April: a sip via the deluge

April has thundered down upon us in an abundance bordering on drowning:  in rain, in work, in visitors, in emails, in tasks, in blessing, in exhaustion.  We preach pace along with sabbath, nevertheless inside the last few weeks we’ve been working long days at the hospital along with long nights at home.  So many dangling loose ends, threads that will have unraveled along with not been tied off.  People we’ve failed to answer, situations we’ve failed to anticipate, love we’ve failed to show.  We are worn thin along with we are sorry.

A few sips via the deluge to illustrate This particular month:

Patients, teaching, innovations, audits, deaths, surgeries, procedures (Our normal daily hospital work)

Mama M inside the background with baby M, along with their incubator-mates . . . still going improbably strong, thanks for prayers!!

Triplets whose mom had been sent here via a private hospital due to lack of space there, at 29 weeks.  The OB team held off labor for a few weeks nevertheless they were still born way too little along with early.  The boy (the largest) died, nevertheless the two sisters are still struggling on.  Keep praying!

One day I just could not understand why my patient’s oxygen level was so low, until I moved the bed out via the wall along with saw the tangle of the improvised shared oxygen system.  We need better OXYGEN!
Every day brings struggles along with joys.  One day last week Scott was on rounds along using a mom who was resting on antibiotics after rupturing her membranes almost two months early showed him a green-looking cloth soaked with the fluid.  Preterm babies don’t usually pass meconium (stool) so he put on a monitor (something that will we can’t seem to make standard due to the high volume along with poor staffing) along with saw a sustained stressed high heart rate.  He was able to push through an emergency caesarean quickly along with called me in . . the baby’s umbilical cord was not only around the neck nevertheless stretched like a sash over his shoulder along with across his body along with through his legs, a tight mess cutting off his blood supply.  A quick exit along with some resuscitation along with he did well.  Days like that will we think, yes, This particular will be what that will’s about, saving lives along with teaching as we go.  different days we still despair, as the docs in our county have called for another strike, along with the interns are finishing their year with no replacements in sight due to a prolonged lecturer strike.  

Visitors, students, projects, donors (April will be a common month)
Cindy B spearheaded the Friends of Naivasha Hospital organization that will raised money for the maternity along with NBU–she visits once or twice a year using a whirlwind of innovation along with energy.  This particular time she invited us to an evening safari at a local private reserve.

Former RVA student along with friend, who are studying various medical courses in Germany along with dreaming of working back in places like This particular.
Isaiah, a Kule Scholarship student about to graduate in Uganda, took a bus on  his vacation week to come see us in Kenya.  We walked down our hill to see the wildlife . . . 
along with he spent his days with us inside the hospital.

Dr. Jim O’Neill along with family visited Naivasha where he had volunteered along with raised funds; a leader in Paediatric Surgery, along with still thinking forward at 85 on how to improve care around the entire world.

The University of Nebraska team donating a Pumani CPAP machine to our NBU (my fresh Paeds consultant partner will be on the front right, Dr. Julie, by our head nurse Epharus, along with my former partner who will be right now medical superintendent of the hospital will be inside the white shirt receiving the machine)

We spend a fair amount of time with University of Washington rotating residents along with students too . . This particular will be Carly who hosted Luke when he was in Seattle doing his away rotation.  little world.

Teamwork, mentoring, bearing witness (both inside the hospital, the community, along with Serge)
Most unusual morning in April: Speaking to the East Africa Women’s League, some truly gritty along with gracious women who have lived here since steam boats plied Lake Victoria, along with contain the stories to tell about that will.  They care about Naivasha along with gather to support charities.  I was super nervous nevertheless they were very kind.

Bethany shall represent the 24 people we supervise (Team Leaders, Area Specialists, along using a couple of team members who are lacking Team Leaders), 22 of whom we met with This particular month in person or by video.  that will’s our annual review time to reflect on the year along with set goals for the next.  Always a delight to see what God has done; nevertheless also added quite a bit of work to This particular month.

The April 2018 Paeds team.  The two interns here (Litole far left along with Lokomol center) are amongst the hardest-working least-complaining humans I have ever met. We used to have at least 3 to 5 sharing call; these three months that will was only two.  We had some UW med students, along with the doc next to me will be one of our two medical officers Linda.  I’ve been working on a core curriculum using a pre- along with post-test for the rotation, along with one of these women bumped her score by 30 POINTS!  They both learned a lot along with were great to work with.

Scott’s OB team out for lunch using a visiting University of Washington professor who was here helping set up a quality improvement study of cesarean section delays.  His partner Dr. Chege will be front center.  

Serge Family celebrations, kids (both fresh ones along with ours)
Laura Mixon (Serge teen) inside the musical “inside the Heights” by Lin-Manuel Miranda.  Great dancing along with beats, nevertheless also a meaningful story about home, families, immigrants, prejudice, injustice, trust.  truly great job by Rosslyn students.  
The Serge crowd who came opening night, with our very own star (along with Gaby front left will be in RVA’s musical This particular Spring too).

Photo courtesy of the Kibuye team–they studied inventors along with Scott wrote up a story of his dad’s work on Pringles, which was fun along with sweet.

Baby Jonathan safely born to the Faders at Kijabe, baby Davis’ adoption was finally approved in Uganda, along with baby Bennie returned with her family the Nolens This particular month via Home Assignment.  We’ve added to our Serge family This particular year: Keza, Davis, Julia, Jonathan, Ivy Joy, Jacob, Bennie, Salem, along with if I can also claim him, Clark.  Lots of joy, though we do pray for a couple others who have lost little ones along with long for parenthood.

Jack with his Duke Rugby 7’s team at a tournament in Nashville (rain there too!)
along with Luke got to go on vacation with great friends including Abby, along with his RVA pals Thomas along with Sierra.  When we are far via our kids, that will does our heart wonders to see them with friends.  Julia will be one paper along with one exam away via finishing college, along with Jack will be almost done with his Junior year.  Caleb soldiers on (literally) along with God willing will complete his first deployment in about a month.  One of the highlights of our month has been a few group-chats with the family.
Scientific Conference along with Retreat Preparation (part of life will be meetings . . .)
Sergers were strongly represented at the Kenya Paediatric Association meetings This particular week, doing research along with presenting that will.  This particular will be part of the Kingdom, generating care better for kids.  Above will be Jason’s project being projected . . 

along with here will be Caleb via Kijabe presenting one of Ari’s several projects.

Scott along with I rode down to Mombasa on the train to catch the last day of the conference . . 

along with then accompany the Brotherton-Streets to scout out our retreat venue for August. Yes, one of the different MAJOR JOBS of This particular month has been working on planning a retreat with speakers, logistics, themes, child care, etc. for about 150 people in August.  

So, if you haven’t heard via us in a while, perhaps you right now know why. Oh, along with forgot to mention the edits on the fourth Rwendigo tale due This particular week along with working with the pictures along with cover, along with lots going on in lives of our Ugandan fostered young-adult kids, along with taking a course on HIV, along with working on finances along with legal issues . . .  Sometimes that will feels like our heart will be in too many places.  So This particular quote via a devotion I found particularly encouraging today:

St Bonaventure (1221-1274) called the Trinity a “fountain fullness” of love.  God will be unhindered dialogue . . an eternal waterwheel of self-emptying along with outpouring love–that will knows that will can completely self-empty beause that will will always be filled back up.  This particular will be the very definition of divine love; all human love merely imitates, approximates, along with celebrates This particular same pattern.  (R Rohr)

The reminder that will our resources are NOT limited, that will all the pouring out will be refilled, that will we are merely channels of the foundational force inside the universe, LOVE.  Pray for us to not be irritable along with rushed, nevertheless to be kind along with loving as April turns to May.

April: a sip via the deluge

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