Sunday, December 27, 2015

Worth a Thousand Words: Christmas in Madagascar

They say a picture is worth a thousand words. I find that to be true as well.

This Christmas, that we celebrated just two days ago, looked a lot different than what my Christmas normally looks like. Though I wasn't at home with my family, it turned out to be quite a lovely day. There was free starbucks coffee and pastries in the morning, gift opening with friends, an impressive Christmas brunch, a lazy afternoon of hanging out with friends and watching Christmas movies, facetiming with family, and then visits throughout the ship for "Christmas Open Cabin" night.

But my favorite part of the day was sneaking in the last 15 minutes of the ward Christmas service. I didn't even know there was a Christmas service on the hospital wards until a friend of mine suggested we go; and I'm so glad we did! There was just something special about it.

To see the patient's faces light up when they received their Christmas gifts. To hear familiar Christmas tunes sung in Malagasy. To have Marinah, a patient of mine, extend her arms out and give me a big Christmas hug when she saw me. To worship the birth of our Savior, the true meaning of Christmas, with people of differing countries, languages, traditions. Oh, it was special.

I'll let these pictures do the rest of the talking today.





















*All photos above credited to Deb Louden.

Tuesday, November 24, 2015

Significance in the Small Things

We all want to feel significant don't we? We want to feel like we have something to offer. We want to feel like the work we are doing is important and carries weight. 

Selfishly, I think that was part of my reasoning for coming to serve with Mercy Ships. Yes, I wanted to help people who otherwise would not receive much needed medical care. But I also wanted to feel like I was actually making a difference in the world; like the work I was doing actually mattered.

But what happens when you don't feel this way? Feelings can be misleading can't they? Feelings can be fleeting. Always look to truth instead of feelings.

I have had some hard moments in the last several weeks; there were times when I have felt like my individual work did not carry much weight or significance. But I have been reminded of this quote several times...

"There are many people who can do big things, but there are very few who will do the small."
-Mother Theresa

I do love this quote. It has been very convicting but also very encouraging to me. Sometimes doing the "small things" is a lot harder than doing the "big things." It's hard passing out vitamins and coloring with patients while I see other nurses take care of critically sick patients (just as one example). I so want to take part in the "big things" that I forgot how important the "small things" can be as well. The small things, like coloring and playing with balloons, may be what our patients remember the most. Why is it that we so easily equate "small" with "insignificant?"

I hope that even in the small tasks, small moments, and small interactions that I would not lose sight that this is a task, moment, interaction ordained by our Heavenly Father...that even in these "small moments" we can still show those who do not know Him, a glimpse of Him...a glimpse they might otherwise never see. I'd like to think God can move more in those small, intimate, brief moments than in the grandiose ones. After all, God did send his perfect son into the world on a cold, silent night in a lowly manger...no grand entrance, no spot lights, no formal recognition.

But I am encouraged when I take a moment [to look outside myself and my own doings] and look at how are collective efforts on this ship are making a difference in patients lives.Though it may not be easily seen through monotonous tasks of vitamin administration, lotion application to skin grafts, or just spending time with patients coloring... Lives are being changed. In a few months, the lives of these patients will be drastically different than when they first ventured up the gangway of the ship. And thirty years from now, our efforts of today will still be making a difference in their lives.  It is amazing to think about. Here are a few of those lives changed...


This is Christian playing jenga. He spent several weeks on the ship after having burn contracture releases. A life changed.
Photo Credit: Mercy Ships.


This is Orlando playing up on Deck 7. Orlando spent several weeks on the ship for an ear reconstruction surgery. Another life changed.
Photo Credit: Mercy Ships.


This is Antonio playing on deck 7. Antonio also came to the ship for several weeks for burn contracture releases. Another life changed.
Photo Credit: Mercy Ships.


This is Zoeline...known by all in the hospital! She came to the ship to have a surgery to correct a burn to her foot that left her big toe completed contracted backwards. Her twin sister Roseline stayed by her side the entire time. Lives changed.
Photo Credit: Mercy Ships.



Seeing these faces and how their lives are already changed and imagining how their futures will be altered is inspiring. This is accomplished by the collective efforts of many; these verses come to mind...

"For by grace given to me I say to every one of you: Do not think of yourself more highly than you ought, but rather think of yourself with sober judgement, in accordance with the measure of faith God has given you. Just as each of us has one body with many members, and these members do not have the same function, so in Christ we who are many form one body, and each member belongs to all the others. We have different gifts according to the grace given us."
-Romans 12: 3-6a

We each have our own talents and gifts that we contribute here on the ship. We each have our own tasks and functions that we perform as well. Though these individual tasks may feel insignificant, they are not. They are all necessary to achieve a common purpose and goal. Here that common purpose and goal is to "bring hope and healing to the world's forgotten poor."That is not just accomplished by the hospital crew that have direct patient contact here on the ship: surgeons, medical physicians, nurses, physios, dietitians, occupation therapists, daycrew, hospital chaplains, dentists, dental assistants etc. But it is also accomplished by all the other individuals who keep this ship functioning: dining hall staff, Ship Shop and Cafe staff, engineers, teachers, deck hands, accountants, electricians, crew chaplains, medical capacity building staff, advance team members... and the list goes on!

How lovely it is to see how the "small" works of many different people with different occupations results in one "big" beautiful masterpiece... the changed lives of so many precious patients. What a privilege it is to take part in this work. I recently discovered these verses and I have found myself coming back to them repeatedly...

"As the rain and the snow
come down from heaven
and do not return to it
without watering the earth
and making it bud and flourish,
so that it yields seed for the sower 
and bread for the eater
so is my word that goes out
from my mouth:
It will not return to me empty
but will accomplish what I desire
and achieve the purpose for which I sent it."
-Isaiah 55: 10-11

He is always in control and will accomplish His purpose... and He graciously allows us to contribute our "small" efforts to be a part of His marvelous work. What great truth to remember.




Lindsey


Wednesday, October 21, 2015

Semato Deaf School

Last Wednesday I had a day off, so I spent the afternoon at the Semato Deaf School.

The Semato Deaf School is one of the several Mercy Ministries available to the Africa Mercy crew here. Mercy Ministries are opportunities for the crew to go off ship and visit/volunteer at existing organizations. Every Wednesday, a group leaves the ship to go to this particular school. I had to work today... but I hope to make it back there next week!

It was a very fun experience for me last week when I visited, as I had never visited a deaf school before. My initial thought was that it would be a very quiet place...but it was quite the opposite! But the children and staff were so welcoming to us. When we walked into the school courtyard-area, we were swormed by 50+ kids who all shook our hands inidividually. It is their culture here to recognize and welcome each individual person. So that is what they did. It was so nice!

After they welcomed us, we went into their main classroom. They introduced each of us, and then we were each given a sign-name. Since I was wearing a headband, my sign-name was the motion of placing a head-band on my head. One of our day crew taught a little lesson about forgiveness, we did a craft, and then we played some games outside together. It was a great afternoon!


Warm greetings from all of the kids.
Photo Credit: Mercy Ships


Warm greetings from all of the kids.
Photo Credit: Mercy Ships


We stood at the front of the classroom and were given our sign-names!
Photo Credit: Mercy Ships


A view of the classroom.
Photo Credit: Mercy Ships


Passing out craft supplies to the kids.
Photo Credit: Mercy Ships


Craft Time.
Photo Credit: Mercy Ships


"Azafady" in Malagasy means "I'm sorry" or "Excuse me." This word was part of the craft as the lesson we taught was about extending forgiveness to people.
Photo Credit: Mercy Ships


Playing games outside.
Photo Credit: Mercy Ships


Playing games outside.
Photo Credit: Mercy Ships


Playing games outside.
Photo Credit: Mercy Ships


As always I would love to here how y'all are doing at home!
lindseymlang@gmail.com

Lindsey






Tuesday, October 13, 2015

The New Work Grind

It has been a good while since I last posted any sort of update...so I'm at a loss to where I should even begin! I figured a good place to start would be to explain a little more about the actual work I am involved in. Here in our hospital on the ship, we have 4 wards that are up-and-running and 1 ward that has been set-up as an overflow ward but is not currently utilized. Here is the breakdown of each ward:

Ward A: Orthopedic Surgery and Plastic Surgery. Most surgeons come for a few weeks or even a few months at a time. So when orthopedic surgeons are here, Ward A will have mostly orthopedic patients, and when plastic surgeons are here, the ward will mostly have plastic patients.

Ward B: Women's Health/VVF Surgery. This ward mostly has patients that are here for a VVF (vesicovaginal fistula) repair. They also have some other patients receiving other kinds of gynecological surgeries.

Ward C: Overflow ward.

Ward D: Maxillofacial Surgery. This ward houses patients who are having any kind of facial surgeries- NOMA reconstruction, cleft lip, cleft palate, tumor excisions.

Ward E: General Surgery. Most patients on this ward will be having surgery to correct hernias, goiters, hydroceles, and lipomas.

You can find a more detailed list of all the surgeries perfomed under the "Medical" section of the Mercy Ships FAQ page here .

I have been assigned to work in E ward... but so far the majority of my shifts have been on other wards! Over 10% of the crew has been down with a GI bug so the nurses have been shuffled to work in other wards. Additionally, my ward "closed" this weekend and moved our patients to other wards to consolidate because of the lower census. So for several reasons I have worked in the other wards over the past few weeks. It has been really neat to see what each ward is like and to learn how to take care of the different patient populations in each ward.

This past weekend I worked on B ward. This area has been a huge learning curve for me. Working in an emergency department at home, I did not have a ton of women's health patients. And I definitely never had a patient with a VVF. It has been very eye-opening and heart-breaking for me to learn about this issue and the stories that these women carry. Women here develop vesicovaginal fistulas when they are pregnant and experience an obstructed labor. In the US, if women were experiencing an obstructed labor, they would go for an emergency C-section and all would be well. Here, women do not have that option. They remain in obstructed labor for several days and ultimately (in most cases) deliver a still-born baby. For the women who survive this, they usually develop a fistula (or abnormal passage) between their bladder and vagina that results from the pressure of their baby during the several days of obstructed labor. This leads to a constant leaking of bladder and sometimes stool from their vagina. Because of the odor and inability to have children, many women are left by their husbands and are ostracized from their community. Their lives are completely changed. Currently, there are about 50,000 women in Madagascar who suffer with these fistulas with an additional 2,000 women each year.

It was an honor to care for some of these women this weekend. And it has been an honor to work with ALL the patients here on the Africa Mercy. Included below are some pictures taken by photographers here on the ship...enjoy!

This is a shot of the hospital crew.
Credit: Mercy Ships.


This is Mariette. She is a patient I cared for a few days on A Ward. She had a large soccer ball sized lipoma on her back that she has had for 30 years. This was her "before" picture.
Credit: Mercy Ships.


This is a little peak into D Ward. If you see the bed in the background, you will notice the mattress underneath the patient's bed. Here, caregivers sleep on a mattress under their family member's hospital bed. Can you imagine if we asked that of people back home? But it works here!
Credit: Mercy Ships


Mercy Ships has set up a Ponseti Clinic where they cast littles with clubbed feet for several weeks prior to them having a minor procedure to snip their achilles tendon in efforts of ultimately correcting their feet.
Credit: Mercy Ships.


This is Justina with one of our VVF patients.
Credit: Mercy Ships.


This patient had her facial tumor removed on the ship. I never worked with her, but I did happen to see her today at the Hope Center and she looks great and is all smiles! The Hope Center is a place patients stay pre-op (if they are traveling from afar) and post-op if they are discharged from the hospital but need to stick around for post-op visits.
Credit: Mercy Ships.


We had this little one on my ward for a little while. She had a burn contracture release performed. She was referred to by many as "chicken wing." She was the cutest thing, running around and singing with her little arm sticking outward!
Credit: Mercy Ships


As always, please let me know how y'all are doing at home! I would love to hear from you!
lindseymlang@gmail.com






Saturday, September 5, 2015

Times of Change

As of today, I have been in Madagascar for 10 days. And a lot has happened since then! I left RDU on August 26 and made it to Antananarivo (Tana) on August 27 by way of Boston and Paris. A group of us serving with Mercy Ships, stayed in the capitol for a few days before making the long 11 hour bus ride to Tamatave where the ship is docked.

We arrived on the ship this past Monday, August 31 and have been in nursing orientation for the majority of the week. We got to hear from the different ward leaders, learn about the (paper) charting, and help clean and set up the wards. Patients start arriving on Monday and surgeries begin Tuesday! I know it will be a totally different kind of nursing than I am used to, but I am anxious and excited to get started!

In addition to starting a new kind of nursing, there are a ton of other changes/transitions that have taken place in these last 10 days. And I'm sure there is still much more to come! I am on the other side of the world from my home (for an extended about of time). I'm away from the family. I'm living on a ship! I share a room with 5 other girls. I'm limited to a 2 minute shower each day. I do not speak the slightest bit of French or Malagasy. I'm making new friends. And the list goes on...

With all this change at once, it is very easy for me to feel overwhelmed. But God has a way of reminding me that He has placed me here at this time for a purpose; and He has a way of reminding me at just the right time. One of those times was Thursday night at one of our weekly meetings. 

We reached a time when we were going to break off into groups and go throughout the different areas of the hospital and pray for that specific area. My group went to the lab. We got a little slip of paper of specific prayer requests for the lab when we arrived. One of the requests struck a chord with me. It read...

" [Pray that] We will have a surplus of blood donors-- that by this unique feature of crew members donating to patients, doors will open to talk about Jesus giving his blood for us."

The Africa Mercy is a VERY unique place to live and work. It is unlike any other hospital I have ever heard of or seen. One of it's many unique features is that it's blood bank is completely composed of volunteer crew members blood that they have donated. Drawing that comparison of crew members giving their blood to help save patient's lives to Jesus voluntarily shedding his blood on the cross to save our lives gave me goose bumps. I do pray that this unique feature would open doors to talk about Jesus with our patients. Would you also pray?

That prayer meeting did serve as a reminder to me that I am here for a purpose. It reminded me that I have such a privilege to serve people who otherwise would not receive medical care, amongst co-workers who share the same heart in service, in a hospital whose mission statement is "Mercy Ships follows the 2000-year-old model of Jesus, bringing hope and healing to the world's forgotten poor." It doesn't get much better than that. I am very, very thankful for this opportunity.

(P.S...I'm having a hard time downloading pictures on my blog using my ipad, so stay tuned to facebook and instagram for pictures!)

Monday, August 10, 2015

Departure Delay

I wanted to post a quick update as there has been a little delay in my departure!

Today was suppose to be the day that I began by journey over to Madagascar but it is looking like I will be in Durham for about another 2 weeks; my new departure date is now August 26th. The ship has been in South Africa for it's annual maintenance and they encountered an issue with the port propeller; so they will need some additional time for repairs and then to sail to Madagascar.


(photo credit: Mercy Ships)

Though a delay was not in the plans, it will allow me a little more time with my family and friends as well as a little more time to pack. Thank you for your continued prayers!

Lindsey

Friday, July 31, 2015

New Adventure

As many of you know, I will be embarking on a new adventure rather soon! I will be leaving on August 10, 2015 and will be returning June 4, 2016 for a 10 month field service in Tamatave, Madagascar with Mercy Ships. (Although I was notified today that there will more than likely be a delay in the start of our field service, so I may be departing a little later than planned.)

I will be volunteering as a nurse on the largest non-governmental hospital ship in the world, the Africa Mercy. The Africa Mercy is a hospital ship operated by Mercy Ships, a non-profit organization that has converted an old cargo ship into a hospital ship to provide free surgical care in some of the poorest areas in the world. A variety of surgeries are performed including orthopedic, maxillofacial, plastics/skin repairs, women’s health/fistula repairs etc. While there, I will be working on a post-surgical adult ward. You can go to Mercy Ship’s website HERE to find out more about this organization and the great work that they do!

I am very excited about this opportunity that God has orchestrated! A friend of mine told me about Mercy Ships 6 years ago (before I even started nursing school), and it has been a dream and a prayer of mine to serve with this organization ever since.  It was tough leaving a job I loved with co-workers I loved working with even more, and it will be hard to leave my family, dogs, home, and comforts. But I am certain that this opportunity is the next step for me!

I will be using this blog to keep my family and friends updated with what I am doing while I am gone. Please keep me updated with what is going on with you too! My e-mail is: lindseymlang@gmail.com.


Lindsey

"We have this hope as an anchor for the soul, firm and secure."
Hebrews 6:19