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    <title type="html">ali's african adventures</title>
    <subtitle type="html">... Still frames and memories from a pediatric nurse living and working on a hospital ship off the coast of Liberia ... This blog is a place for me to record my rambling thoughts and experiences. As such, any opinions expressed here are uniquely mine, not those of Mercy Ships ...</subtitle>
    
    <id>http://alirae.net/blog/</id>
    <updated>2012-02-04T04:06:22Z</updated>
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    <entry>
        <link href="http://alirae.net/blog/archives/582-made-in-sierra-leone.html" rel="alternate" title="made in sierra leone" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2012-02-01T01:29:18Z</published>
        <updated>2012-02-04T04:06:22Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=582</wfw:comment>
    
        <slash:comments>29</slash:comments>
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        <id>http://alirae.net/blog/archives/582-guid.html</id>
        <title type="html">made in sierra leone</title>
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                Without further ado, I'd like to present the reason for my lack of blogging over the past couple months.<br />
<br />
<!-- s9ymdb:1027 --><img class="serendipity_image_center" width="600" height="770" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/announcementsized.jpg" alt="" /><br />
<br />
We're due August fourteenth, and we're more excited than I can possibly put into words.<br />
<br />
Much more to come on this and many other subjects, but for now I'm heading to bed.  At least now I don't have to make excuses about why I'm so tired!<br />
<br />
 
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    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/583-how-much-we-can-do.html" rel="alternate" title="how much we can do" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2012-02-03T22:15:23Z</published>
        <updated>2012-02-03T22:15:23Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=583</wfw:comment>
    
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        <id>http://alirae.net/blog/archives/583-guid.html</id>
        <title type="html">how much we can do</title>
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                Wednesday was screening day at the local stadium here in Lomé.  It's the one day of the year where we see as many potential patients as possible and schedule as many surgeries as possible for the upcoming field service.<br />
<br />
The first teams left the ship on Tuesday evening to stay overnight and manage the people who would come to get in line the night before.  For those of us who come from countries where medical care is easily accessible, the thought of waiting overnight to see a doctor isn't something we can really understand.  But here in West Africa, this is the reality.<br />
<br />
I was in the second wave of Land Rovers to leave the ship, and we pulled up to the station in the early dawn.  The line stretched out as far as I could see, people dressed in every colour of the rainbow, waiting patiently under the watchful eyes of the local <em><a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Gendarmerie');"  href="http://en.wikipedia.org/wiki/Gendarmerie" title="(local police force)">gendarmes</a></em>.<br />
<br />
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<br />
When the jobs for screening were originally handed out, I was assigned to a pre-screening station just inside the main gate.  However, this little baby of ours is not the most cooperative kid.  I've been pretty sick ever since I hit five weeks, and standing all day in the heat wasn't really going to be an option for me.  Instead of pre-screening, I ended up at the opposite end of the process, the final check table, comfortably situated in a breezy piece of shade.<br />
<br />
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<br />
Somewhere around 3,500 people came to the stadium in hopes that they would be chosen.  They came with their hopes and their fears, and so many of them had to be turned away.  1,600 were allowed through the gates, and every single one of these were seen by the teams inside.  Some were given dates for surgery, others were given cards to come back to be seen by physicians and surgeons on the ship before we could make a final decision.  And some were escorted directly to a huddle of chairs under the spreading boughs of a huge tree where a team sat waiting to pray with the ones we had to turn away.<br />
<br />
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<br />
My table was the last stop before the exit, and throughout the course of the day I saw every single person who was given a yellow card.  Those yellow cards are the golden tickets, the passes that get them through the port gate and onto the ship to be seen.  My job for the day was to collect paperwork and check that each person sitting across from me knew when to come back to the ship and what would happen that day.  That was it.  Just make sure that the ones chosen knew when to come for their chance at life.<br />
<br />
Usually at screening I'm the one saying <em>no</em>.  I have to see the hope in their eyes and I have to be the one to snuff that slight flame.  It's so easy to feel hopeless on that side, to feel crushed by the weight of the pain and the need here in West Africa.  But on Wednesday I couldn't stop smiling.  I was finally able to see how much we <em>can</em> do instead of how much we leave undone.<br />
<br />
<!-- s9ymdb:1029 --><img class="serendipity_image_center" width="600" height="399" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/407508_10150547946794900_51379424899_9219485_842509761_n.jpeg" alt="" /><br />
<br />
A few times, I saw patients who I had taken care of last time we were here in Togo, in 2010.  They had brought sons and mothers and friends to be seen and when we recognized each other, there were invariably hugs and dance parties.  I saw one little boy who was being seen in the outpatients department during the entire 2010 field service.  We were never able to do his surgery because of stubborn wounds that just wouldn't heal.  To be quite honest, I never expected to see him alive again, and when his mama slipped her arms around me and told me <em>c'est fini</em>, I couldn't help crying just a little.  He has a card to come for screening with the plastic surgeon when he gets here, and we see no reason that he won't be scheduled this year.<br />
<br />
The first patients will be admitted on Sunday afternoon, and the first surgeries will be on Monday.  Please pray for our patients, for the new nurses who will be learning the ropes in the upcoming weeks, for the empty spots still on the staffing plans.  We will be here in Togo until June, and there is much to be done in such a short time.<br />
<br />
(All photos courtesy of the fabulous Mercy Ships communications department.)<br />
<br />
 
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    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/581-were-in-this-together.html" rel="alternate" title="we're in this together" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2012-01-27T03:01:00Z</published>
        <updated>2012-02-01T01:52:11Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=581</wfw:comment>
    
        <slash:comments>2</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/12-prayer" label="prayer" term="prayer" />
            <category scheme="http://alirae.net/blog/categories/1-preparation" label="preparation" term="preparation" />
    
        <id>http://alirae.net/blog/archives/581-guid.html</id>
        <title type="html">we're in this together</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                We met in Esther's office early on Wednesday morning to work out the plan for the next two days.  Twenty patients would be coming to the ship who needed to be evaluated for surgery.  Tumors and jaws fused shut and gaping holes in the roofs of mouths and finally D Ward was going to have people in it again, if only for the day.<br />
<br />
We sat at the table, she handed us a stack of <a href="http://alirae.net/blog/archives/441-six-hundred.html" title="(when we first saw these sheets)">pink sheets</a>, and suddenly it was a year and a half ago and I was sitting in front of this computer again, sending e-mails around the world deep into the night.<br />
<br />
These were twenty of the same pink sheets left over at the end of the outreach last time we were in Togo, twenty of the people that you prayed for so faithfully.  Every single one of them had the telltale <a href="http://alirae.net/blog/archives/446-finished.html" title="(it means you prayed)">black dot</a> in the top righthand corner.  <em>Someone is praying.  You can set this one aside.  You don't have to carry them in your heart any longer; someone is praying.</em><br />
<br />
It was so overwhelming to watch them file into the ward, to match each one with a black-dotted pink sheet.  To know that in the time we've been apart, someone has been lifting them up to the Father.<br />
<br />
Only ten out of the twenty showed up between yesterday and today, and of those ten we couldn't schedule all of them for surgery.  One little boy, Koffi (he was three when I sent out his name, just in case you recognize it) has a tumor on the back of his head that might be a break in his skull.  He will need to wait for his CT scan to be reviewed by a radiologist somewhere in the first world before we can make a decision, but we're not even sure if the surgery will help much, since he's already so developmentally delayed.  One woman tested positive for HIV and we had to send her home because her body would have rejected the surgery we wanted so desperately to perform.<br />
<br />
These are hard things to hear at the very start of an outreach, hard things to say to aunties and women with hope-filled eyes.  But all day long those black dots in the corner of their papers sat as a silent testimony.  <em>This is not your load to carry.  It has been given to Him, and He holds it in His hands.</em><br />
<br />
As we welcome new staff and train new nurses and get ready for the mass screening day on the first of February, this is the reminder I so desperately need.  None of us are in this alone.  None of us has to shoulder the entire burden.  We rely on each other and we rely on you, scattered around the world, praying for names on little pink sheets of paper.<br />
<br />
We're in this together.<br />
<br />
 
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    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/580-mercy-teams.html" rel="alternate" title="mercy teams" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2012-01-18T17:22:00Z</published>
        <updated>2012-01-24T02:18:54Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=580</wfw:comment>
    
        <slash:comments>13</slash:comments>
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        <id>http://alirae.net/blog/archives/580-guid.html</id>
        <title type="html">mercy teams</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                I was giving a tour of the hospital to some new doctors yesterday and they asked me how long I'd been on board.  <em>Four years in February,</em> I answered, and then stopped short.  Somehow, it's hard to believe that I have been a bona-fide, full-time, long-term missionary for almost four years.  I know it's nothing to the warriors of the faith who spend entire lifetimes in their adopted countries, but it's quite a significant chunk of my life thus far.<br />
<br />
As the calendar marches on and we prepare for yet another Field Service, I've been thinking a lot about short-term mission teams and how much we need them.  Here on Mercy Ships, the years follow a predictable cycle.  (As predictable as anything in West Africa can really be.)  We sail to a new port in January, untie everything that's been secured for the sail and scrub down the hospital before setting everything up so that we can function.  We train the crop of new nurses, hold screening and admit the first patients for surgery.  For the next ten months, we operate and care for the patients on the wards and in the outpatient clinic and eventually it's time to close up shop and move on.  We double-bleach every surface, pack everything away in carts and on pallets and we tie everything back down to the bolts in the floor.  Somewhere in December we sail away to a first world port so the crew can have a break and maintenance can be done on the ship.  Christmas, New Years, and it's January again. Lather, rinse, repeat.<br />
<br />
It can get old.<br />
<br />
Not the surgeries and the patients and the lives changing in front of my eyes.  That will never be commonplace.  But all the in-between.  The cleaning and packing and unpacking and setting up.  It's an endless set of jobs that we have to do every single year, and I'll be completely honest when I say that I'm not a fan.<br />
<br />
This is where the Mercy Teams come in.  They don't live this cycle year in and year out,so they don't remember how much their knees hurt from scrubbing the floors just a few months ago or how tired they were after securing yet another strap.  They don't remember because they weren't here.<br />
<br />
They're a breath of fresh air for those of us who are used to doing all this on our own.  We have a team here from Texas (and one random guy from Rhode Island, but we won't hold that against him), and the amount of work they're gotten done in the last week is incredible.  They emptied a room that was packed literally floor to ceiling, wall to wall, in a single day.  They've set up beds and put together tents on the dock and made medication packs for pharmacy and I just saw them getting roped into helping unload a container with the sales team.  <br />
<br />
I've heard a lot from people who say that short-term trips aren't really beneficial, that the money should just be given to the organization rather than paying for plane tickets when the people on the team aren't really going to have that much of an impact in two weeks.<br />
<br />
And you know what?  It wouldn't matter if these guys and girls never even talk to a single Togolese person while they're here.  They've blessed and encouraged and strengthened those of us who will be here for the long haul.  We'll go into this Field Service energized by <em>their</em> energy, more ready than ever to pour out our lives for the people here in West Africa.<br />
<br />
 
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    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/579-back-in-togo.html" rel="alternate" title="back in togo" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2012-01-11T03:11:04Z</published>
        <updated>2012-01-16T11:22:39Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=579</wfw:comment>
    
        <slash:comments>3</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/4-arrival" label="arrival" term="arrival" />
    
        <id>http://alirae.net/blog/archives/579-guid.html</id>
        <title type="html">back in togo</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                They say that silence is golden, but my mother would beg to differ.  She told me a little while ago that people are going to think we're still in Ghana, and since we've actually been back in Togo since Thursday, I guess I do owe you all an update.<br />
<br />
Thursday was what will probably my favourite sailing experience of my life, which was one hundred percent due to the fact that it lasted less than twelve hours.  I've driven the road between Tema and Lome before, and it only takes a couple of hours.  Sailing in a ferry is another matter, and we were told to expect around ten to twelve hours on the water.  I had a perfect plan, fully approved by my boss, which involved not setting an alarm, sleeping through the first four hours (except for a few unruly minutes as we first left port) and staying in bed for most of the rest of them.  I'm a big fan of a sail that ends before you really have time to realize it's begun.<br />
<br />
This is the first time that we've sailed into a port we've been in before, and the feeling of coming home was strong among those of us who were here in 2010.  As night fell and we realized that immigrations wasn't going to clear us to leave until morning, we spent the time talking about all the places we're excited to revisit.  Unsurprisingly, our favourite restaurants got top billing as the various merits of Akif Burger versus Al Donald's were quietly contested.<br />
<br />
Unfortunately, either the HoJ or I has been on call ever since we dropped anchor, so we haven't had much of a chance to head out and enjoy ourselves yet.  This week the real work will start up in earnest again as we set about untying and setting up the hospital to get ready for the field service that will begin with screening on the first of February.<br />
<br />
Six months are ahead of us, and I'm ready to get started.<br />
<br />
 
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        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/578-the-promised-land.html" rel="alternate" title="the promised land" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-12-17T17:03:51Z</published>
        <updated>2011-12-21T01:39:03Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=578</wfw:comment>
    
        <slash:comments>2</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/4-arrival" label="arrival" term="arrival" />
    
        <id>http://alirae.net/blog/archives/578-guid.html</id>
        <title type="html">the promised land</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                We have arrived safely in Ghana, and I for one am happy to have solid ground under my feet.  Which is a little odd, maybe, because I'm still iving on the sea and there's nothing but water under the ship.  But that water is still now and the mooring lines are out, so I can finally sleep at night again.<br />
<br />
We'll be here for three weeks while the crew gets a break after a long outreach in Sierra Leone.  We've already started enjoying what the West African crew (and any of us yovos who've been here before) call the <em>Promised Land.</em>  It's wonderful to be in a place where the roads are clear enough that we can drive miles in minutes instead of hours, but it doesn't quite feel like Christmas yet if I'm being honest.  I associate Christmas on the ship with <a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Tenerife');"  href="http://en.wikipedia.org/wiki/Tenerife" title="(our usual christmas island home)">Tenerife</a>, with weather chilly enough for a scarf and fruit like pears and strawberries.  But this Christmas is going to be an African one, complete with ninety degree weather and mangoes in big plastic buckets in the dining room.  It's going to be different.<br />
<br />
So much is the same, though.  The Christmas season on the ship is steeped in tradition; anyone that knows my family knows our love of traditions.  Because the crew comes from so many countries, there are little pieces pulled from all around the world to make up December on the Africa Mercy.  We have cookie baking and a European-style Christmas market, complete with gingerbread and homemade snow cones, of course.  (It's the closest we're going to get to the real thing!)  We have a storytelling night and the Academy students put on a big Christmas musical.  (It was last night, and it was amazing.  A definite highlight was all the high school girls dressed up like angels and dancing hip hop.  Who says that wasn't how they appeared to the shepherds?!)  On Christmas Eve we all put an empty shoe outside our doors, and sometime in the night we sneak out to fill the shoes of our friends with little presents.  (One of the prerequisites for this activity is feigning blindness if you happen to cross paths with one of the other elves in the middle of the night.)  We all roll down to the dining room in our pajamas for Christmas brunch, and it's like being with your entire extended family and then some.<br />
<br />
I'm going to enjoy these next few weeks.  We have friends to visit here in Ghana and lots of exploring to do in Accra.  Posting will probably be light, since the only real work I'm doing is in the office, and I'm pretty sure you don't need to know how the scabies policy is coming along, now do you?<br />
<br />
<!-- s9ymdb:1022 --><img class="serendipity_image_center" width="600" height="450" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/nightship.jpg" alt="" /><br />
<br />
 
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    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/577-our-ship.html" rel="alternate" title="our ship" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-12-11T03:34:00Z</published>
        <updated>2011-12-16T11:51:12Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=577</wfw:comment>
    
        <slash:comments>3</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/21-sailing" label="sailing" term="sailing" />
    
        <id>http://alirae.net/blog/archives/577-guid.html</id>
        <title type="html">our ship</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Once again, we have set out to sea in a ferry.<br />
<br />
This never quite seems like a good idea to me, despite the fact that we're sailing on the smoothest seas I've ever seen.  Honestly, there are lots of times in the past two months alone that we've been moving more in port than we are right now.  The thing is, there's no way for me to know how it's going to go for me over the next five days or so.  This is my fourth sail, and on the first one I was so sick that the HoJ (who was, at the time, just the Boyfriend of Joy, but showed real promise with what I'm about to tell you) would make me Ramen noodles just so I had something soft to throw up.  I think they could totally use that in an ad campaign.  <em>Ramen: Something Soft to Spew When You Sail.</em>  The second time was like a dream.  Smooth seas, perfect weather, and wildlife every day.  Seriously, at one point the officer on the bridge came over the intercom to announce, <em>Dolphins, basically ... everywhere.</em>  The third sail was a mixed bag.  I threw up for the first half and felt mildy human for the second, so statistically speaking, this could go either way.<br />
<br />
I'm not quite steady enough to call myself a good sailor, especially when just the thought of pulling away from the dock makes me breathe deep and eat one last big meal rather than jump for joy.  But if I make it through this one in style, I might start to feel a little more confident about my sea legs.<br />
<br />
There's one thing that I know will work for me no matter what, and as soon as they made the announcement that the bow was open I grabbed a chair and headed outside.  Out there, with the whole ocean spread out in front of me and the breeze cool in my face, I never feel sick.  One by one people make their way down to Deck Three, all the way forward, and then back up to the salty air and together we watch the sun set and the moon rise.  If we're lucky (like tonight) we see dolphins and flying fish and nearly-transparent jellyfish billowing alongside us.  Someone brings a guitar and we worship together and there's this sense of community that's somehow different from the rest of the year.<br />
<br />
For some reason, we are closer when we sail.  This morning before we departed Jenn put words to the feeling.  <em>It's like we're one big family getting ready to go on a trip together.</em>  For as long as we're on the water, this feeling of family is so much stronger than other times, somehow.  We greet each other with sincere questions about our friends' health and we make pilgrimages around the ship to deliver food and ginger biscuits to those who can't get out of bed.  We sit together out on the bow, and for the only time in the year it's just us.  Just crew, no visitors or day volunteers or tour groups or food delivery men.  The ship is ours, and we revel in it for these few, sacred days.<br />
<br />
I'm sitting cozy in my bed right now.  The moon is high outside my window (although <em>porthole</em>, I suppose, would be the more nautical term), and the water rushing past is shot through with silver.  At least for tonight, I love sailing.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/576-hope-and-light.html" rel="alternate" title="hope and light" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-12-04T19:57:39Z</published>
        <updated>2011-12-08T11:52:39Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=576</wfw:comment>
    
        <slash:comments>2</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/5-hope" label="hope" term="hope" />
    
        <id>http://alirae.net/blog/archives/576-guid.html</id>
        <title type="html">hope and light</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                I always find it much harder to blog once the wards have emptied for the year.  It's as if their lives and stories are so much more important than my own.  Or, at the very least, a lot more interesting; I can't deny the truth of that.  But once they go the place is quiet and dark.  Except for the emergency lights of course; you can't turn those off, and they stand constant guard over the empty rooms.<br />
<br />
I've been thinking about light a lot in recent days, in large part because of the Advent services that started last week.  You know, the ones with real candles. Candles are a big deal around here; open flame is prohibited on board except for these five small candles once a year (and sometimes the ones in Santa Lucia's crown, but that's a whole different tradition for a different day).  The International Lounge, where we have Sunday services, is darkened and each week another candle is lit.  Last week was the candle of Hope, and as I sat there watching the tiny flicker of the flame, it hit me again what a tremendous thing hope is.<br />
<br />
We use the word all the time.  <em>I hope it doesn't rain.  I hope dinner will be good tonight.  I hope this brownie doesn't make me fat.</em>  We use it so often that, like so many other weighty words, it's lost much of its impact.  I looked it up just now because I love words and all their shades of meaning.  The first was unsurprising.  <br />
<br />
<strong>A feeling of expectation and desire for a certain thing to happen.</strong><br />
<br />
It makes sense that the first little candle throwing its light into the darkness of a <a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Liturgical_year');"  href="http://en.wikipedia.org/wiki/Liturgical_year" title="(advent is the start of the year according to the church calendar)">new year</a> is the one christened <em>hope.</em>  Hope is that longing for something new, that breathless anticipation of something you can hardly bear to speak aloud.<br />
<br />
The second definition was the one that set my heart spinning in my chest.<br />
<br />
<strong>A person or thing that may help or save someone : <em>Their only hope is surgery.</strong></em><br />
<br />
Hope is so much more than just a feeling, more than an idle wish or a passing desire.  For so many, hope is all that's left when the rest of the world has turned away.  Hope is what gives a mama strength to hide her baby in a back room rather than bury him in the forest when he's born with a cleft lip.  Hope is what keeps a seventy year-old woman walking, all the way from one country to another, seeking help for the tumor growing on her hand.  Hope is what whispers in the ear of a man as he lies awake at night, desperately wishing that someone would look past the scars on his face.<br />
<br />
Hope is the light in the deepest night, the single flame in the face of crippling despair.  It's the unwavering promise that, yes, salvation is possible, that there is a way out, no matter how dark the path might be.<br />
<br />
<a onclick="javascript: pageTracker._trackPageview('/extlink/bible.cc/matthew/12-21.htm');"  href="http://bible.cc/matthew/12-21.htm" title="(matthew 12:21)">Matthew</a> wrote that nations would put their hope in the name of Jesus.<br />
<br />
Is it any wonder that He called Himself the Light of the World?<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/574-sneak-peak-becca-and-greg.html" rel="alternate" title="sneak peak : becca and greg" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-27T17:47:00Z</published>
        <updated>2011-12-02T02:43:36Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=574</wfw:comment>
    
        <slash:comments>10</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/32-photography" label="photography" term="photography" />
    
        <id>http://alirae.net/blog/archives/574-guid.html</id>
        <title type="html">sneak peak : becca and greg</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Yesterday I had the incredible privilege of photographing the wedding of two dear friends from the ship.  Becca and Greg met when she first came to the ship in 2009, and yesterday I got to be there as they pledged their lives to each other.  The day went off in fairly typical West African style; there were Land Rovers, closed roads, rain showers and lots and lots of love.<br />
<br />
Here are a few snaps from a beautiful day.  (For those of you on the ship, I'll have a full set on the Transfer Drive once Becca and Greg get back from their honeymoon and have had a chance to see them first.)<br />
<br />
<!-- s9ymdb:1013 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/comingsoon.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1009 --><img class="serendipity_image_center" width="600" height="394" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/shoesveil.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1005 --><img class="serendipity_image_center" width="600" height="451" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/gregstie.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1003 --><img class="serendipity_image_center" width="600" height="900" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/earring.jpg" alt="" /><br />
<br />
What would a Mercy Ships wedding be without a bride on a Land Rover?<br />
<br />
<!-- s9ymdb:1006 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/landrover.jpg" alt="" /><br />
<br />
There were a few snags along the way, of course.  After a long drive through town, complete with crazy market-day traffic, we ended up walking the last part of the way to the house where Becca was going to finish getting ready.  She led the parade with a smile, a smile that wasn't even dimmed when rain started pouring down as the outdoor reception was set to start.<br />
<br />
<!-- s9ymdb:1011 --><img class="serendipity_image_center" width="600" height="450" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/troubles.jpg" alt="" /><br />
<br />
The ceremony took place in the church Greg and Becca have been attending here in Sierra Leone.  It was packed, and when the Liberian worship started, they almost blew the tin roof right off the place.<br />
<br />
<!-- s9ymdb:1012 --><img class="serendipity_image_center" width="600" height="412" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/vows.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1007 --><img class="serendipity_image_center" width="600" height="800" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/register.jpg" alt="" /><br />
<br />
The rain cleared up enough to let us get some beautiful shots of the bridal party and the happy couple.<br />
<br />
<!-- s9ymdb:1001 --><img class="serendipity_image_center" width="600" height="800" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/bridalparty.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1000 --><img class="serendipity_image_center" width="600" height="900" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/beccagreg.jpg" alt="" /><br />
<br />
From there it was off to the reception, which took place in the garden of the house where the Mercy Ships off-ship teams lived here in Sierra Leone.<br />
<br />
<!-- s9ymdb:1002 --><img class="serendipity_image_center" width="600" height="445" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/decor.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1008 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/rings.jpg" alt="" /><br />
<br />
<!-- s9ymdb:1004 --><img class="serendipity_image_center" width="600" height="451" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/food.jpg" alt="" /><br />
<br />
Thanks to the new Mr. and Mrs. Kulah for letting me be a part of this amazing day!<br />
<br />
<!-- s9ymdb:1010 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/toast.jpg" alt="" /><br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/575-december-wallpapers.html" rel="alternate" title="december wallpapers" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-12-01T20:37:29Z</published>
        <updated>2011-12-01T20:37:29Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=575</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/33-wallpapers" label="wallpapers" term="wallpapers" />
    
        <id>http://alirae.net/blog/archives/575-guid.html</id>
        <title type="html">december wallpapers</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Happy December!  Living on a ship off the coast of West Africa, there's not much that really screams "Christmas," but hopefully these wallpapers will help a little.  <br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/decgold.jpg'><!-- s9ymdb:1015 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/decgold600.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/decsnowberries.jpg'><!-- s9ymdb:1017 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/decsnowberries600.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/decstory.jpg'><!-- s9ymdb:1019 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/decstory600.jpg" alt="" /></a><br />
<br />
The Advent season on the ship is special, and not just because it's the one time of the year where real candles are allowed (only for the Sunday night services in the Advent wreath).  It's the end of an outreach, and as we look forward to the coming of the Saviour, we look back at the Light that He's already brought to this country through us over the past year.<br />
<br />
(Click any of the photos to be taken to the larger size that you can download and use as a wallpaper.)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/573-the-last-leg.html" rel="alternate" title="the last leg" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-25T20:02:30Z</published>
        <updated>2011-11-26T01:32:12Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=573</wfw:comment>
    
        <slash:comments>1</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/2-leaving" label="leaving" term="leaving" />
    
        <id>http://alirae.net/blog/archives/573-guid.html</id>
        <title type="html">the last leg</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                And just like that it's over for another year.  There were three lonely beds in D Ward this morning, Hassan, Grandma Groundnut, and the last patient from A Ward who I hadn't met before.  I walked in and Grandma Groundnut stopped in her tracks, ran over to me and buried her head in my chest.  She held me tight, sobbing out her fear and her sadness into my scrub top.<br />
<br />
I busied myself with the last tasks.  I buttered bread and made tea and handed out lotion, and after a surprise fire drill, we gathered in a circle to pray.  Hassan sat on Sarah's (our administrative assistant) lap, and to every sentence I spoke, he added an emphatic <em>amen.</em>  <br />
<br />
We headed out into the cool morning air, huge bundles of dressing supplies balanced precariously on heads as Hassan's mama and Grandma Groundnut swayed down the gangway.  We held hands as we walked out to the gate, and after one last hug they turned and headed up the road towards home.<br />
<br />
There are times when other people's words work so much better than my own, when someone else can speak my own heart better than I can.  <a onclick="javascript: pageTracker._trackPageview('/extlink/jenninafrica.blogspot.com/2011/11/end.html');"  href="http://jenninafrica.blogspot.com/2011/11/end.html" title="(jenn's blog)">This is one of those times.</a>  I love her thoughts on the end of the outreach, on the way it feels to get here so close to the end.  So I'll just let her speak for me.<em><blockquote>Coming in for the last leg of the race has been a blessing to me. We care when something ends because of the significance it had throughout its course. And, as it turns out, experiencing the end of something significant can be just as moving as being part of its beginning.</em></blockquote>To quote our friend Hassan, <em>Amen.</em><br />
<br />
(Quick update on Sia: I spoke with her uncle this morning who had just been in touch with the hospital in Guinea.  Sia, her mama and her baby sister have arrived safely after a journey of several days.  Keep praying for the continuing treatment to be successful.)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/572-prayer-rounds.html" rel="alternate" title="prayer rounds" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-23T20:55:37Z</published>
        <updated>2011-11-24T12:20:38Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=572</wfw:comment>
    
        <slash:comments>1</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
            <category scheme="http://alirae.net/blog/categories/12-prayer" label="prayer" term="prayer" />
    
        <id>http://alirae.net/blog/archives/572-guid.html</id>
        <title type="html">prayer rounds</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Oh, today.  Today was perfect in such a typically African way.  From start to finish, it was everything that I miss when the place is packed up and tied down to bolts in the floor.  I could tell you so many stories, but I'll stick with two, both awesome for different reasons.<br />
<br />
First the funny.  The patient in Bed Fifteen has her sister staying with her to help care for her and her little baby.  Sister is slightly demanding, albeit in a rather endearing way; she's definitely the bossier of the two.  Yesterday in the evening Sister came to me and asked if she could leave for a little while this morning to buy shoes for the <em>pikin.</em>  Despite the fact that said <em>pikin</em> is no more than three months old and nowhere near walking, I told her she could definitely be released for a while.<br />
<br />
This morning she came to me when she was ready to leave, and asked for one of the many little pieces of scrap paper that live in the top desk drawer.  I handed her one, not sure what she might need it for, and sent her up to the gangway with one of the translators.<br />
<br />
I thought no more of it for another couple hours until I got a call from the gurkha guarding the entrance.  Atypically, he was laughing pretty hard, and it took me a minute to realize he wanted me to send someone up for Sister.  She arrived down to the ward a minute or so later, a bundle the size of a wadded-up king-size duvet wrapped in plastic balanced on her head, (definitely more than one pikin-sized pair of shoes in there, I'm pretty sure) and immediately started waving the scrap of paper at me and yelling in her tribal language.<br />
<br />
If you've never been yelled at by a tiny little African lady with a huge bundle wobbling on her head with every shake of her little fist, you've never really lived.<br />
<br />
She eventually surrendered the paper, which I unfolded to find just as blank as when I gave it to her.  <em>Dis papah no good!  No good!</em>  It turned out, after a good bit of translation, that she thought she was asking me for a signed permission slip to leave and come back.  She had presented the blank scrap to the gurkha, intently demanding to be let in as a result, which caused the normally serious guy to laugh nearly as hard as I was right at that moment.  Regardless of the fact that she can neither read nor write, I would have expected the utter blankness of the paper to clue her in to the fact that it wasn't going to give her permission for much.<br />
<br />
I think I expect too much.<br />
<br />
Or, as it turns out, maybe I don't expect enough.  <br />
<br />
We stood together at handover, and Natalie (the current Team Leader who's been training me to step into her shoes next year) brought us a challenge.  What if these wounds haven't healed because we haven't asked?  What if God is waiting for us to speak out our requests, to rest in expectation on His power?<br />
<br />
And so we did a different kind of rounds today at two o'clock.  Instead of discussing drainage and fevers and what the inside of mouths looked like, we gathered at each bedside and prayed our way around D Ward.<br />
<br />
I've been present for a lot of handovers here on the ship; I don't know if I've never been at one this powerful.<br />
<br />
I don't know what it was, but taking that time to lay hands on these precious people and pray in faith for their healing, one at a time, leaving no one out, filled me with a sense of awe I don't normally have amidst the busyness of my shifts here.<br />
<br />
One by one the patients bowed their heads.  Some held out their hands to receive blessing, some snuggled further into the arms of the nurse holding them, some wrapped their arms around our waists as we stood at their bedsides and we prayed.  We prayed for our sisters and brothers and grandmas and the <em>pikins</em> whose presence in our lives has become the standard by which we mark our days.<br />
<br />
Tomorrow most of them will go in the wee hours of the morning.  Just a few will stay one more night and then we'll close down for the year and somehow we'll go back to sleeping at night without lying awake wondering how they're doing downstairs.<br />
<br />
These ones will go buoyed by prayer, surrounded by the angels we called down for them, filled with the comfort of the Spirit.<br />
<br />
We should round like this more often.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/571-last-ones.html" rel="alternate" title="last ones" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-21T23:37:52Z</published>
        <updated>2011-11-22T11:45:21Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=571</wfw:comment>
    
        <slash:comments>4</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/571-guid.html</id>
        <title type="html">last ones</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Mondays are generally busy around here, at least for me.  Since I don't work on the weekends, it always feels like I'm playing catch-up.  Rounds are spent rifling through the charts to answer the questions I don't know the answers to offhand, and it takes most of the morning at least until I feel like I've got a good handle on the place again.<br />
<br />
Today wasn't just any old Monday.  Today was <em>The Last Monday</em>, the first in a long series of lasts until this place will be packed up and tied down to bolts screwed into the floor and we'll sail away from Freetown some muggy day in December.  The wards close for good on Friday morning, and so this week is going to be spent sending the remaining patients home.<br />
<br />
It's always a bittersweet time.  There are a few patients on B and D Ward right now who I don't know very well, simply because they just had surgery last week, but the vast majority of them are long-term residents of Deck Three.  They're the ones with wounds that won't heal, the ones who have been back for second, third, and fourth surgeries.  And because they've been here the longest, they're the ones I love the best.<br />
<br />
I know; I'm not supposed to have favourites, and I'm certainly not supposed to admit it out loud to the whole internet.  But if you could see that place right now you'd understand why my heart aches to think that their beds will be empty soon.<br />
<br />
However, regardless of how much I've come to love my pikins and my Grandma Groundnut, go they must.  The going is complicated, more so than almost anything else; this is not an easy place to live with a health problem.<br />
<br />
If there are any nurses who read this blog, I'm sure you can sympathize.  It's hard enough, sometimes, to get a patient discharged home with everything in place so that they can continue to be cared for.  Add in hundreds of miles of dirt roads, mud huts, malaria-carrying mosquitoes, heat and humidity, and a complete lack of resources and it's a recipe for disaster.<br />
<br />
This is the time of the year when we start to pray for miracles.  We know that some of the wounds that still remain aren't going to heal by any other means, and so Doctor Gary isn't really kidding on morning rounds when he orders <em>prayer, every two hours and more as necessary.</em>  This is the time of year when we see those miracles.  We've already taken Abu's name off the list of patients who will need follow-up care when his neck healed overnight, but there are many more, and the situations are complicated.<br />
<br />
Pinky needs to get back to Liberia.  I haven't written about her yet, but she sleeps next to Sia and the two of them are good friends by now.  The surgery to remove a tumor from her jaw and replace the bone with a rib went well, but the money for their return journey was stolen from her mama on the way here.  Please pray that the money we raised to send them back will be safely guarded and that they will find their way to their uncle in Duala Market.  (I smile as I type that, because I can picture that dusty road in Monrovia so clearly in my mind.)<br />
<br />
<!-- s9ymdb:999 --><img class="serendipity_image_center" width="600" height="431" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/Untitled-56.jpg" alt="" /><br />
<br />
Sia is going to leave early tomorrow morning to make the long trip to Guinea with her mama and baby sister.  They'll have all the money and all the medications needed for the rest of her treatment for Burkitt's with them.  Her blood tests were good this morning, everything is in place for her at the hospital in Guinea, and all that remains is for her to get there safely.  Please pray for protection to go with them as they travel.<br />
<br />
Litte Kadiatu, whose face we've started to rebuild, finally had her feeding tube removed today.  She flies at me the minute I step through the door, hands up until I lift her into my arms.  She chatters away, just like a little bird, and I chatter back, wondering what on earth I might be saying.  The skin graft inside her mouth didn't heal fully, so she's on the list for more surgery when the ship comes to Guinea next year.  The place on her leg where we took that skin is taking far too long to heal, though, and we're working on teaching her dad how to care for it before they head back up north early on Thursday morning.  She's another one who needs a miracle.<br />
<br />
It's more than just these three girlies.  Pray for Baindu, too, whose mouth is healing slowly.  She'll need more surgery in the future, too.  Pray for Isatu (Grandma Groundnut), whose future is uncertain and whose wound is also slow to heal.  For Aminata, whose tumor is already starting to grow back and who will need to go home on medications that her mama might not be able to afford for a whole year until she comes to see us again.  Pray for Bockarie.  We built a nose to replace the one he lost when his house burned down around him when he was six days old, but the place on his leg where we took the skin to cover the place on his forehead where we took the nose (I know, it's confusing) is also stubbornly refusing to heal, and he'll be heading home on Thursday morning, too.<br />
<br />
There are more, but I don't know their names, patients who have been here for months since plastic and general surgery rotations finished, each battling stubborn wounds as the clock moves inexorably forward.<br />
<br />
We are almost out of time.  Please pray with us.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/570-padi-padi-business.html" rel="alternate" title="padi padi business" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-18T01:26:27Z</published>
        <updated>2011-11-18T13:53:43Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=570</wfw:comment>
    
        <slash:comments>2</slash:comments>
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        <id>http://alirae.net/blog/archives/570-guid.html</id>
        <title type="html">padi padi business</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Today was the last day of surgery; it happens every year, but it still comes as a shock every time.  It's different this time because I've only been here for the last six weeks, but there's still the sense of having come to the end of something monumental.<br />
<br />
To mark the occasion, we had a full-out party on the empty side of A Ward this afternoon.  We crammed almost the entire hospital in there along with caregivers, nurses, day volunteers and anyone else who wanted to come.  It was like the Sunday morning church services on steroids, and I am not kidding you when I tell you that they heard us sing two decks up clear on the other side of the ship.<br />
<br />
Clementine, one of the Patient Life workers, started us off with a reminder that this place is not about preaching religion; it's about a relationship, about the love of God that pulled us from our homes to come to West Africa and serve here.  It's about the love He has for us and the love He wants us to have for one another.  And when it was translated into Krio, I couldn't help but smile.  <em>He no wan church.  He wan dis padi padi business.</em><br />
<br />
Looking around the room as we clapped and sang and danced to the rhythm of the drums, I saw so many people I've built relationships with over the past weeks.  There was more <em>padi padi business</em> crammed into that low-ceilinged room than I could possibly have imagined in such a short time.<br />
<br />
Isatu sat behind me and then danced her way around to the front of me, pulling me up to shake my <em>tumba</em> along with her.  I call her my Grandma Groundnut because of her age and affinity for a peanut-flavoured high-protein supplement she takes to help her wound heal.  G. G. had surgery to remove a cancerous tumour from her jaw; no one knows whether or not the operation will cure her, but it's given her these extra months to live and love.  And, apparently, to become a zebra-printed hair dresser.  (Thanks again to Deb Louden for the photos in this entry.)  <br />
<br />
<!-- s9ymdb:995 --><img class="serendipity_image_center" width="550" height="825" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/Untitled-53.jpg" alt="" /><br />
<br />
When the praise slowed to worship (two entirely different tempos and decibel levels here in Salone), Grandma Groundnut slipped her arms around my waist and laid her head on my chest, just like one of my little <em>pikins.</em>  We swayed together as we sang, and I realized that I love this little old woman.<br />
<br />
When I sat down to hear testimonies, Abu crawled into my lap.  He had surgery a couple weeks ago to take out most of a tumour on his neck.  We couldn't get all of it, which means he'll need more operations in the future, and we've been worried by the length of time it's taken for him to recover from this one.  We've had his name on a list of people who will need follow-up care when we sail away, but just this morning when his nurse took of his bandage, we realized that it was clean and dry underneath.<br />
<br />
<!-- s9ymdb:997 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/Untitled-55.jpg" alt="" /><br />
<br />
Abu has been healed, and as much as I'm ecstatic for him to go home soon, I'll miss our daily chats.  I sit in B Ward every morning writing in charts, and we sing back and forth to each other.  This is another one that I love.<br />
<br />
There are so many more, and today we all sat together and heard testimonies of what God has done in our lives.  My hair was (and still is) plaited in six ragged rows courtesy of Sia's deft fingers, my scrub top damp with sweat, my heart full enough to burst.<br />
<br />
This <em>padi padi business</em> means that a part of me stays here in Salone when we go, just like the pieces I left in Liberia and Benin and Togo and so many other countries around the world.  And I wouldn't have it any other way.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/569-spunky.html" rel="alternate" title="spunky" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-16T22:55:00Z</published>
        <updated>2011-11-16T22:55:00Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=569</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/569-guid.html</id>
        <title type="html">spunky</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                I've waited a little to blog again, because I wanted to tell you about Sia but I wanted to have photos to share with you.  Today our ward photographer came down to take some 'snaps' while we were working, and I think it will be fairly evident that my little Sia is feeling much better these days.<br />
<br />
She had her second chemo treatment on Monday, and has bounced back <em>much</em> more quickly this time around.  It's obvious why; when we gave her the first treatment, her tumors were huge and she was a very sick girlie.  Today, though, she's a completely different person, and boy is her personality amazing.<br />
<br />
She's still scared to death of having her blood drawn, though, something that unfortunately happens fairly often when you're being treated for cancer, and this morning I was the lucky one who got to hold her down for the proceedings.  We use a cream that numbs the area so she's not feeling as much pain as you'd expect, but just the sight of us coming with the tourniquet is enough to start her crying.  By the time we finished this morning (despite a fabulous nurse getting the blood easily on the first try), she was limp in my lap, a puddle of tears staining my scrub pants.<br />
<br />
I wanted to be more than just the one who holds her down while we hurt her, so I did what comes naturally to me: I made a face at her.  And then I made another one, and another until she was finally making them back.  We kept going until she was laughing and reaching up to kiss my cheeks.<br />
<br />
<!-- s9ymdb:994 --><img class="serendipity_image_center" width="550" height="825" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/Untitled-52.jpg" alt="" /><br />
<br />
And now, it seems, I have broken dear Sia.  She doesn't appear to be able to make a normal face in photos any more.  I love it.<br />
<br />
<!-- s9ymdb:996 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/Untitled-54.jpg" alt="" /><br />
<br />
This kid is spunky like you wouldn't believe, and it's what's going to get her through the next few months.  Everything is in place for her to go to the Hope Clinic in Guinea, and we're just waiting for her uncle to arrive so we can send her on her way with all the supplies she needs for the rest of her chemo treatments.<br />
<br />
There's one every outreach.  (Jenn wrote about hers <a onclick="javascript: pageTracker._trackPageview('/extlink/jenninafrica.blogspot.com/2011/11/my-ami.html');"  href="http://jenninafrica.blogspot.com/2011/11/my-ami.html" title="(ami)">here</a>, and I love how she explains it, how there can be so many who mean so much but just one who really gets into your soul.)  Sia is definitely my one, and as short as this time here in Sierra Leone has been, she's got just as much of a hold on my heart as any of the others have.<br />
<br />
(Have I mentioned how much I love this place?)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/568-little-bird.html" rel="alternate" title="little bird" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-12T02:04:29Z</published>
        <updated>2011-11-12T02:04:29Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=568</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/568-guid.html</id>
        <title type="html">little bird</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Yesterday was busy, much like every day around these parts.  We still have more than our share of max-fax patients on the wards, and Natalie's been letting me hang out with the patients while she does the mundane office work.<br />
<br />
I had finally started writing notes in charts when the Patient life team came onto D Ward to start morning worship.  Content to sit and finish my tasks, I was listening to the singing and not paying much attention to what was going on around me.<br />
<br />
Sometimes, though, there are things more important than note writing.<br />
<br />
It wasn't long before I felt a little hand on my knee and looked up to see Kadiatu, her head cocked to one side, eyes asking me to come with her.<br />
<br />
Kadiatu lost the middle of her face to noma, and we've started the process of rebuilding it.  She's still small, so it's too soon for a new nose, but Dr. Gary has cut and pulled and moved and sewn until he's covered the hole next to what's left of hers.  It's been a battle so far, and we're not out of the woods yet, but Kadiatu is a far cry from her former self.  <br />
<br />
No longer angry and frightened, she skips around the ward, feeding tube dangling off her cheek, chirping out goodness knows what in her tribal language.  Yesterday, she wanted me to worship with her.<br />
<br />
I was busy.  It was late and a meeting was just around the corner, and I wasn't finished my work, so I tried to resist.  She gave me a stern look, the likes of which only the very stubborn can really master, and pulled harder at my hand.<br />
<br />
It's hard to resist a <em>pikin</em> with a feeding tube and a new face and a lifetime of struggle in front of her if we don't build her that nose one day.  So I got up and I worshiped with little Kadi.  I clapped and sang and shuffled my feet, and the words surrounded me like a prayer.<br />
<br />
<em>You are the pillar that holds my life.<br />
You are the pillar that holds my life.<br />
Daddy Jesus, You are the pillar that holds my life.</em><br />
<br />
Whatever we do for these patients, whatever help we can offer, it's not us who holds their lives.  There is one much stronger, much more capable of making sure each little chirping bird is sheltered.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/567-nothing-by-halves.html" rel="alternate" title="nothing by halves" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-10T01:07:21Z</published>
        <updated>2011-11-10T23:16:21Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=567</wfw:comment>
    
        <slash:comments>2</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/567-guid.html</id>
        <title type="html">nothing by halves</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                There are some days that I would kill for a hidden camera on the wards, because there's just no way to properly describe this place in plain words.  Today was another one for the books; half hilarious, half heart-wrenching.<br />
<br />
The hilarity started when we got the doctor to come see the sister of a patient.  The patient, eighteen years old, has a little baby, and the sister is here, too, to help take care of the <em>pikin.</em>  The sister was complaining of pain, and we needed to send labs off to make sure she was okay.  In order to send samples to the lab, we need to have an ID number so that the results can be entered in the hospital database, and in order to give out an ID number, we need to know the name and age of the patient.  Simple enough.<br />
<br />
I asked the sister her name, and she answered without hesitation.  The trouble came when I asked her, <em>how many years you get?</em>  Eyes narrowed, she sized me up before answering.  <em>Fifty.</em>  Since she's maybe twenty-two at the absolute max, I laughed and told her I needed another answer.  It came quickly: <em>Okay, fifty-four.</em>  At this point a crowd had gathered (as per usual here in Africa), and I told her that we, in fact, that number was still far too high.  A question in her voice, she gave me her final answer.  <em>Twenty?</em><br />
<br />
Sold to the lowest bidder.<br />
<br />
A little later, I was writing a note in a patient's chart when I felt an inquisitive finger prodding the underside of my bum.  (For those of you not blessed with curves, yes, a bum can have an underside.)  It's a measure of the comfort I have with this place that I didn't even flinch.  When I turned around I found the mama of the little one in Bed Eleven holding her hands a good three feet apart, an approving look on her face.  <em>Fine,</em> she assured me, <em>You have the African shape!</em>  From behind me came another mama's voice.  <em>Ali Tumba!</em>  'Tumba' (<em>TOOM-bah</em>) is the word for rear end around here, and mine has garnered a good amount of attention in recent days.  This morning, it ended up as the deciding factor in a debate.<br />
<br />
The pikin in Bed Eleven is a little three-month-old baby who had his cleft lip fixed yesterday.  His mama calls him Duck, and yesterday she promised <a onclick="javascript: pageTracker._trackPageview('/extlink/jenninafrica.blogspot.com/');"  href="http://jenninafrica.blogspot.com/" title="(her blog)">Jenn</a> that she could marry him.  That was, however, before she caught sight of my tumba.  There were hoots and hollers and a fair amount of elbowing, and I'm not sure, but I think I'm now engaged to Duck.  Please don't tell the HoJ.<br />
<br />
The last story is the heart-wrenching one, but for once it's not in a bad way.  For once I have nothing but good to share with you, and it's good for Sia.  Her story developed in the most amazing way today.<br />
<br />
First, I want you to head over to <a onclick="javascript: pageTracker._trackPageview('/extlink/rekaonafricamercy.blogspot.com/2011/11/saving-life-with-camera.html');"  href="http://rekaonafricamercy.blogspot.com/2011/11/saving-life-with-camera.html" title="(her blog)">Reka's blog</a> and read the story of how Sia was found on the street.  That's how Sia's story started, and you've heard a lot about what's been going on since she arrived on board.  I want to tell you about what's going to happen when we leave.<br />
<br />
We've found a hospital in Guinea where she can receive further treatment, and we've been working out the details as far as how she'll get to and from her home in the north of Sierra Leone and what sort of financial help they'll need to make this all happen.  I worked on the wards today while Natalie, the current Team Leader, spent the day doing office work.  She felt like she wanted to see the sun, so she took her work up to Deck Six to sit in the internet cafe.  While there, one of the women who works with Patient Life came to talk over the whole thing and see where we were at.<br />
<br />
Natalie and Yvonne moved to the comfortable chairs near the cafe and started working out the total cost for Sia to receive the four more months of treatment she'll need.  Factoring in all the costs, it came to around $130.  There's a woman who attend's my mum's Bible study back home who shares my blog with a friend of hers.  That friend already donated thirty dollars towards that sum, and Natalie figured that the remaining hundred would be easily raised since we all love Sia.<br />
<br />
Which is when God stepped in.<br />
<br />
A woman sitting a few chairs over leaned towards Natalie and apologized for eavesdropping.  <em>It's just that, before I left, my neighbours gave me a hundred dollars,</em> she explained.  <em>They wanted it to be used specifically for the care of a child, and I had no idea how to find a child or how to best use the money.  Are you talking about a child?</em><br />
<br />
Of course they were talking about a child.  It's not a joke when it says that He does more than we can ask or imagine; before we could even come up with a plan to raise this money, God had already provided.  He moved in Marie's heart to donate thirty dollars, and he moved in the hearts of an unknown couple to give the rest of the money, specifically to be used for a child.  He arranged for Natalie to take her office day upstairs, for Yvonne to meet her there, for the woman to be sitting near enough to hear their conversation.<br />
<br />
This God of ours, He does nothing by halves.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/566-a-photo-to-go-with-the-story-of-sia.html" rel="alternate" title="a photo to go with the story of sia" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-08T00:48:52Z</published>
        <updated>2011-11-08T00:48:52Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=566</wfw:comment>
    
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        <id>http://alirae.net/blog/archives/566-guid.html</id>
        <title type="html">a photo to go with the story of sia</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Here is my little Sia; this was on Friday just before she went back to the operating room to have the dead tissue that used to be her left eye removed.  She looks even better now, and she's like a new kid these days.  She smiles and laughs and plays and just hangs out like she owns the place in her own quiet way.<br />
<br />
<!-- s9ymdb:992 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_4287.JPG" alt="" /><br />
<br />
She's due for her next dose of chemo this Friday, if all is well with her bloodwork.  We're still trying to figure out what will happen with her when we leave, so please be praying that the way will be shown clearly in front of us.<br />
<br />
(Photo courtesy of the talented Deb Louden, ward nurse and photographer extraordinaire.)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/565-dock-life.html" rel="alternate" title="dock life" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-07T01:55:26Z</published>
        <updated>2011-11-07T01:55:26Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=565</wfw:comment>
    
        <slash:comments>0</slash:comments>
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        <id>http://alirae.net/blog/archives/565-guid.html</id>
        <title type="html">dock life</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Since I've been in bed all weekend nursing a nasty cold, I don't have any updates or stories from the wards.  It would appear that I handle proper illness with much more grace than I do a simple cold.  Whatever the case may be, I haven't left the comfort of my cabin for more than a few minutes at a time.  Not even to head outside to the deck or the dock.  Which, speaking of, I've never shown you.<br />
<br />
Since I live on a home whose backyard changes at least once a year depending on where we drop anchor, I figure it's only fair to keep you updated on the changing view.<br />
<br />
<!-- s9ymdb:983 --><img class="serendipity_image_center" width="600" height="167" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/dock.jpg" alt="" /><br />
<br />
This composite was shot during the forklift incident a couple weeks ago.  (At the bottom left is the Terex machine trying to fish that poor forklift out of the water)  At any rate, the view from this particular dock is absolutely wonderful if you can get past the four-high row of containers hemming us in.  We have a beautiful mountain view, little houses creeping up the side of it, topped with university buildings.<br />
<br />
At the far left there's a little area fenced off for a basketball court; dinner last night was a barbecue out there with everyone sitting in beach chairs and balancing plates on knees.  All along the containers we park our Landrovers, and on the far right is the narrow walkway where we come and go from the dock.  Well, technically, on the <em>far</em> right is a sunset.  Every night you can find people up on Deck Eight watching the sunset.  The sun slips below the mountains on the other side of the harbour as smoke rises from the fishing villages and the call to prayer sounds from city mosques.  On a quiet night you can hear two or three at a time.<br />
<br />
There's not always much room to roam here in West Africa, and it's nice to have a berth with a view this year.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/564-wallpapers,-take-two.html" rel="alternate" title="wallpapers, take two" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-03T21:01:32Z</published>
        <updated>2011-11-06T13:08:53Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=564</wfw:comment>
    
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            <category scheme="http://alirae.net/blog/categories/33-wallpapers" label="wallpapers" term="wallpapers" />
    
        <id>http://alirae.net/blog/archives/564-guid.html</id>
        <title type="html">wallpapers, take two</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                If you downloaded any of the November wallpapers, please accept my scatterbrained apology.  I somehow managed to make all three of them with the month starting on Thursday, not Tuesday.  I didn't notice until today when I started trying to make outpatient appointments on absolutely the wrong days.<br />
<br />
Please accept my hearty apologies and these newly-uploaded backgrounds which have calendars that actually start on the correct day.<br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/novshipyes.jpg'><!-- s9ymdb:990 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/novshipyes600.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/novleafyes.jpg'><!-- s9ymdb:988 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/novleafyes600.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/novcoffeeyes.jpg'><!-- s9ymdb:986 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/novcoffeeyes600.jpg" alt="" /></a><br />
<br />
(However, if you just want them for the photos, then feel free to disregard all this!)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/563-sias-smile.html" rel="alternate" title="sia's smile" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-11-02T21:57:41Z</published>
        <updated>2011-11-04T16:22:54Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=563</wfw:comment>
    
        <slash:comments>2</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/563-guid.html</id>
        <title type="html">sia's smile</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                <a href="http://alirae.net/blog/archives/560-eight.html" title="(the beginning of her story)">Little Sia</a> is still on D Ward; I've been off for the last two days, and when I walked into the room this morning I thought I was seeing things.  Where before she had a tumour the size of a small orange, now the contour of her face is nearly normal again.  Burkitt's responds so quickly to treatment that it's almost unbelievable.  <br />
<br />
She still cries every time we come near her with a needle, something that unfortunately happens every day since she's had a few issues after getting her dose of chemotherapy, but she's eating again, which is a start.  She and her little sister, Kumbah, sit facing each other on the bed at each meal, Kumbah more often than not offering her big sister a handful of beans or rice.<br />
<br />
Today, for the first time, Sia was up and walking around the ward with Kumbah when one of the nurses for some reason decided to scoop Kumbah up in a pillowcase.  Don't ask me why any of these sort of things happen; I'm supposedly in charge of the place, but my hold on the reigns is always just a little tenuous.  Be that as it may, the effect of this move was something I really hadn't expected.<br />
<br />
I looked down a Sia and she was laughing her head off.  She's spent the last week curled up in bed, not speaking a word; I've never ever seen her smile.  Today she laughed.<br />
<br />
Sia's future is still uncertain.  We're working on finding a way for her to get follow-up care when we leave, and with only three and a half weeks until the hospital closes for good this year, we don't have a lot of time.  God is God of the details, though.  He knows each curly hair in each of the braids on Sia's head.  He's written each day of her life in his book, and although we don't know right now just how many days she has left, we've bought her this time at least.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/560-eight.html" rel="alternate" title="eight" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-28T23:57:45Z</published>
        <updated>2011-11-02T22:36:31Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=560</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/560-guid.html</id>
        <title type="html">eight</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Some things are just unfair.  It's not the <em>she got the green cup and I wanted the green cup</em> kind of unfair, but something much more heartbreaking.  It's Sia, downstairs in D Ward right now, her baby sister probably curled up with her, mama keeping vigil on a chair beside the bed.<br />
<br />
Sia is eight, and where her left eye should be is an angry red tumour.  Her belly is swollen with more cancer, and because she was born here in Sierra Leone, she might well die because of it.  It's deeper than that, though.  It's not just that Sia is West African; it's the fact that she came to us at the end of October.  At any other time in the year, we would have entered her into the Burkitt's Program, and that would have been that.  Our incredible palliative care nurse, Harriet, would have overseen her care at the local hospital, Sia would have received chemotherapy, and she most likely would have been cured.<br />
<br />
Instead, we are faced with the reality that we have only three weeks of surgery left.  The hospital will close a week after that, and then we will sail away and little Sia will still be here.  How is it possible that a matter of months, weeks maybe, might be the difference between life and death for this little one?<br />
<br />
She's getting her first dose of chemotherapy here on the ship as I type this, but all we're hoping is that it buys us a little time.  Time to figure out what to do with her after.  Time to find someone who will make sure she gets to the hospital, to find someone who will pay for the treatment.  How can we be sure that she'll get what she needs when we're so far away?<br />
<br />
I stood in the hall with Dr. Gary and Stacia, the oncology nurse who's giving the chemo, (yet another example of the right person being here at the right time) and he said something that makes the way forward just a little more obvious.<br />
<br />
<em>Eight years is too short.</em><br />
<br />
Sia means <em>firstborn girl;</em> if it were me instead of her in that bed, I'd be named the same thing, and I don't know what to do with that.  What I do know is that eight is not enough.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/562-a-hundred-things.html" rel="alternate" title="a hundred things" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-31T02:03:22Z</published>
        <updated>2011-10-31T02:03:22Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=562</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/562-guid.html</id>
        <title type="html">a hundred things</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                There are so many things I love about this place.  A few of us sat together after church tonight and just shared stories of D Ward, and I realized again that there's nothing else I'd rather do.  It's a hundred things a day, and as I live through it all I tuck them into the back of my mind so I can tell you all later.<br />
<br />
There's Nurse Shaka, a patient who had a huge tumour removed from the back of his neck and who may or may not actually be a nurse in real life.  We've caught him adjusting the IV fluid rate on the patient in the next bed, and just today I found him, along with two other patients, in the isolation room where the lady with the <em>fast-fast</em> is staying, having a little chat.  When I mentioned the reason for her isolation, I have never seen anyone move quite so fast as they all did when they realized that they could be catching the <em>fast-fast</em> too.  (Have I said <em>fast</em> enough yet?)  Given the fact that Nurse Shaka speaks her language, I kept him outside her door for a little while longer to translate for me.  Community is alive and well on D Ward, folks.<br />
<br />
Speaking of the lady in isolation, she tried to kick me in the head today, and I learned the value of therapeutic yelling.  Now, I don't generally condone yelling at patients, but a needlestick way back in Liberia has made me a little jumpy around people who flail when sharp things and blood are involved.  I was in there to restart her IV, and when the needle touched her skin, the leg closest to me came up in a decisive kicking motion, and it was at this point that I decided to employ the therapeutic yelling technique, regardless of the fact that she doesn't speak a word of English.  It seemed to work, because when I moved to the other arm for a second try, she screwed up her face and glared at me, but kept perfectly still.<br />
<br />
Fanta Man is doing better.  He has a caregiver here with him now, a man who may or may not be his son.  When I came back into the ward from the near-kicking episode, I had one of the funniest moments of the day when I found the caregiver helping Fanta Man drink tea in an incredibly unique way.  There was a large syringe (the same size as the one he was drinking Fanta from the other day) filled with milky tea, and attached to the end of that was a piece of IV tubing about a foot long.  Fanta Man had the other end of the tubing in his mouth and was sucking back tea, gesturing all the while at his son to speed up the process, please, and mumbling something about how the tea just wasn't coming fast enough.  (There's that word again!)  It's hard to picture, I know; just trust me when I tell you that it's one of the best moves dear Fanta Man has pulled since arriving.<br />
<br />
Once I had finished laughing about Fanta Man, I headed to the recovery room to check on little Kadiatu, who had to go to the OR this morning because she basically removed everything possible during the night; feeding tube, IV, bandages.  Everything.  And because she needs to wait for surgery to build her a nose, inserting a feeding tube that goes through the nose and into the stomach isn't something that can be done just anyhow.  I heard her yelling before I even got into the room, and she was already starting to reach for the new tube, so I did the most obvious thing.  I ran to the ward for a safety pin and I pinned that tube to one of the braids in top of her head.  Only in Africa.<br />
<br />
Four moments out of a hundred, and I head to bed exhausted again but happier than ever that this is the place that God wants us to live out the love He's given us to share.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/561-no-shirt,-no-shoes,-no-discharge.html" rel="alternate" title="no shirt, no shoes, no discharge" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-29T21:06:00Z</published>
        <updated>2011-10-29T21:06:00Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=561</wfw:comment>
    
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        <id>http://alirae.net/blog/archives/561-guid.html</id>
        <title type="html">no shirt, no shoes, no discharge</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Today was another busy day.  We really could have used another nurse, and we were all running from the moment we came in until long after the shift was over; it might be enough to mention that I <em>just</em> ate lunch.  At four thirty in the afternoon.<br />
<br />
There were problems to be solved and issues to be dealt with left and right.  Sia got her chemotherapy last night, so her medication record has grown to span three pages as we work to keep her system running properly.  Kadiatu, a little one who had surgery to basically create a face where noma had taken hers, screamed whenever anyone even touched the feeding tube that she needs until her new mouth heals.  Baindu's tongue has a dead spot in it that needs to be dealt with, and one of our patients who has been staying in B Ward needed to be brought back down the hall and placed in isolation in the ICU for a raging case of what the Sierra Leoneans politely refer to as <em>fast-fast.</em>  (Hint: it comes out of the backside at precisely the speed indicated.)<br />
<br />
Add to this the fact that there's a massive jigsaw puzzle to be fit together every weekend in order to get the new admissions in for surgery on Monday, along with all the administrative tasks that our admin assistants take care of during the week and notes and orders to be written for thirty-five patients, and you can start to see why I might have been a little busy.<br />
<br />
Handing over the reigns to Jenn at shift change was a good feeling, and included my favourite problem of the day.  <em>Abu in C Ten is ready to go when his brother comes to pick him up.  We just have to find him a shirt.</em>  Abu is from Guinea, and I've been serving as his interpreter for the last few days since he only speaks French.  My language skills were sorely stretched this morning when he explained that his shirt had disappeared and that he didn't really feel like going home topless.  I assured him that we would make it our top priority.<br />
<br />
Forget kids with cancer and dehydrated old ladies; getting this guy a new shirt is probably the most important thing to be done.<br />
<br />
Jenn agreed with the urgency of the task and dutifully wrote it at the top of her list.  It's comforting to know that the ward is in good hands for the evening.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/559-her-royal-highness.html" rel="alternate" title="her royal highness" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-26T21:19:11Z</published>
        <updated>2011-10-28T23:57:41Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=559</wfw:comment>
    
        <slash:comments>6</slash:comments>
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        <id>http://alirae.net/blog/archives/559-guid.html</id>
        <title type="html">her royal highness</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                And the crazy days continue.  This one wasn't so much because of Fanta Man or Bed Fourteen, although both are still here and both are still problematic behaviour-wise, but more because we had a rather prestigious visitor to the ship.  <a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Anne,_Princess_Royal');"  href="http://en.wikipedia.org/wiki/Anne,_Princess_Royal" title="(the princess! seriously!)">Princess Anne</a> came and spent some time on the Africa Mercy this morning.<br />
<br />
<!-- s9ymdb:981 --><img class="serendipity_image_center" width="405" height="382" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/314922_10150362033711668_582996667_7992323_1650608812_n.jpeg" alt="" /><br />
<br />
The place has been buzzing with news of nothing else for the past few days.  The hospital was a flurry of activity right up until the announcement of her arrival as day volunteers scrubbed away errant scuff marks on the walls and patients were tucked firmly into their beds.  A few people (Brits, for the most part; my accent isn't nearly posh enough) were chosen as representatives of the hospital and donned crisp navy scrubs for the occasion.  (This was a matter of much hilarity among the rest of us, who were somehow less classy in royal blue.)<br />
<br />
We spent the morning practicing our curtseys, debating whether or not Americans should do so, and deciding which patients would be appropriate for the princess to meet.  Unsurprisingly, Fanta Man was not on that list.  In fact, we figured it would be best just to keep her off his side of the ward altogether, since his chats with the soap dispenser have now extended to include the water filter, too.  It's just too hard to know how he would react to a real, live princess given his frustration with inanimate objects.<br />
<br />
When she did arrive, Princess Anne was lovely.  She met the two patients we had picked out for her, and then just kept right on going around that side of the ward and met all the rest of them, too.  I got trapped in a corner, and so when she got around to the lady in Bed Twelve, I was the one the princess turned to when she asked about the patient's surgery.<br />
<br />
I got to talk to the princess, bright blue scrubs and all.  I've done come crazy things here on this ship, but explaining oro-nasal fistula surgery to the daughter of the Queen of England?  That's right up there with the rest of them.<br />
<br />
We herded her out before she had a chance to ask about beds one through five, and the visit can therefore be called a success.  Fanta Man drank the rest of his purple Fanta in celebration, and Bed Fourteen (who is now in one of the smaller rooms off the ICU) slept through the entire thing.<br />
<br />
The whole thing, having a royal visitor in our floating world, just seemed so surreal.  Kirstie, the Ward Supervisor, put it really well at a nurse meeting this afternoon.  <em>I know we do this all the time, but as I was explaining to her that we just took a big tumor off this man's face, I realize how incredible it really is.</em>  All of this, Fanta Man and Bed Fourteen and changing bandages and taking temperatures, all of it is part of something so much bigger than ourselves, and we can't lose sight of this.<br />
<blockquote><em>I heard a voice thunder from the Throne: "Look! Look! God has moved into the neighborhood, making his home with men and women! They're his people, he's their God. He'll wipe every tear from their eyes. Death is gone for good—tears gone, crying gone, pain gone—all the first order of things gone." The Enthroned continued, "Look! I'm making everything new.  (Revelation 21:3-4, The Message)</em></blockquote>He is making everything new, and we are a part of it every single day.  Whether we're performing for princesses or sitting in the dark at the bedside of a confused old man, we are part of the making new of all things.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/557-the-continued-adventures-of-fanta-man.html" rel="alternate" title="the continued adventures of fanta man" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-24T01:18:37Z</published>
        <updated>2011-10-27T11:06:10Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=557</wfw:comment>
    
        <slash:comments>5</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/557-guid.html</id>
        <title type="html">the continued adventures of fanta man</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                You didn't think yesterday's post was it, did you?  That Fanta Man would just go to sleep and wake up clear-headed and bright-eyed this morning?  Folks, if you were expecting that, then you have come to the wrong blog post, because this one is a straight-up continuation of yesterday's antics.<br />
<br />
When we all came on shift at seven this morning, things seemed like they were set to run much more smoothly than yesterday.  Fanta Man was tucked into bed, fully clothed, not a trace of orange on his dressing.  My little man from yesterday was assigned to a different nurse, but he was off his morphine pump and feeling much better about life.  Everything was quiet.  Until breakfast.<br />
<br />
Fanta Man produced not one but two Fantas from who knows where, purple this time, and proceeded to pour one of them into his bowl.  He crumbled up his bread into it and then called over his nurse, Jess.  I was upstairs getting my own breakfast when she showed up in the dining room in search of a spoon.  Apparently Fanta Man wanted a spoon to eat his purple bread with, and when Jess didn't produce one right away, he pulled a huge wad of cash out of, well, somewhere.  (There are no pockets in hospital gowns, so we're not sure where it really came from.)  He had 92,000 Leones, and it was all hers if she could just find him a spoon.<br />
<br />
Since we don't really take bribes, she offered instead to lock up the money in the safe where it belongs.  That went well for about fifteen minutes until he decided that he did not trust us at all, and started yelling that he needed his money back.  When it wasn't immediately forthcoming, he threatened to call the army on her, which only resulted in her bursting into laughter.  Not terribly professional, I know, but it was really the only response given the situation.<br />
<br />
Unfortunately, this didn't help Fanta Man's mood, and he headed over to the sink and started yelling unintelligibly at none other than the soap dispenser.  He kept pointing over at Jess with a disturbed look on his face, and turning back to the soap dispenser for some sort of acknowledgement of his feelings.<br />
<br />
The soap dispenser didn't have much to say.<br />
<br />
So Fanta Man did what any confused old man would do; headed back to bed, donned a pair of bright pink pants under his gown, after which he rifled through his bag for a while and pulled out a book that he had been reading.  He had apparently been marking his place with a piece of bread, at least a week old and as hard as a rock with a little hole eaten out of the center, which he pulled out and waved at Jess, who was pretty much unable to keep it together at this point.<br />
<br />
It was shortly after Fanta Man pulled on the second pair of pants, bright blue over the pink ones, that confusion broke out on the other side of the ward.  The patient in Bed Fourteen, the guy I used yesterday to translate for my patient in Bed Nine, was fully dressed and halfway down the hall, heading home before anyone noticed.  One of the translators ran after him and returned with his bag, but not with him.  <em>At least now he will not go far,</em> was her matter-of-fact explanation of why she chose luggage over patient.<br />
<br />
Somehow, overnight, the tables turned, and now Bed Nine was able to speak more French than Bed Fourteen, and so I used Nine to talk to Fourteen as I tried in vain to convince him to stay.  It was slow going, since both the men have recently had surgeries on their jaws that have left them mumbling and near-impossible to understand in any language.  The three of us stood in the hall for a while, working on communication when a third patient showed up from B Ward on crutches.  She also spoke no English, but her French was perfectly West African, and clear as day for me to understand. <br />
<br />
Unfortunately, just understanding the language doesn't mean you can convince someone that they're at risk for infection if they leave the ship, especially not when Fanta Man is escaping D Ward through the back door to the ICU and needs to be caught.  (Incidentally, the only way to get Fanta Man out of the ICU and back into bed was to convince him that not only the ICU but also his home and the entire country of Sierra Leone were, in fact, closed for business.)<br />
<br />
At some point, we just kind of threw up our hands and yet again admitted that only the essentials were going to get done today.  Keeping Fanta Man and Bed Fourteen in the ward were the only real priorities, and it seemed like it took all of us all day just to make it happen.  When I went down just now to retrieve a water bottle that I forgot at the end of the day Bed Fourteen was still there, his bag hidden under another patient's bed, and Fanta Man was sitting with a translator next to his own bed, a classy coral jacket added to his ensemble over his gown.<br />
<br />
I'm not going to lie when I say that I'm glad I have the day off tomorrow.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/556-fanta-man.html" rel="alternate" title="fanta man" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-22T23:13:18Z</published>
        <updated>2011-10-24T13:38:29Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=556</wfw:comment>
    
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/556-guid.html</id>
        <title type="html">fanta man</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                <em>Tomorrow I'm going to see if I remember how to be a real nurse.</em><br />
<br />
Famous last words, those.<br />
<br />
Today was a shift unlike any I've had in recent memory.  It wasn't that I had a bad assignment; a pharyngoplasty two days out and three grownups who could, for the most part, express their needs and didn't have a lot of care to give is a great set of patients.  Except it's never that easy, is it?  Of course one of my patients only spoke obscure tribal languages, and the only other person around who spoke those same languages was another patient (not mine) who also only spoke French.  I didn't really hesitate, since the kid who had had a pharyngoplasty (a nasty surgery, by any account) was vomiting on the other side of the room, and pulled the French-speaking patient to the bedside of my old man so I could do a quick assessment.  That other patient has apparently been here long enough that he started anticipating my questions, and was able to tell me not only that my old man had opened his bowels, but what the consistency of said action was.<br />
<br />
That being sorted, I turned to Alpha, my poor little man in Bed Twelve.  He was a sorry sight, with a soft plastic 'trumpet' in one nostril so he could breathe, a feeding tube in the other, an IV of morphine running into one little hand, and a pathetic look on his face.  Although, to be fair, if you had a flap from the back of your throat cut off and sewn to the top of your mouth, you'd probably look a little pathetic, too.  It was one thing after another with Alpha today; everything I put down his feeding tube came right back up, and since kids aren't really picky about <em>where</em> they vomit, he got numerous baths and two complete linen changes.<br />
<br />
All of this would have been fine, honestly, if it hadn't been for Fanta Man in Bed One.  He wasn't my patient, but it quickly became apparent that he was everyone's problem.  He started the shift with a heartrate over 130 (not good) and breathing that sounded like a sick duck (very not good).  He was becoming increasingly confused (also not good, although in my case it's fairly normal), and wouldn't keep the oxygen mask on his face.  Just try, if you can, to picture the scene.  An elderly gentleman with his gown around his waist and his head wrapped up in a huge white bandage sitting on the side of his bed. A wheelchair is waiting to take him to x-ray, and there are at least five nurses and doctors around the bed.  Sheets in absolute disarray, monitor showing crazy numbers, egg smeared all over the floor (not sure how that happened), and a puddle of something best not mentioned on a family blog also all over that floor.  And in the middle of all this sits Fanta Man, oxygen mask firmly pulled away from his face, pouring an orange Fanta in the general direction of his mouth, missing completely and soaking his bandage in the process.<br />
<br />
Somehow, I don't think we'll be seeing him in the Fanta ads.<br />
<br />
It was quickly apparent that <a onclick="javascript: pageTracker._trackPageview('/extlink/jenninafrica.blogspot.com/');"  href="http://jenninafrica.blogspot.com/" title="(her blog)">Jenn</a> (who, I must add, is a NICU nurse, and not really the first one you'd imagine taking care of a confused old man) had to focus completely on this guy, so we each took one of her other patients, giving me the barfing boy and four grownups with two dressings each to change.<br />
<br />
Folks, I'm officially recovered from that arthritis, because I did not stop moving for eight hours straight.  They were possibly the fastest eight hours of the past year, and only when it was over, Fanta Man tucked into bed with a clean gown and bandage, a new IV started on my little guy by Jenn (who is, honestly, a rockstar) and all of my tube feeds were given did I realize that I'm still a nurse.<br />
<br />
I guess there are some things you don't forget, no matter how long it's been.  Changing bandages and holding barf buckets and titrating morphine and juggling the needs of a whole row of people seems to be, at least for me, like riding a bike.  I'm just hoping that tomorrow I can ride a little slower.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/553-the-way-it-should-be.html" rel="alternate" title="the way it should be" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-18T12:38:31Z</published>
        <updated>2011-10-24T13:38:23Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=553</wfw:comment>
    
        <slash:comments>1</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/8-loss" label="loss" term="loss" />
    
        <id>http://alirae.net/blog/archives/553-guid.html</id>
        <title type="html">the way it should be</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Thank you for your prayers for James; please pray for his family now.  He passed away this morning, but he was not alone.  That's all I think about, haunted by the memory of the others who have died downstairs.  He didn't collapse in the street or die curled up in a corner somewhere.  He was in the best hospital in the country, given every possible medical chance; there was nothing more we could have done.  He was cared for until the very end and he died surrounded by love and prayer.  I wasn't there, but I have been before, and I know how it is here. <br />
<br />
And still it seems so wrong.  I think I say this every single time, but this is not what we all sign up for when we come to Mercy Ships.  We think we're coming to watch cleft lips be stitched back together, to see crooked feet straightened and blind eyes given sight.  Nowhere in the orientation packet does it say anything about how, sometimes, they die.<br />
<br />
It's jarring, the disconnect.  Last night I went down to D Ward to get the keys for the pharmacy, and a little girl with an as-yet-unrepaired cleft lip lifted up her hands to me.  She wound her skinny arms around my neck and planted a series of sloppy wet kisses on my cheeks, and right behind her was the door to the ICU where James was dying and it just seemed so unreal.<br />
<br />
So please keep praying for his family.  It rained all night, and it's still raining this morning, so I don't know how the roads will be when they try to take him home.  Strange, to have to think about that, too.  At home it's all so simple; you call the funeral home, and they take care of it.  Things are messier here.  We're more involved, more a part of our patients' lives than is considered really proper in the 'real world.'<br />
<br />
I think it's how Jesus would have wanted it.  I look into the Gospels and I see Him weeping outside the tomb of a man He was about to raise from the dead, fully present in the moment, sharing in the grief of his friends.  And I think of the ones who stood vigil around James' bed this morning, present in <em>his</em> last moments, and I know that this is the way it should be.<br />
<br />
We're not on this earth to live our own lives, untouched by what goes on around us.  If that's the example we were to follow, Jesus would have lived his thirty-some years out in a monastery.  He didn't.  He lived in community with the world; He got dirty and He got hurt.  Some days it felt like too much, but always compassion moved Him to give more.  He loved the unlovable, had parties with sinners and wept with those who mourned.<br />
<br />
This is the way it should be.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/555-tell-am-tenki.html" rel="alternate" title="tell am tenki" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-22T02:26:43Z</published>
        <updated>2011-10-22T02:26:43Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=555</wfw:comment>
    
        <slash:comments>0</slash:comments>
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        <id>http://alirae.net/blog/archives/555-guid.html</id>
        <title type="html">tell am tenki</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                In the hospital here on the Africa Mercy, we have a policy that anyone fifteen years old and younger be admitted with someone to care for them.  It's the reason we have a column on our computer census marked <em>caregivers,</em> where we keep track of those extra bodies on the ward.  If a mama is admitted for her own surgery and she's still breastfeeding a baby, that baby gets entered on the caregiver list, too.<br />
<br />
Today, in Bed Twenty, we had what must have been a record number of caregivers: three.  A mama was admitted for surgery and she has twins who are breastfeeding.  But because these twins aren't tiny babies but rather wild, crawling near-toddlers, she also brought along an Aunty (a female of undetermined relation) to watch over Hassan and Haja when she went to the operating room.<br />
<br />
Let me tell you something here: there is not much that I like more than a good set of African twin babies.  Especially when they're as beautiful as these two.  This morning, while mama rested and Aunty took a bath, the Patient Life team came onto the ward for morning devotions.  Patient Life is a team of crew members, both African and Western, and local Sierra Leonean day volunteers who take care of the spiritual and emotional health of our patients.  While we change bandages and give pain medications, they're on call to counsel, pray and sing with our patients.<br />
<br />
This is the first morning I've been on the wards, and when they started to sing, I couldn't help myself.  Right away, I was clapping and dancing and singing along, and it was the most natural thing in the world to grab little Hassan and strap him to my back with a colourful lappa.  (Here in Sierra Leone it's called <em>po-po'ing</em>, as in <em>I po-po'ed Hassan.</em>)  I could feel him rustling around until he got his little thumb into his mouth, and then he relaxed and fell asleep as all around us voices raised in harmony, singing praise to Papa God.<br />
<br />
<em>Tell am tenki, tell am;<br />
Tell Papa God tenki.<br />
Wat He do foh me,<br />
I go tell am tenki.<br />
Na wat He do foh me,<br />
I go tell am tenki.<br />
Tell am tenki, tell am;<br />
Tell Papa God tenki.</em><br />
<br />
It was one of the first songs I learned back in Liberia; we sang it at the very first community meeting I was a part of.  Now, more than three years later, I'm singing it again.  Everything so much the same, and somehow so different.  I didn't need help to get that baby on my back.  My feet know instinctively how to move, my hands how to clap out the three-beat rhythm.  It's the most natural thing in the world to stop dead in the middle of a day of work to have a dance party.<br />
<br />
Who wouldn't want to live like this?!<br />
<br />
And the icing on the cake, despite my love for my little twins, is the fact that today was my last official shift on B Ward.  Tomorrow I head back down the hall to the land of maxillo-facial surgery and the patients who have the biggest place in my heart.  Next year in Togo I'm going to be taking over the role as Team Leader, and Natalie, the current queen of the NG's, has a whole lot to teach me before she leaves.<br />
<br />
Tomorrow I'm going to see if I remember how to be a real nurse.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/554-so-it-goes-on.html" rel="alternate" title="so it goes on" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-20T03:33:50Z</published>
        <updated>2011-10-20T21:47:13Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=554</wfw:comment>
    
        <slash:comments>2</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/7-paradox" label="paradox" term="paradox" />
    
        <id>http://alirae.net/blog/archives/554-guid.html</id>
        <title type="html">so it goes on</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                If there’s one thing sure in an uncertain life, it’s that it will move on.  James passed away yesterday morning, and the same afternoon a little almost-two-year-old with the same name was admitted to B Ward.  Sporting curly hair and a miniature pair of sunglasses, he spent the evening laughing, stomping around the room and snuggling with me.  (You can probably guess which was my favourite of his activities.)  James had cataract surgery a while ago, and was back to have the sutures taken out of his eyes.  It was clear from the way he grinned up at me that he could see perfectly, but he flat-out refused to let anyone touch those glasses, which earned him the nickname <em>Baby Ray Charles.</em>  His mama approved.<br />
<br />
By the time I came in this afternoon, Baby Ray had been to the OR to have the sutures taken out of his eyes and had already been sent home, so I had no one to play with.  The shift turned out to be busier than I anticipated, though, so I didn’t have much time to miss him.<br />
<br />
It was one of those shifts so full of both good and bad, one of the ones that has you reeling from the near-whiplash of emotions.  For some patients, it was good news.  Surgeries to be performed, stubborn wounds healing.  For others, it meant heartbreak.  We turned one guy away because of a tooth abscess that would make anesthesia too risky, told another that he’s HIV positive and watched his world crumble around him. It’s almost impossible to go from that to a particularly funny ward round where the surgeon tried his hardest to talk like a Sierra Leonean, and I was told in no uncertain terms that I speak Krio like a Liberian.<br />
<br />
But that’s the way it is here.  Life ebbs and flows and sometimes the only way to survive is to just let it wash over you, arms open wide to receive the joy along with the pain.  The sweet and salty mix and it’s a drink that doesn’t always go down easily.<br />
<br />
Kisses from freshly-repaired cleft lips help; I got a few of those today, along with a little three-year-old dance party in the now-empty ICU.  I printed out the discharge papers for the boy with HIV, and as I headed home down the hall after handover, one of the day volunteers called out after me.  <em>Goodnight Liberian woman!</em><br />
<br />
And so it goes on.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/552-pray-for-james.html" rel="alternate" title="pray for james" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-16T06:40:03Z</published>
        <updated>2011-10-18T03:20:33Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=552</wfw:comment>
    
        <slash:comments>6</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/12-prayer" label="prayer" term="prayer" />
    
        <id>http://alirae.net/blog/archives/552-guid.html</id>
        <title type="html">pray for james</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                There's a single tone that comes over the ship's intercom that marks the beginning of a ship-wide announcement.  Usually you hear it when we're taking on fuel, or when the garbage container is full or things like that.  <br />
<br />
When it sounds at eleven on a Saturday night, you immediately assume the worst.  Last night, that's exactly what it was.  <em>Emergency Medical Team to the ICU.  Emergency Medical Team to the ICU.</em><br />
<br />
We arrived quickly (not hard to do when you're living directly above the ICU itself) and everyone fell into place around the bed as we sought to save the life of the man lying there.  I won't go into much detail, as I honestly don't know him, apart from everything that happened last night.  Suffice it to say that he has an infection in his brain, and after a late-night trip to the OR, things don't look good.<br />
<br />
He's being cared for now in the ICU, his family is on the way, and we're all praying for a miracle.<br />
<br />
It's strange, this life.  There's a critically ill man just below where I'm sitting, and I'm finding it hard to really care.  I know that sounds awful, so please let me explain.  For some reason this all feels so different from other times.  Maybe because the first time I ever saw him he was unconscious and we were breathing for him, but I don't feel the same way I normally do when someone is so sick.  There's no background, no common experience apart from that one, long, frantic hour before we turned him over to the OR staff.  He's not a baby that I've held in my arms; I don't even know if he has family apart from the brother we were able to get in touch with this morning.<br />
<br />
And despite all this, he is just as important as any of them.  I am called to love this stranger in the same way I loved Baby Greg or O'Brien or Anicette, but I don't know how.  I stood by his bed this morning, my hand on his arm, and I prayed for him.  And I still don't feel anything.<br />
<br />
Call it compassion fatigue, call it what you want, but you can't always care enough.  Or at least you don't always, even if you should.  It's one of the hardest things about this life, a life where you come face to face with pains and death on a consistent basis.  Sometimes you just step back, throw up whatever shield you can and go on living despite the fact that there's a man fighting for his own life not fifty steps away.  And you feel guilty for doing it, but there's no other way.<br />
<br />
This is hard, not because I know him, but because I don't.<br />
<br />
<br />
Please pray for James and his family.  I'll update as I know anything more.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/551-promise.html" rel="alternate" title="promise" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-13T07:16:34Z</published>
        <updated>2011-10-14T02:33:15Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=551</wfw:comment>
    
        <slash:comments>1</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/5-hope" label="hope" term="hope" />
    
        <id>http://alirae.net/blog/archives/551-guid.html</id>
        <title type="html">promise</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                It's a little after three in the morning, and the wards are quiet.  I'm working my last night shift in A Ward, since one of their nurses called out sick, so I'm not taking care of little Taslim tonight.  I checked on her a little while ago, and she was fast asleep, the steri-strips holding her top lip together looking for all the world like little kitten whiskers.  I'm also happy to report that the oldest of my nine patients tonight is fourteen.  It would be the understatement of the year to say that I'm relived not to be in charge of any grown men with hernias.<br />
<br />
Don't get me wrong; general surgery is an important part of what we do here, because sometimes transforming a life isn't as dramatic as rebuilding a face or straightening crippled feet.  Sometimes it's the unseen troubles, a hernia that's caused years of pain for a man, destroying his ability to work and provide for his family.  When we can step in and fix that, we give life to that family again.  But really, at the end of the day, I'm a pediatric nurse.  Call me crazy, but I'd much rather be wrestling with a three year-old who's bent on kicking me in the face because she doesn't want her temperature taken (true story, that) than watching a grownup sleep quietly.  Seriously, where's the fun in that?<br />
<br />
The little ones here in A Ward have all been here long enough due to different complications with their plastic surgeries that they know the drill.  (Whether or not they choose to comply with said drill is entirely up to the whim of the moment.)  There's something incredibly endearing about a one-and-a-half year old who sees you coming with the monitor and smiles up at you as he holds out his chubby finger for the oxygen probe.  Or the six year-old who insists it's cold enough to be wearing a knitted winter hat and then needs to be tucked in when he falls asleep and kicks off his covers.<br />
<br />
I'm sitting here, reading down this list of kids on my clipboard, and it's like reading a promise.<br />
<br />
Instead of ridicule and stares and whispers behind their backs, they're being rebuilt now.  Extra digits removed, fingers burned by fire made straight again, wounds covered, fingers created from webbed masses of skin and bone.  These are the things that make you hated here, the things that keep you from school because of the fear that other people feel when they look at you.<br />
<br />
Here on the ship, we speak to them of a new reality.  We hold their mangled hands, touch their scarred cheeks where skin has hardened like wax, snuggle them into our laps no matter what they look like.  We change their bandages, help them bathe, look them in the eye and acknowledge their worth. We who are filled with the love of Jesus can't help pouring that out on our patients and the result is that these nine names on my clipboard are now kids who fully believe that they deserve that love.<br />
<br />
It seems like such a small thing, but it's everything.  I've been at this for more than three years now, and I'm blinking back tears as I sit here and think about what this all really means.<br />
<br />
This place is a promise.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/550-the-most-exciting-thing.html" rel="alternate" title="the most exciting thing" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-12T03:58:00Z</published>
        <updated>2011-10-12T21:26:35Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=550</wfw:comment>
    
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            <category scheme="http://alirae.net/blog/categories/10-patient-stories" label="patient stories" term="patient stories" />
    
        <id>http://alirae.net/blog/archives/550-guid.html</id>
        <title type="html">the most exciting thing</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                This evening, we had a little excitement, Africa Mercy-style.  I was eating dinner with some friends in the cafe on Deck Five when one of them casually mentioned that the retrieval efforts were still going on outside.<br />
<br />
<em>Retreive what?</em> I asked, naively.<br />
<br />
It turns out that one of the forklifts we use to unload containers had fallen into the sea between the ship and the dock and was buried in five feet of mud at the bottom of the port.  The divers (my boss' boss Dan, and dear Aussie friend Tim) were suited up and getting ready to head into the murky water to see if they could attach cables so that the Terex (a huge container-moving machine found in ports, and yes, it's pronounced like the dinosaur) could haul it up.<br />
<br />
What followed was easily the most entertaining night in AFM history.  The rescue efforts went on until after dark while those of us watching were also treated to a beautiful sunset and a lightning storm off the port side.  There were enough people on deck that it looked like we were getting ready to raise anchor and sail away, but really, it was just curiosity and lack of anything better to do.  (We're easily amused over here.)<br />
<br />
I stayed until the divers resurfaced and it became apparent that the Terex wasn't the man (pardon me, <em>machine</em>) for the job and then watched the lightning storm for a while before work.  I headed down to B Ward for my second night shift in a row fully convinced that I had seen the most exciting thing that would happen for a while.<br />
<br />
Until I picked up the chart for my little four-month old patient in bed twenty.  Taslim was all tucked in and sleeping soundly, making little whiffling, sleepy noises through her cleft lip and palate and when I got to the part about family history I stopped cold.<br />
<br />
<em>Adopted. (Child was abandoned.)</em><br />
<br />
Just that.  Nothing more.  When Taslim was born with a face split wide, her mama couldn't bear it.  I dont know why.  I don't know what kind of fear or anger or feelings of inadequacy were going through her head when she bundled up her baby in the middle of the night and left her on the doorstep of a woman she knew was a nurse.  All I know is that she couldn't see her way clear with a baby born so broken.  They found her there the next morning, crying for hunger, and they took her in, fed her, loved her.  When the rest of the world ran away, this family ran straight for Taslim, scooped her up and poured life into her.<br />
<br />
She'll have surgery to correct her cleft lip in the morning.  Tonight she sleeps in the care of her new family.<br />
<br />
That's the most exciting thing.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/548-who-i-want-to-be.html" rel="alternate" title="who i want to be" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-09T02:41:53Z</published>
        <updated>2011-10-12T04:58:17Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=548</wfw:comment>
    
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        <id>http://alirae.net/blog/archives/548-guid.html</id>
        <title type="html">who i want to be</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                In the middle of our shift today, one of the nurses I was working with turned to me and said something that I consider a real compliment, considering the way things were going.<br />
<br />
You see, right at that moment, I had just returned from the hall, where I had been swaggering up and down with Comfort and Abiba, both of whom had blankets tied like capes around their necks.  We were practicing our model walks; Comfort's posing far outshone Abiba's tentative attempts, but both were giggling.  My hair was up in wild, uneven pigtails, tied with purple string, courtesy of the two girls, and I had stickers on my forehead and cheeks.<br />
<br />
I was breathless and laughing and one of the nurses turned to me and said, <em>Jenny </em>(one of the nurses who knew me from before)<em> described you exactly right.</em><br />
<br />
If people describe me that way, the way I was halfway through my shift this evening, then I am exactly who I want to be and I am exactly where I want to be.<br />
<br />
Comfort is eleven.  She's from Nigeria, and when she was four, a tumor started growing out of her cheek until it was the size of a grapefruit.  It swelled out from the left side of her face, disfiguring her and condemning her to a life of shame.  Two or three years before that, in the bush here in Sierra Leone, Abiba fought a battle with <a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Noma_(disease)');"  href="http://en.wikipedia.org/wiki/Noma_(disease)" title="(the wiki article)">noma</a> that ate away most of her top lip.  Both have been here for a while as our surgeons cut away disease and worked to reconstruct their faces.  Both have known ridicule and hate, and today we wanted them to know love.<br />
<br />
And so we laughed.  Rosie and Robyn (two women who work in other areas of the ship) came down to give foot and hand massages, we painted nails in pretty colours and then we headed out to the hall to practice our swagger.  Abiba's normally withdrawn demeanor gave way, just for a moment, to a little diva in a red cape.  It's the first time I've seen her come out of her shell, and Comfort is now far enough out of hers that there's really no going back.  I never feel more like myself than I do in moments like this, in the times when I get to watch little girls laugh and play the way they should after years of not being able to look other people in the eye.<br />
<br />
When I walked into the dining room to get some water after my shift, one of my friends did a full-on double take.  <em>What happened to your hair?!</em><br />
<br />
Nothing happened.  This is just who I am, apparently.  Lopsided hair and all.<br />
<br />
<!-- s9ymdb:974 --><img class="serendipity_image_center" width="600" height="450" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/Untitled-51.jpg" alt="" /><br />
<br />
This is exactly who I want to be.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/549-the-pied-piper-of-d-ward.html" rel="alternate" title="the pied piper of d ward" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-10T01:47:00Z</published>
        <updated>2011-10-10T01:47:00Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=549</wfw:comment>
    
        <slash:comments>0</slash:comments>
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        <id>http://alirae.net/blog/archives/549-guid.html</id>
        <title type="html">the pied piper of d ward</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                I just finished another delightful shift on D Ward.  I spent most of the morning trying to think of games and crafts to amuse Comfort and Abiba, completely forgetting that they were due to be moved to the HOPE Center before I ever arrived on shift.  The HOPE Center is something we have in each country we work in, a necessity in a place so different than anything you can probably imagine.  In the first world, if you're sent home with a bandage to be changed or a cast to be looked after, there are services in place to make that happen.  There are visiting nurses to come to the house, clinics where you can be seen after hours, pharmacies open all night where you can get medications if you're in pain.  You have food on the table and a clean place to sleep, and so you don't need to stay in the hospital.<br />
<br />
Here in West Africa, we send our patients home to dirt or concrete, to five in a bed and nothing on the table, to raining season and malaria and malnutrition and no money to set any of that right.  And so we can't actually send them home.  Enter the HOPE Center.  It's always packed full of patients who are either being fattened up so they're healthy for surgery or finishing their recovery afterwards in an air-conditioned room with three meals a day.  They receive health education while they're there, and each one goes home with a mosquito net.<br />
<br />
It's a wonderful place, but I had totally forgotten that my two little models were going to be strutting their stuff over there instead of in the hall on Deck Three, so I was a little disappointed when I arrived.  I was looking forward to a rather boring shift when I looked at my clipboard and realized that, of the five new admissions waiting outside, four of them were under three years old.<br />
<br />
When their beds were made, I ran outside to where they were all waiting, huddled under the tent on the dock.  Three mamas and a papa, each with a cleft-lipped <em>pikin</em> in tow.  I felt like the Pied Piper as I led them up the gangway and down into the hospital.<br />
<br />
I'm not sure how the children felt about the Pied Piper initially.  In my case, the <em>pikins</em> were more than a little nervous, taking in the situation with wide eyes and a few cries from the safety of their mamas' backs.  But I've said it before and I'll say it again: I have yet to meet the kid who isn't friends with me.  It just takes some of them longer to realize it.<br />
<br />
I am happy to report that all four little ones are tucked into bed as I type, having spent the afternoon playing peekaboo, riding around on every toy with wheels (whether or not said toys were even close to big enough for such a purpose), or snuggled into my lap while I charted.  I know I'm not supposed to have favourites, but Philip would totally be mine if I did.  He rolled onto the ward sporting a crack that would make any plumber green with envy.  His belly was just too big for his pants to sit high enough to provide any kind of coverage, and because big bellies aren't usually the result of too much food here, he won himself a prompt dose of worm medicine.  We were quickly forgiven for that, and he turned out to have the cutest little laugh, which he showered on us at intervals in the running monologue he chirped out from his nest of blankets.  If I can find a photo of Philip, I will most definitely post it; he's too good not to share with you.<br />
<br />
Unfortunately, I don't get to watch over them all after their surgeries; I'm heading back up to B Ward tomorrow night to fill a hole in the staffing schedule for a couple weeks, and since that corner of the hospital is mostly filled with men having hernia surgeries, I don't think I'm going to have as many cute stories to tell.<br />
<br />
Wish me luck.  I'm about to be working three nights in a row, and I haven't worked a night shift in over two years.  Since getting dengue fever, it seems I need about ten hours of sleep a day to be functional, so I haven't quite worked out how I'm going to make it until Thursday morning.<br />
<br />
This could be interesting.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/546-home-again.html" rel="alternate" title="home again" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-07T12:29:00Z</published>
        <updated>2011-10-09T16:46:02Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=546</wfw:comment>
    
        <slash:comments>6</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=546</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/4-arrival" label="arrival" term="arrival" />
            <category scheme="http://alirae.net/blog/categories/6-community" label="community" term="community" />
    
        <id>http://alirae.net/blog/archives/546-guid.html</id>
        <title type="html">home again</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                I am home.  I've been searching for another word to use over the past couple of days, but that's the only one that comes remotely close to describing what it felt like to run up the gangway on Monday night.<br />
<br />
Africa greeted me in style with a sunset that turned the entire world pink while we rode across the bay from the airport to the harbour where the Africa Mercy is docked.  I could see her, a little white smudge, getting bigger and bigger as night fell; when we sailed right past, I could pick out the place where my window would be, dark for just a little while longer, amidst the blaze of lights that welcomed me back.<br />
<br />
<!-- s9ymdb:972 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/sunset1.jpg" alt="" /><br />
<br />
I've spent the last few days getting my bearings again, remembering all the little quirks that make this place better than anything and relearning how to be a nurse on the wards.  It turns out that fourteen months away from the desk and a year more away from actual patient care can make you forget a few things.  But I've had patient teachers, and after two days of re-orientation I think I'll be able to handle myself on my own again.<br />
<br />
I think I realized I was really back just before handover yesterday.  I was headed across B Ward to pray with the rest of the nurses when I looked down and saw a little baby, the sister of one of the patients.  She sat on the floor, looked up at me and lifted her chubby arms to me.  There was no hesitation.  I scooped her into my arms and held her while we prayed, her little curly head nestled into my chest as she drifted in and out of sleep.  Her brother stood beside me, one arm wrapped around my leg, leaning his head against me, and my heart was full enough to burst.<br />
<br />
People keep asking me if it's strange to be back after so long.  The only thing strange about this, I think, is how I managed to survive fourteen months without this place.  Without the <em>pikins</em> (children) running wild through the halls, without the songs between shifts, raised to Papa God in strong voices by our translators, without those little fuzzy heads tucked in under my chin right where they belong. <a onclick="javascript: pageTracker._trackPageview('/extlink/jenninafrica.blogspot.com/');"  href="http://jenninafrica.blogspot.com/" title="(jenn's blog)">Jenn</a> was telling me a story earlier about a patient who was on the wards for something like five months earlier this year.  She told me how the little girl's grandma tried to thank the nurses with a song, how she burst into tears and could barely get out the words as she thanked them for changing her granddaughter's life.<br />
<br />
We looked at each other, smiling, realizing all over again what this ship means.  We call out to the hopeless and speak words of life to the dying.  We have front-row seats to some of the most incredible transformations of body and spirit.  Standing in the gap in a battle against death and pain and rejection, we have somehow been given the task of holding the line.<br />
<br />
This is no small task, but I'm not alone.  I'm just one of a ship full of people here in Sierra Leone and hundreds more in offices scattered around the world who are living and breathing this same fight, all of us  giving everything we have to see Light come to West Africa.<br />
<br />
I am home, and I have no idea how I stayed away so long.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/547-a-blog-about-eva-mendes.-seriously..html" rel="alternate" title="a blog about eva mendes. seriously." />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-08T09:34:00Z</published>
        <updated>2011-10-07T22:34:00Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=547</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/35-TIA" label="TIA" term="TIA" />
    
        <id>http://alirae.net/blog/archives/547-guid.html</id>
        <title type="html">a blog about eva mendes. seriously.</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                When I arrive in a new African country, I like to leave my camera in my cabin the first few times i go into town.  I can hear from a million people how safe (or not) a place is, but I like to suss it all out for myself, so I go out with nothing on me the first few times while I get the feel of a place.<br />
<br />
Today, that was a terrible decision on so many levels.<br />
<br />
It started when we left the port gate and found a <em><a onclick="javascript: pageTracker._trackPageview('/extlink/www.flickr.com/photos/adamcohn/3290155789/');"  href="http://www.flickr.com/photos/adamcohn/3290155789/" title="(a photo and brief description)">poda-poda</a></em> half-filled with our friends, who were heading out to spend the long weekend at the beach.  They offered us a ride to town and so we hopped in.  There was music blaring from crackling speakers, a wingman to open and close the door (except they call them <em>apprentices</em> here) and I had to brace myself to stay seated while the bench I was on threatened to tear free from a shaky welding job at any minute.  I stared out the window beside me at the streets, more colourful and vibrant than I remembered, filled with people selling anything and everything.  Tissues and tank tops and flip flops and feather dusters and cookies and crackers and I could go on.  We were ten minutes into the day, and I was already regretting my decision to leave the camera behind.<br />
<br />
Once we piled out of the van, I was enveloped by it, by the rush of West Africa.  The heat, the smells, the open sewers to be dodged, the quickstep out of the path of oncoming trucks, the hands always reaching for me, to touch my arms and grab my attention for a quick word.  <em>How de body?  I wan talk small wif you.</em>  When I got separated from my group by a few steps, a man grabbed my wrist, and instead of the typical greeting, launched into song.  (This is the next moment I was wishing for a camera, set to record.)  <em>You are beautiful, white woman,</em> he crooned, and without missing a beat I sang back to him.  <em>My husband thinks so too!</em>  My marital status seemed to have no bearing on the state of his heart, because he sang right back to me: <em>I don't care; still beautiful!</em><br />
<br />
I extricated myself from that situation, and we made our way to a place commonly known as <em>Fabric Street</em> since all the shops and the little stalls set up in front of the shops and some of the kids walking past with bowls on their heads are selling brightly-coloured fabrics in any pattern imaginable.  We browsed for about an hour when we looked up and saw a whole group of white people, a camera crew with fancy equipment and intense looks on their faces.  And right there, in the middle of the muddy, dirt road, was <a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Eva_Mendes');"  href="http://en.wikipedia.org/wiki/Eva_Mendes" title="(the wiki article)">Eva Mendes</a>, interviewing a woman selling fabric.  The girl from <em>Hitch</em>, on the streets of Freetown.  Strike three for camera-less me.<br />
<br />
We stood staring for a minute until one of the assistants kindly asked us to move aside.  It turns out we're a little too white to be in the background of a movie about Sierra Leone.  Eva (we're on a first-name basis by now, I'm pretty sure) was filming for a PBS documentary based on the book <a onclick="javascript: pageTracker._trackPageview('/extlink/www.halftheskymovement.org/');"  href="http://www.halftheskymovement.org/" title="(their website)">Half the Sky</a>, which I don't know much about, but seems to be pretty awesome.  It's about women's issues around the world, things like child prostitution and maternal mortality and gender violence, and from what we learned, they're flying around the world with different celebrities, doing interviews in lots of countries and bringing many of these untold stories to light.<br />
<br />
At any rate, we got the chance to say hello to her, and it turns out she really is very pretty, totally down to earth, and couldn't have been more excited to hear that we actually had Starbucks coffee on the ship.  (Honestly, she almost lunged at me when I said that.)  When she found out that we consider these crazy, muddy streets home, she asked about what we do, so we told her a little about Mercy Ships.  You want to know what she said?<br />
<br />
<em>You guys are freaking rad.</em>  Except a different word.  But this is a family-friendly blog, so you get the point.  Eva Mendes thinks we're all 'freaking' rad, and I couldn't believe I didn't have my camera right then.<br />
<br />
The rest of the day went as expected until we were on our way back to the ship.  We caught a ride home in a Landrover with some other friends, and were nearly there when, for some unexplainable reason, it just stalled and refused to start again.  No one hesitated; all of us girls jumped out and pushed the dang thing a good ways to the HOPE center, where we left it to be sorted out by the transportation guys.  I was pretty much past thinking about my stupid decision to leave the camera behind, but did wish I could have shot a video of us ladies heaving on the huge, white vehicle.  (Interesting note: it's actually better for guys to push cars not because they're stronger, but because the wideness of women's hips means we can't actually fit so many of us back there.  Consider yourself informed.)<br />
<br />
This has been set of experiences more deserving than any of the title <em>TIA: This is Africa.</em>  So naturally it just ended with Jenn calling me down to D Ward to bring the IPod for an emergency dance party.  The sight of a little boy who just lost an eye to cancer dancing his heart out in little stripey socks while another pikin sporting a matching tiger-print gown and tiny black loafers looked on approvingly was just the thing to round out the whole day.<br />
<br />
(Sorry I don't have any photos to go with all these words.  Did I mention I left my camera behind?)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/545-cut-clean.html" rel="alternate" title="cut clean" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-10-02T12:54:00Z</published>
        <updated>2011-10-05T20:20:31Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=545</wfw:comment>
    
        <slash:comments>7</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/2-leaving" label="leaving" term="leaving" />
            <category scheme="http://alirae.net/blog/categories/7-paradox" label="paradox" term="paradox" />
    
        <id>http://alirae.net/blog/archives/545-guid.html</id>
        <title type="html">cut clean</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                It's just a few minutes before midnight, and I'm sitting on my bed, willing the clock to stop, to speed up, to do anything but march on in its slow, inexorable rhythm.  In six minutes it will be tomorrow, and tomorrow is when I go back to my heart's home.<br />
<br />
And for the first time, I don't know how I'll do it.<br />
<br />
Earlier tonight I sat around the table in our dining room, all the leaves in, stretched to its longest length to accomodate the wealth of family around it.  Turned to a friend beside me and confessed.  <em>It's never been like this.  I don't know what to do.</em><br />
<br />
It's always been one way or another.  Sometimes I'm bursting at the seams, so ready to get on a plane that I can hardly spare a thought for those I'm saying goodbye to.  And the rest of the times that I've travelled, whether from here going there or from there coming here, I've done so with a heart torn to pieces for the place I'm leaving behind.<br />
<br />
This time I'm cut clean in two, and it doesn't seem possible that I'll be able to get on that plane tomorrow and it doesn't seem possible that I'm still sitting here, late at night, alone on my bed.<br />
<br />
This has been the most beautiful summer of my life, and I say that with all the pain and uncertainty included.  The list of things I no longer take for granted has expanded far past family and friends and a roof over my head, and I am so grateful for the chance I've been given to live my life like this.  I'm still in awe every time I pick up a jug of milk, every time I sit down on the floor to play with my nephew, every time I get back up without pain.  When he reaches out his hand to lead me off for our next adventure, I can give him mine without wondering whether he'll hurt me.  I can finally say that I'm ready to go back to work and not secretly question whether I'll make it through a shift.<br />
<br />
I'm ready to go back, but I can't see how I can leave.  This all feels so melodramatic, but anyone who's spent time on the ship can relate to the abrupt shift I'm about to undergo.  I'm going to trade in the stability and predictability of life in my hometown for a world where friends come and go with every departing flight, where one day is almost never like the next, and where not even the floor is steady beneath my feet.  Yet again, I've bought a one-way ticket to Africa, signed up for two more years of this constant whirlwind.<br />
<br />
I'd have to be crazy to want this.<br />
<br />
I'd have to be crazy not to.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/544-october-wallpapers.html" rel="alternate" title="october wallpapers" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-09-27T00:52:04Z</published>
        <updated>2011-10-02T08:34:37Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=544</wfw:comment>
    
        <slash:comments>0</slash:comments>
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            <category scheme="http://alirae.net/blog/categories/33-wallpapers" label="wallpapers" term="wallpapers" />
    
        <id>http://alirae.net/blog/archives/544-guid.html</id>
        <title type="html">october wallpapers</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Some succulents, a campfire, and a bee on a flower.  These are a few of the pretty things I've seen since coming home from Peru, and they're also the wallpaper choices for October.  Only of of these has traditional 'fall' colours in it, so I think I might be clinging to summer a little more than I usually do.  (Which is weird, since I've been dying for a few cool days before heading back to Africa.)  <br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/oct4.jpg'><!-- s9ymdb:965 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/oct1.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/oct3.jpg'><!-- s9ymdb:970 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/oct6.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/oct5.jpg'><!-- s9ymdb:966 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/oct2.jpg" alt="" /></a><br />
<br />
So if you're ready for fall, there's some yellow and orange, and if you can't bear to let go of summer, have one last campfire by the lake.  It's your desktop.<br />
<br />
I'm posting these early, because I'm getting ready to pack and go back to Africa, so I'm pretty much guaranteed to forget this if I don't do it now.  Happy almost-October!<br />
<br />
(Click the photos to get a full-size version that you can use as your background.)<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/543-as-vapour.html" rel="alternate" title="as vapour" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-09-22T07:30:08Z</published>
        <updated>2011-09-24T03:19:09Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=543</wfw:comment>
    
        <slash:comments>5</slash:comments>
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        <id>http://alirae.net/blog/archives/543-guid.html</id>
        <title type="html">as vapour</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                On Friday I boarded a plane heading south, and after a couple of turbulent flights I landed in Tyler, Texas.  It's only a short drive from there to the IOC (International Operations Center), the international base for Mercy Ships.  The HoJ has been here for a couple weeks already, getting some training in different systems on the ship that he'll be using when we go back, and since he's also heading straight from here to another training course, I figured it was best to come spend some time with him.  (We're still newlywed enough that seven weeks apart is considered a hardship, and besides, I just like the guy!)<br />
<br />
The time so far has been spent catching up with friends from around the world.  We spent the weekend in Dallas with a group from our DTS in Peru, and it was some much-needed closure on that whole experience to sit down with them and talk about things and hear how the rest of the outreach went without us.  Here at the IOC there are more familiar faces, either people I'd met during training here in the past or people I've worked with from the ship who have transitioned to a life on land.<br />
<br />
Yesterday I sat in on a conference call with the hospital leaders on the ship, and hearing their voices was the closest thing to homesickness you can feel when you're surrounded by other friends from that very same home.  (If that makes any sense.)  I spoke with my boss again on the phone later on, called another dear friend on the ship, and have spent basically every moment since then daydreaming about being back there.<br />
<br />
I can't explain why I love it so much.  Those of you who have been on this journey with me for a while will perhaps feel some inkling of it; I've certainly spoken often enough of my heart for my floating home and the work we do there.  For now, I want to share a video made by the communications team over on the ship this year in Sierra Leone.  It comes the closest to anything I've seen in somehow transmitting some fraction of the emotion and the love that fills me when I work in the wards there.  I first saw it while I was in Peru and the ship was just a distant dream.  But I'm going home in just eleven days, and I'll walk those streets and care for those patients and sing alongside them again, clapping my hands that no longer hurt and praising God that I can dance again to the beat of the drums.<br />
<br />
Until then, until I have my own stories, I'll leave you with this one.  Watch it, and if it doesn't make you want to come join me on this adventure I'll be more than a little surprised.<br />
<br />
<iframe width="560" height="315" src="http://www.youtube.com/embed/s5pfhwHMGcg" frameborder="0" allowfullscreen></iframe><br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/542-raes-baby-shower-craft-extravaganza.html" rel="alternate" title="rae's baby shower craft extravaganza" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-09-11T06:25:44Z</published>
        <updated>2011-09-13T06:15:17Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=542</wfw:comment>
    
        <slash:comments>4</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=542</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/32-photography" label="photography" term="photography" />
    
        <id>http://alirae.net/blog/archives/542-guid.html</id>
        <title type="html">rae's baby shower craft extravaganza</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                It turns out that when you're home for an entire summer with nothing to do but rest and get over a nasty case of dengue-induced viral arthritis, you get a little crafty.  At least I do.  Did.  Whatever.<br />
<br />
My cousin Rae (who's really more like a sister than a cousin, if we're being honest here) is having her second kiddo in just a couple weeks here.  If she (the baby, that is; my cousin doesn't have a lot of say in the matter) cooperates, I'm going to get to be there when the big event happens, and to celebrate the imminent event, I decided to throw a party for Rae.<br />
<br />
This is the point at which I made a near-fatal error: I went on the internet looking for ideas.<br />
<br />
Don't get me wrong; I love the internet.  I more specifically love <a onclick="javascript: pageTracker._trackPageview('/extlink/pinterest.com/');"  href="http://pinterest.com/" title="(don't click this unless you have hours to waste)">Pinterest</a>, and so I hopped on there and typed <em>baby girl shower</em> into the search bar.<br />
<br />
That, my friends, was the beginning of the end.<br />
<br />
Over the following days (it could have been weeks; time is blurred together at this point) I scrolled through countless photos of pink, frilly decorations and scrumptious-looking treats and silly games until I had put together all the best bits.  I've been slightly obsessed with this party for the last couple of weeks, always coming up with new ideas and more details and different foods to prepare.  The last few days have seen me in the kitchen, apron firmly tied, preparing treats from morning 'til night.  (This, in and of itself, is a testament to how much better I am health-wise; my ankles hurt by the end of it, but my hands are feeling great!)<br />
<br />
And today we partied.  We ate until we were stuffed and crafted until we were tired.  It was a sweet time with some amazing women, and we made the most of it together.  Would you like to see some photos? Of course you would!<br />
<br />
Let's start with the treats, shall we?  Clockwise from the top left: A shot of the cake (more on that later); rainbow fruit skewers; sparkling white sangria with raspberries, kiwi fruit and peaches; the drink cart (including pink lemonade, of course) and the treat table with lots of other delicious things; grilled brie with thyme-infused honey and fresh figs.  That last one?  To. die. for.  If you ask nicely I'll send you the full-size photo.  As long as you're willing to drool. You have been forewarned.<br />
<br />
<!-- s9ymdb:961 --><img class="serendipity_image_center" width="600" height="499" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/treats.jpg" alt="" /><br />
<br />
Moving on to the cake!  I saw this cake on someone's blog and knew it was the one.  I made cupcakes, too, so I just made skinny little layers, four of them, each in a different shade of pink.  The little birdies are made of fondant, and their friends were sitting on the cupcakes.  I love rainbow cakes, and this monochromatic one was just beautiful.  Mine didn't turn out nearly as beautiful as the one I saw on the blog (an unfortunate effect of some sticky pans), but I think it was quite good for a first attempt.  (Also, you're allowed to hate Rae; she's due in less than three weeks and she really does look that incredible.)<br />
<br />
<!-- s9ymdb:953 --><img class="serendipity_image_center" width="600" height="853" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/cake.jpg" alt="" /><br />
<br />
Here's one of my favourite bits about the shower. Although we weren't giving gifts (other than the onesies we each decorated, but we're getting to that), we decided to bless Rae with some diapers.  And rather than just handing her the boring old packs, we broke out the markers and decorated them with pictures and jokes and little words of wisdom for the coming months.  Some of my favourites: <em>Let the potty-training begin!  Since I probably won't remember to tell you this when I can talk, thanks for keeping me clean and dry,</em> and of course the ever-popular, <em>This one's for daddy!</em><br />
<br />
<!-- s9ymdb:956 --><img class="serendipity_image_center" width="600" height="274" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1778.JPG" alt="" /><br />
<br />
I also made some 'wish cards' for the baby.  Each guest got one and filled it out with wishes for Angelina to read when she gets older.  I get a little choked up just thinking about how special this will be for her someday, to know that we all gathered together to love her and pray for her before she was even born. There are even a few extras that are going to go out to family members who weren't able to be here today.<br />
<br />
<!-- s9ymdb:963 --><img class="serendipity_image_center" width="600" height="479" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/cards.jpg" alt="" /><br />
<br />
In spite of all the treat-eating and diaper-drawing and wish-writing, we spent a good amount of the time decorating onesies.  And let me tell you something, folks - this was one creative bunch!  <br />
<br />
<!-- s9ymdb:954 --><img class="serendipity_image_center" width="600" height="423" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/crafts.jpg" alt="" /><br />
<br />
(That one with the flowers was made by my friend Heather, and I'm considering giving her one of my own t-shirts to work on.)<br />
<br />
And now, I present, for your viewing pleasure, the finished products.<br />
<br />
<!-- s9ymdb:959 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1879.JPG" alt="" /><br />
<br />
Now all we need is for little Angelina to show her face; her wardrobe is all ready!  Stay tuned, because if the timing is right with a trip to Texas I'm about to take, I'm hoping to have some beautiful photos from her birth to share with you in a couple of weeks.<br />
<br />
Moral of the story: Go on Pinterest if you want to throw a super-fun party.  Just stay away if you have any other commitments for the two weeks prior to that party.  Because you're going to find a <em>lot</em> of ideas, and you're going to want to do them all!<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/540-september-wallpapers.html" rel="alternate" title="september wallpapers" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-09-02T17:05:24Z</published>
        <updated>2011-09-06T05:07:29Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=540</wfw:comment>
    
        <slash:comments>3</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=540</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/33-wallpapers" label="wallpapers" term="wallpapers" />
    
        <id>http://alirae.net/blog/archives/540-guid.html</id>
        <title type="html">september wallpapers</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                These are a day late, due to the fact that I dropped the dear HoJ off at the airport yesterday morning at the awful hour of five.  In the morning, people.  Is that even legal?  Which then meant that I had to get myself back to bed until eleven.  (I only admit that given the fact that I am still recovering from a tropical disease.  That's why I sleep so much.  Please don't think I'm lazy.)  And when I woke up, it turned out I was heading into the city to hang out with a good friend (more on that later), and by the time I got home it was most definitely time to sleep again.<br />
<br />
With no further apology, a few calendars to grace your desktop for September.<br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/septemberNYC1.jpg'><!-- s9ymdb:945 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/septemberNYC.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/septemberhearts1.jpg'><!-- s9ymdb:943 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/septemberhearts.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/septemberwall1.jpg'><!-- s9ymdb:947 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/septemberwall.jpg" alt="" /></a><br />
<br />
It's all things I love to mark the season I love best.  St. Patrick's at night, bokeh shaped like things and texture on walls in the third world.  As always, click on the photo to get to the larger version.<br />
<br />
Happy Septembering, everyone.  And if you'll excuse me, I'm going to head back to Canada to see a couple of the cutest nieces in the world.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/541-big-girl.html" rel="alternate" title="big girl" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-09-05T02:46:49Z</published>
        <updated>2011-09-05T02:46:49Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=541</wfw:comment>
    
        <slash:comments>0</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=541</wfw:commentRss>
    
    
        <id>http://alirae.net/blog/archives/541-guid.html</id>
        <title type="html">big girl</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Remember this one?<br />
<br />
<!-- s9ymdb:950 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/babyabi.jpg" alt="" /><br />
<br />
Well, she's growing up.  And I love her.  And I'm starting to feel okay about the fact that I have arthritis, because it means that I have gotten to see her more than once within the same year.<br />
<br />
<!-- s9ymdb:951 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/bigabi.jpg" alt="" /><br />
<br />
It's one of the quirks about living overseas, this not-seeing the people you love the most nearly as often as you'd like.  It's not fun reaching for your niece and having her cry because she's scared of you, because she doesn't know who you are.  Nano and Nana have a clear advantage over Auntie Ali and Uncle Phil on this one; they've got video chat and iphones with face time, and so Mya and Abi see them often enough to know them.  I have to work for it, every single time.<br />
<br />
And it's not a big deal, really; I have yet to meet a baby I can't win over.  It's just a reminder, every time, of the fact that we have indeed given something up in order to live this life.  Which just means that I need to hold them a little tighter during the times we do get to spend together.<br />
<br />
I can live with that.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/539-irene.html" rel="alternate" title="irene" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-08-29T04:31:21Z</published>
        <updated>2011-08-30T09:12:09Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=539</wfw:comment>
    
        <slash:comments>1</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=539</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/6-community" label="community" term="community" />
            <category scheme="http://alirae.net/blog/categories/31-home" label="home" term="home" />
    
        <id>http://alirae.net/blog/archives/539-guid.html</id>
        <title type="html">irene</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Well, it's been a while since I last posted, but the time hasn't all been uneventful.  The HoJ and I took a road trip across eastern Canada, covering exactly 3,600 miles and seeing all of our family members there except for one.  (This is no small feat, when you take into account the face that I have cousins living as far away as New Zealand!)  We got to meet a new baby (who you've also already met here in photos), caught frogs with some dear friends, crashed a couple beautiful weddings, camped for a few nights (the photo of the orange cake in tin foil is, bar none, the best campfire dessert recipe I know) and spent some much-needed time catching up before heading back to the ship for the next phase of our adventure.<br />
<br />
<!-- s9ymdb:934 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_0356.JPG" alt="" /><br />
<br />
<!-- s9ymdb:933 --><img class="serendipity_image_center" width="600" height="406" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_0825.JPG" alt="" /><br />
<br />
<!-- s9ymdb:932 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_0944.JPG" alt="" /><br />
<br />
<!-- s9ymdb:931 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_0848.JPG" alt="" /><br />
<br />
<!-- s9ymdb:928 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_0807.JPG" alt="" /><br />
<br />
<!-- s9ymdb:929 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_0809.JPG" alt="" /><br />
<br />
We've also managed to live through a much-hyped <a onclick="javascript: pageTracker._trackPageview('/extlink/en.wikipedia.org/wiki/Hurricane_Irene_(2011)');"  href="http://en.wikipedia.org/wiki/Hurricane_Irene_(2011)" title="(it already has a wiki page!)">hurricane</a>, and although it wasn't nearly as bad as they seemed to think it would be, I <em>am</em> typing this to you from a friend's house since ours lost power somewhere around three this morning.  The official word is not to expect it back on until the fourth of September, so we're probably going to hang out here a lot.  In fact, we've moved the contents of our fridge over here, so if we want to eat anything we don't really have any other choice.  We ventured out this morning to take a few photos of the damage, even managing to run along the median of a normally crazy-busy highway for a while until a nice cop came onto his loudspeaker.  <em>You folks want to get off that median now?</em>  When we promptly obeyed he struck up a conversation, just as loquacious as everyone else on the streets today.<br />
<br />
<!-- s9ymdb:936 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1004.JPG" alt="" /><br />
<br />
<!-- s9ymdb:937 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1008.JPG" alt="" /><br />
<br />
<!-- s9ymdb:938 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1012.JPG" alt="" /><br />
<br />
<!-- s9ymdb:941 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1078.JPG" alt="" /><br />
<br />
<!-- s9ymdb:939 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1033.JPG" alt="" /><br />
<br />
<!-- s9ymdb:940 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IMG_1040.JPG" alt="" /><br />
<br />
Something comes over people when the power goes out, when there's a common enemy for us to rail against.  We have entire conversations with strangers we wouldn't normally make eye contact with.  We do favours for people without thinking twice about it.  We come out of our houses, congregating on street corners and in parking lots, shaking our heads at fallen trees and making contact with other people for the first time in ages.<br />
<br />
Today, wandering around amidst the debris, I felt at home here in the same way I do in West Africa.  Just for a few hours we managed to remember that we are neighbours, that there are other people in the world besides the ones within our own walls.  We felt the responsibility that we all have for one another, an allegiance so often swallowed up in the more mundane duties that make up our lives.  <br />
<br />
It made me long for my other home, the one on the other side of the ocean where sunsets and palm trees and little brown hands slipped into mine wait for me.  The home where community means everything and personal space nothing, where sharing with those in need comes as easy as breathing.<br />
<br />
Soon, now.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/538-year.html" rel="alternate" title="year" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-08-13T04:24:03Z</published>
        <updated>2011-08-17T14:00:01Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=538</wfw:comment>
    
        <slash:comments>2</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=538</wfw:commentRss>
    
    
        <id>http://alirae.net/blog/archives/538-guid.html</id>
        <title type="html">year</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                I just looked up at the date at the top of my screen and realized that it's exactly one year since we left the ship.  One year away from the place that makes me feel most alive, and I'm counting the days until I'm back.<br />
<br />
This past year has been ridiculous, full of life and experience and pain and learning and love.  I have spent time in sixteen countries on four continents, seen three wonders of the world, survived for two nights out in the Amazon jungle, battled one tropical disease, taken countless photos and stored away a lifetime's worth of memories.<br />
<br />
The HoJ and I started out jokingly calling this past twelve months our <em>Year of Fun,</em> but it's turned out to be so much more than that.  We have grown in our love for one another, in our relationships with God and in our understanding of our place in the world.  There's no denying that we've had fun, but at the same time, every adventure we've had has been shot through with a thread of longing.  My heart is never quite right, it seems, unless it's in Africa, and I'm counting down the days until it feels okay again.<br />
<br />
Which is strange, because I'm also a little scared to go back.  This summer has been a reminder of everything that I love about home and family and, well, summer, and I realized today that I've gotten comfortable here again.  In the past month and a half I've remembered how to live here in the first world.  I've settled into the comfort of family and friends being close by instead of across an ocean.  I've slipped back into routines and rhythms that used to be familiar, and they've become just that again.  Familiar.  Simple.<br />
<br />
Which means that, this time, getting on a plane headed for Africa isn't going to be as easy as it usually is.  I know that's okay; no one said this had to be easy.  Volunteering on a hospital ship in West Africa isn't anything like easy.  There's poverty and heartbreak and injustice and some days it's just overwhelming.  Right now, sitting on the thirty-seventh floor of an apartment building in Toronto, it all seems so far away, but I know that when I step off that plane it's going to smack me in the face again.<br />
<br />
So I'm going to do the only thing that makes sense, given the transitory nature of our lives.  I'm going to make the most out of the time left here at home, squeeze the juice out of as many visits and experiences as possible, snuggle a few more white babies and then, come October second, exchange them for some brown ones.<br />
<br />
I think that sounds like the plan.<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/507-july-wallpapers.html" rel="alternate" title="july wallpapers" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-07-01T19:42:00Z</published>
        <updated>2011-08-12T04:58:29Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=507</wfw:comment>
    
        <slash:comments>0</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=507</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/33-wallpapers" label="wallpapers" term="wallpapers" />
    
        <id>http://alirae.net/blog/archives/507-guid.html</id>
        <title type="html">july wallpapers</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                Since July is my birthday month, I decided to use some of my favourite photos for these wallpapers.  I'm potentially biased, but I think this is the best set yet.  You've got a tropical island in Fiji and a nice cool drink to choose from. Or, if it's already too hot where you are, you can cool things down with some snowy mountains and lupines.<br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/julyfiji.jpg'><!-- s9ymdb:779 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/julyfiji1.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/julybottle1.jpg'><!-- s9ymdb:775 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/julybottle.jpg" alt="" /></a><br />
<br />
<a class='serendipity_image_link' href='http://alirae.net/blog/uploads/julylupines.jpg'><!-- s9ymdb:780 --><img class="serendipity_image_center" width="600" height="375" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/julylupines1.jpg" alt="" /></a><br />
<br />
What's not to love?<br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/530-breakfast-in-bed.html" rel="alternate" title="breakfast in bed" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-07-02T17:44:19Z</published>
        <updated>2011-08-12T04:57:49Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=530</wfw:comment>
    
        <slash:comments>0</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=530</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/11-love" label="love" term="love" />
    
        <id>http://alirae.net/blog/archives/530-guid.html</id>
        <title type="html">breakfast in bed</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                Sometimes coming home looks like this, like a room full of sunshine and breakfast brought to me by the dear HoJ before my feet ever touch the ground.<br />
<br />
<!-- s9ymdb:901 --><img class="serendipity_image_center" width="600" height="400" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/breakfastinbed.jpg" alt="" /><br />
<br />
It's not Bolivia, and it's nothing like the adventures that we could have had there, but it's home.  It's familiar and comforting, and long days of sun and rest are going to make this better.  They have to.  Because there's a ticket to Sierra Leone with my name on it dated exactly three months from today, and I am fully planning on being on that plane.<br />
<br />
Until then, I'll see doctors and wait for test results and rest in the beauty of summer, in the promise of days spent lounging by the side of our friends' pool and nights enjoying pizza fresh off the barbecue while fireflies brighten the dusk, one spark at a time.<br />
<br />
 
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    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/531-sidewalk-chalk.html" rel="alternate" title="sidewalk chalk" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-07-06T21:33:30Z</published>
        <updated>2011-08-12T04:57:33Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=531</wfw:comment>
    
        <slash:comments>5</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=531</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/31-home" label="home" term="home" />
            <category scheme="http://alirae.net/blog/categories/32-photography" label="photography" term="photography" />
    
        <id>http://alirae.net/blog/archives/531-guid.html</id>
        <title type="html">sidewalk chalk</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                There's something magic about New Jersey summers.  Last night we welcomed the evening out on the sidewalk with a bucket of sidewalk chalk, my nephew Colton and his seven-months pregnant mama, my cousin Rae.  (If you want to be angry with her for looking that incredible while still being that pregnant, go right ahead; she puts the future hypothetical pregnant me to shame, I tell you.)<br />
<br />
Colton was in classic almost-two year old form, scribbling with chalk, playing in the grass and exploring down the street with just one short pause to give his little sister a kiss.<br />
<br />
<!-- s9ymdb:902 --><img class="serendipity_image_center" width="500" height="658" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/chalk1small.jpg" alt="" /><br />
<br />
<!-- s9ymdb:903 --><img class="serendipity_image_center" width="500" height="881" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/chalk2small.jpg" alt="" /><br />
<br />
And when a bug crawled over his face and scared him, he forgot that he didn't really know me and jumped into my arms, holding as tight as ever his tender hands could, very gravely asking me if I knew <em>what happened?</em><br />
<br />
I came home.  That's what happened, and days like yesterday remind me why that's such a good thing.<br />
<br />
 
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        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/532-i-heart-faces-photo-challenge-props.html" rel="alternate" title="i heart faces photo challenge: props" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-07-19T21:46:08Z</published>
        <updated>2011-08-12T04:56:59Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=532</wfw:comment>
    
        <slash:comments>3</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=532</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/32-photography" label="photography" term="photography" />
    
        <id>http://alirae.net/blog/archives/532-guid.html</id>
        <title type="html">i heart faces photo challenge: props</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
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                This week over at <a onclick="javascript: pageTracker._trackPageview('/extlink/www.iheartfaces.com/');"  href="http://www.iheartfaces.com/" title="(their website)">I Heart Faces</a>, the photo challenge theme is <em>props</em>.  I wasn't sure I'd be able to enter, as I don't often use them, but then I remembered this photo that I shot in Peru a few months ago.  This is a little girl from an indigenous tribe in the Amazon jungle a few hours outside of Iquitos, and I think her blue necklace and traditional face paint (made from the juice of berries) are the perfect 'props' for this photo.<br />
<br />
<!-- s9ymdb:904 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/props.jpg" alt="" /><br />
<br />
Be sure to head on over to the <a onclick="javascript: pageTracker._trackPageview('/extlink/www.iheartfaces.com/');"  href="http://www.iheartfaces.com/" title="(their website)">I Heart Faces</a> website and check out the other incredible entires; there are some absolutely beautiful photos this week.<br />
<br />
<a onclick="javascript: pageTracker._trackPageview('/extlink/www.iheartfaces.com/');"  class='serendipity_image_link' href='http://www.iheartfaces.com/'><!-- s9ymdb:905 --><img class="serendipity_image_center" width="125" height="100" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IHeartFaces-PhotographyChallengesandPhotoTutorials.jpeg" alt="" /></a><br />
<br />
 
            </div>
        </content>
        
    </entry>
    <entry>
        <link href="http://alirae.net/blog/archives/534-i-heart-faces-photo-challenge-water.html" rel="alternate" title="i heart faces photo challenge: water" />
        <author>
            <name>Ali C.</name>
                    </author>
    
        <published>2011-07-26T00:32:26Z</published>
        <updated>2011-08-12T04:56:38Z</updated>
        <wfw:comment>http://alirae.net/blog/wfwcomment.php?cid=534</wfw:comment>
    
        <slash:comments>4</slash:comments>
        <wfw:commentRss>http://alirae.net/blog/rss.php?version=atom1.0&amp;type=comments&amp;cid=534</wfw:commentRss>
    
            <category scheme="http://alirae.net/blog/categories/32-photography" label="photography" term="photography" />
    
        <id>http://alirae.net/blog/archives/534-guid.html</id>
        <title type="html">i heart faces photo challenge: water</title>
        <content type="xhtml" xml:base="http://alirae.net/blog/">
            <div xmlns="http://www.w3.org/1999/xhtml">
                When I enter photos in the <a onclick="javascript: pageTracker._trackPageview('/extlink/www.iheartfaces.com/');"  href="http://www.iheartfaces.com/" title="(their website)">I Heart Faces</a> photo challenges, it's usually just that; a challenge.  I'm often sitting around, wracking my brains to come up with an idea for a submission.  When I saw that the theme this week is <em>water</em>, I knew exactly which photo I was going to use.<br />
<br />
My sister has been working with Campamento El Faro de Esperanza (Camp Lighthouse of Hope) in Playas, Ecuador, for as long as I can remember.  It's a camp founded by Canadian missionaries who live and work in the invasion area in Guayaquil known as <em><a onclick="javascript: pageTracker._trackPageview('/extlink/es.wikipedia.org/wiki/Basti%C3%B3n_Popular');"  href="http://es.wikipedia.org/wiki/Basti%C3%B3n_Popular" title="(you might need to translate the page if you don't speak Spanish!)">Bastion</a>.</em>  I've had the privilege of working alongside them twice, once to help with the construction of the new camp buildings, and once as a leader of a team of youth from our area during the camp season.  Since the HoJ and I are full-time in Africa now, sister carries the torch in Ecuador, leading the team each year to help out for a week of camp.<br />
<br />
That week spent at El Faro was one of the best weeks of my life, spent drenched in sweat, covered in sand, and filled with the kind of delirious happiness that only comes from working with kids.<br />
<br />
This photo kind of sums up the entire week.  Janna, the one smashing the water balloon, is one of the Canadian missionaries.  She has been living and working full-time in Ecuador for a number of years now; her joy is nothing short of contagious.<br />
<br />
<!-- s9ymdb:911 --><img class="serendipity_image_center" width="500" height="750" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/3383548493_525fe0b7a3_b.jpeg" alt="" /><br />
<br />
As usual, head over to <a onclick="javascript: pageTracker._trackPageview('/extlink/www.iheartfaces.com/');"  href="http://www.iheartfaces.com/" title="(their website)">I Heart Faces</a> to check out all the other wet and wild water entries!<br />
<br />
<a onclick="javascript: pageTracker._trackPageview('/extlink/www.iheartfaces.com/');"  class='serendipity_image_link' href='http://www.iheartfaces.com/'><!-- s9ymdb:905 --><img class="serendipity_image_center" width="125" height="100" style="border: 0px; padding-left: 5px; padding-right: 5px;" src="http://alirae.net/blog/uploads/IHeartFaces-PhotographyChallengesandPhotoTutorials.jpeg" alt="" /></a><br />
<br />
 
            </div>
        </content>
        
    </entry>

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