We are looking forward to the Christmas season! Thanksgiving will be a quick after work and school dinner with some of our friends here in Kijabe, then after a half day of school on Friday, Christmas break will begin. (For those who do not know our school runs on a trimester system with three month long breaks each year.) Some much deserved rest for Allison and the kids will be enjoyed afterward. Allison continues to work hard as Head of the Department for International Languages. It is a role with many responsibilities, some enjoyable, others not as much. She and her students inaugurated a Spanish Club which started the year with a Spanish Karaoke party that went off with moderate success. I wanted to get up and sing, but I didn’t want to be that Dad at the party, so I held back. I am now working as Head of Department for Internal Medicine at AIC Kijabe Mission Hospital. I continue to take call in the Obstetrics department, as well as in the ICU and the Internal Medicine wards. I enjoy the work a lot, and I hope that I can grow into the role of HOD. Administration has not always been my strong suit, but I feel privileged to serve, and I know it was a position that needed to be filled. The kids are doing well, and Allison and I are facing the the reality that David will be gone in just around 18 months! He is busy at school with Model United Nations, running a pizza delivery business, creating his vlog, and working at the Teddy’s, the student snack shop. Peter is doing well in his freshman year participating in choir, jazz band, and band as a trumpet player. He also quite fascinated with the guitar. Annie is in junior high band playing trombone. She loves drama and is excited to be a part of the field hockey team. Sarah is thriving as a sixth grader, the top of Titchie (elementary school). She plays piano and is venturing into saxophone. All of them are busy. As a family we try and get into Nairobi for good food when we can, and about once a month we try and head the other direction to Lake Naivasha to escape the hospital and relax in the best part of what Kenya has to offer (besides the awesome people of course), its natural beauty and wildlife. Thanks for thinking of us and praying for us. We trust God for the energy to live cross culturally and to do the good work he has given us to do.
This is the first of what I hope are many years of Jazz band in our future. Peter first picked up a trumpet that was given to him when we lived in Peru. He taught himself a little, got a bit more instruction in his marching band at Colegio Diospi Suyana, then it kicked into gear on arrival to Rift Valley Academy. He is really good, and this year as a freshman he gets to be in the high school jazz band. We just had the Christmas concert, and it was a joy to listen to him and the other kids go for it. I am so thankful for the missionary teachers who have given him instruction over the years. Here is to 3 1/2 more years of trumpet in our house. (He is picking up guitar too!)
In Kijabe we have had people, especially from Abilene Christian University, come and visit us unexpectedly. They are either passing through, or they are involved in mission work in Africa, and they call to stop by. It is the greatest blessing for us to see them. We are always happy to be remembered! Again just this past weekend we were honored with a visit from friends we may not have seen for 20 years. We took them up Mt. Longonot which is a hot and dusty hike. We all came down ready to eat lunch, and then waited for 2 hours for our food to be served. So I think we may have lost old friends just as soon as we made them again after putting them through that sufferfest! 🙂 Everyone is welcome in Kijabe!
All my obstetric calls seem to take me on to places I do not want to go. My last call started with a older woman with severe high blood pressure at about 26 weeks pregnancy. These pressures were so high she was at risk of seizing, and her baby was not getting the blood flow through the placenta that it needed to live. So off to the operating room we went to deliver this too young baby. To complicate the matter there were big benign tumors all over her uterus. God is good and we were able to deliver her baby without too much difficulty. Unfortunately 2 days later her baby passed. 26 weeks is a threshold age for premature babies at our hospital where the chance of survival decreases. This same mother did end up seizing 2 days later from her pre-eclampsia, and is still in the ICU being treated for very high blood pressure. As this was going on we had a call that a patient was coming in with a molar pregnancy, which is a non-viable pregnancy that can transform to a cancer. She had been bleeding, although she was stable on arrival. Then another call came with a possible ectopic pregnancy arriving (an ectopic pregnancy is a non-viable pregnancy outside the uterus which can cause massive bleeding killing the mother). We started evaluating her, and a another call came in letting us know that a woman with a cancer of her hand (she was going for amputation of her entire arm the following day) who happened to be pregnant had unfortunately lost her baby. It is called an IUFD or intrauterine fetal demise. Did we need to induce now or wait until after surgery. We decided to wait and get the arm taken care of first. Another older woman rolled into the casualty (ER) with severe pelvic pain. We admitted her and it turned out that she had bilateral tubo-ovarian abcesses that were causing her to become septic. This are major infections of the female reproductive organs. Somewhere amidst all of this another woman arrived. She was 38 weeks pregnant, and she had a huge vulvar abcess due to an infected Bartholin’s gland. We admitted her to prepare her for surgery the following day. It was a busy night, and not all of it is exactly the bread and butter of family medicine. Oh yeah. I have just been switched off of medicine to do a month of full time obstetrics. The needs of the hospital must be met. 🙂 What have I got myself into?