heart murmurs. L.C. found me when she had changed out of her hospital gown as well as was ready to leave, for a photo. She was so happy, as well as even though she didn’t have a smart phone or email or any way to receive the photo, she wanted to celebrate by seeing the idea:
of which happy moment has of course been swallowed up in a mid-day mortality audit of the 30 deaths last month. Poverty, HIV, violence against women as well as children, desperation (one death was of a very hypothermic newborn found abandoned under a bush), malnutrition, congenital malformations, tinier prematures, overwhelming infections, complicated births leading to asphyxia as well as brain damage. This particular town can feel like a slough of despair some days. however for a moment, we clearly saw 3 reasons to be here.
About two hours after those snaps, we had a meeting with our hospital medical superintendent as well as our department heads as well, at our request since we passed the 2-year mark last month as well as wanted to listen carefully to their feedback. More on of which later, however a few things stood out: they see improving care, commitment to teaching, as well as communication with patients as the 3 things of which they consider worth the at times stressful, awkward, unclear nature of working with foreigners. They want their hospital to have better outcomes, so they were glad to have help, particularly in applying Kenyan protocols more deliberately. By having more than one consultant on the service, as well as by the fact of which we communicate with each additional as well as them, or came with some years of experience, they could see alterations of which affected outcomes for the better. Secondly, they know we are training interns as well as medical officers as well as students of all levels, so the idea of a core curriculum, regular teaching, practical skill sessions, they affirmed. Patient care as well as teaching, not too shocking, the core of what we do day by day, integrated together to bring healing as well as mentor our younger colleagues. however their third point came as a bit of a surprise. The Med Sup said she knows when Scott is actually inside hospital or not without leaving her office, because she sees a difference inside patient complaints of which come to her desk. He takes time to talk to patients, as well as they gain confidence, feel heard, noticed. I think of which is actually so much second nature to him of which he never thought about the idea, so hearing the idea as a top-three feedback caught our attention. WE had 625 deliveries last month. of which’s a LOT of women coming through OB to talk to.
Triplets, feedback, as well as our prayer card verse all had me thinking about threes. Yes, we want to know, does all This particular make sense? is actually the idea worth being thousands as well as thousands of miles away coming from our widowed moms as well as 20-something kids? is actually This particular what God asks? Micah 6:8–what does the LORD require of you however to do justice, love mercy, as well as walk humbly with your God. of which was the verse my sister chose for my Dad’s funeral, the idea’s the verse on our prayer card, the idea was the theme of the conference Julia attended last weekend, as well as I think of which the idea also parallels This particular life–doing justice (serving in a place of poverty as well as need where staffing is actually low, investing in wave after wave of inexperienced young trainees), loving mercy (the hours, the empathy, the conversations, the prayer) require a willingness to embrace a walk of obscurity as well as humility. Which is actually probably incompatible which has a blog, however I’m affirming my husband anyway. He is actually much better than I am about finding a way to quietly approach the chaos of which is actually Naivasha SubCounty Hospital Maternity, without demanding a position or recognition or honor, as well as plug away at patient care. Day after day, examining, giving a little push here as well as there to get things done, talking to patients. as well as the idea makes a difference. A few years ago, we were told This particular hospital had 1-2 maternal deaths a month. currently the idea’s 1-2 per year. of which’s many factors as well as God’s mercy, however if you’re a person who feels like you are wondering if your labor is actually in vain, take a deep breath. Do justice, love mercy, as well as walk humbly, as well as the tiny seeds of the kingdom will take root.
Scott incorporates a nowhere birthday next Monday. Another year of living by Micah 6:8. He’s a pretty amazing guy, as well as hearing the Med Sup talk about him yesterday made me thankful, as well as reminded me of the things of which matter. In a year marked by the creation of fear as well as division, humbly pursuing justice as well as mercy can heal our divisions as well as bring the kingdom. Vote for whoever you find most like Scott, today?