David has a Video Blog

Have I posted this before. If not, please go check it out. If you follow his Vlog he would be quite pleased. I recommend the pranks vlog and this most recent linked below. It is a decent glimpse of life at RVA for a Junior.

Multicultural Day

Here is a little video about our schools celebration of the many cultures of the world! It is a day of fun at school where we recognize all the places we come from and how we can peacefully mix together.

Obstetrics Call

Another night in the hospital last week has passed, and I again think about how weird and different practicing medicine is in Kenya, even in our great Kijabe Mission Hospital. The nigh of obstetric call started with handover. This is where the doctors who are leaving, but have covered the day, “hand over” the care of the patients in the hospital to the doctors covering the night. As I listened I felt my stomach drop a little as I realized the night would begin poorly. There was a young mother in the hospital whose baby had fetal hydrops which is a problem in which an en-utero infant for a multitude of reasons has swelling all over the body. These babies do not do well. She needed emergency delivery at 27 weeks of pregnancy, and we knew the baby would likely not be able to survive after delivery. Even more problematic was that she had a scar from a previous cesarean section which meant that we were going to do a preterm surgery. These usually go well, but they have their own increased risks. We took her back to the OR, and as I delivered the baby’s head through the uterine incision it looked so perfect, and I thought nervously that maybe we had the diagnosis wrong. But as the rest of the baby delivered the terrible swelling over the rest of the body was very obvious. He lived just 10 minutes before dying.

I came out of surgery to hear that a twin pregnancy that had arrived just a bit earlier had been evaluated and only one heart beat could be found. I placed the ultrasound on her abdomen and confirmed that one of the twins had passed. The mother cried as I told her, and her husband looked angry wondering what had changed in the last 10 days when her last appointment had shown two healthy babies. What could we say? She went quickly for an emergency surgery, and on delivery the first twin showed signs of having died several days prior. Its hard for a pregnant woman with twins to sort out the movements of her babies. She could not have known that all she was feeling were the movements of one of them.

Obstetrics can be a great joy when it goes well. But when it is bad, it is so sad. God help us all to show compassion!

Gratitude

This morning I am trying to practice the presence of God by giving thanks for good things– the smell of my hair product, an old pair of earrings that I like, cream in my coffee, our child getting himself up to go to school, the sunshine in the trees… I’m doing this as I give thanks for the life of Margaret Smith, my mom who I loved and who loved me. Many of you reading this were loved by Mom too. She died eight years ago today. She taught us to enjoy things and give thanks. Here’s Sarah’s Bible assignment that she’s been faithfully memorizing for these first two weeks of school:

Therefore, as God’s chosen people, holy and dearly loved, clothe yourselves with compassion, kindness, humility, gentleness, and patience. Bear with each other and forgive one another if any of you has a grievance against someone. Forgive as the Lord forgave you. And over all these virtues put on love, which binds them all together in perfect unity. Let the peace of Christ rule in your hearts, since as members of one body you were called to peace. And be thankful. Let the message of Christ dwell in you richly as you teach and admonish one another with all wisdom through psalms, hymns, and songs from the Spirit, singing to God with gratitude in your hearts. And whatever you do, whether in word or deed, do it all in the name of the Lord Jesus, giving thanks to God the Father through him. Colossians 3:12-17

I want you to know that I thank God for you, blog follower. Thank you for being a part of our lives and for caring for us.

A Nice Article From Abilene Christian University – Go Wildcats!

From Peru to East Africa, Caires Find Ways to Serve the Underserved

Click the above link to read a generous article from our alma mater, Abilene Christian University. We are thankful for our education, and we are thankful for all the good work being done by graduates of a great institution. It was nice to have the article written about us, and what is even better is how I run into ACU graduates all over the world doing mission work. ACU is a school that is instilling its students with a sense of purpose. Go Wildcats!