Thanksgiving Video

Our friend Ryan Morigeau has been blessed by God with an amazing artistic eye and he is always practicing taking pictures and videos. His work is really great, especially when it stars my favorite family in my favorite house, celebrating one of my favorite holidays. We are so thankful for our community here and the one back “home” who reads this blog. Blessings of gratitude to you every day.

Getting the Turkey Ready!

Unexpected surprises in a store bought turkey from Cuzco.  Last year we had one raised locally here in Curahuasi.  It was small and tough.  We decided we wanted a good steroid or hormone enhanced, cage fed turkey this year like we were used to in the US.  We want more meat! Still we found some things inside tonight as we were preparing the bird that we are not used to finding back home.  Still, we are very thankful to have the bird to share with all our friends. Thanksgiving at our house tomorrow!  We will be thinking of everyone back home.

These too!

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Look what we found in our turkey!

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Carry the Load

A quick share of a story from the hospital website on how we manage to run this hospital financially with a community of patients who cannot pay.

Who Carries the “Load”

There are three support groups

To operate the Diospi Suyana Hospital and keep the Diospi Suyana School running requires a monthly sum of $150,000.  As patients carry only a fraction of the true cost, Diospi Suyana would bleed financially after a few weeks and would be bankrupt sooner or later.  The support of our work comes from three sides.

1. Our missionaries work for the school and hospital on a voluntary basis. They are supported through friends and therefore the hospital does not have to pay them a salary.  However, the hospital does pay the salaries for 150 Peruvian employees.

2. Monthly or quarterly Diospi Suyana receives financial assistance from 968 friends. These donations cover the majority of our budget.

3. And 624 people have committed to pray regularly for our work, asking God’s blessings for our patients, students, and staff. We can work hard, but only God is able to miraculously make much from little and out of nowhere do something miraculous.

The View is Worth the Pain to See It

Heading up one side of the mountain.

Afternoon hike outside Curahuasi!

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To see the view on the other side!

Vista grande!

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Our Neighbor Freddy

Here is a post from the hospital website.  If you click the first video, you will hear the story of a neighbor of ours.  We pick Freddy up for school every morning.  He has a shy smile, and his entire family is very friendly.  It is a pleasure to see their smiling faces every morning.  If you wonder if I feel a little funny or if I feel emotionally conflicted picking him up in my 4 wheel drive car every morning . . . the answer is yes, but I have gotten used to it.  I see the poverty every day, but the truth is that I am not always aware of it.  If I really processed what I saw every day it would be overwhelming.  The first picture from the article has one of our favorite students at the school in the middle background.

Four children from Curahuasi – three must see videos

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Students of our school

What does it mean to grow up in the Andes of Peru? What are the consequences of alcoholism and poverty? We thank director Christian Bigalke and all of his staff for the dedicated and inspiring work on behalf of the disadvantaged children of Curahuasi.

 

Trauma

I had a patient come into the ER having been run over by a car.  The family that brought him stated that he was a known drunk in a neighboring town, and they had found him on the street, run over, and so they brought him in.  He looked terrible.  He had a broken left lower leg that swung freely like an extra joint.  He had a broken femur (upper leg) that did not swing freely but was bent like an extra knee.  His forearm was broken and floppy.  He had a broken pubic bone and a broken sacrum (basically a fractured pelvis), he had a broken clavicle as well as 8 broken ribs on the left side.  Both lungs were collapsed.  His urethra was ruptured so that he could not empty his bladder.  His right ear was ripped partially off.  Surprisingly he was still alive, and actually somewhat awake.  We stabilized him, and during the process the older woman who had brought him in stated that they had to be honest and that they had run over him while backing up their car in the dark.  The drunks in town will fall asleep in the middle of the road, and they can be hard to see in the pitch dark where there are no street lights.  Especially when you are backing up.  The next morning the patient was intubated with lots of medicine to maintain his blood pressure, but stable.  We cannot treat this type of trauma in our hospital, and this man needed many operations to get better so the decision was made that we needed to transfer him to Cuzco.  However, we had a serious concern that he would die, not during the transfer, but soon after the transfer.  Patients that are this critical often do not do well in Peruvian hospitals.  The patient’s family has to go buy the medicines and all the things that are needed to care for the patient.  The hospital will not provide them charitably.  About this time the people who brought him in admitted to us that they were actually the patient’s family.  We wondered if the older woman was going to eventually come back and tell us that she was his wife.  People are so concerned about the costs of medical care, about troubles with the law that they will lie to avoid issues and to avoid paying.  It can make caring for patients very difficult.  We did manage to transfer this patient.  He died in Cuzco the day after our transfer, just as we were concerned might happen.  It is a tough spot to be in.  We could keep him alive, but we could not make the definitive treatment that would heal him.  So we had to transfer, even though we knew that he might die for lack of care at his destination.  A tough choice.