Chains and Trees

Last weekend we took a trip to visit our friends at Toby. As per our previous experiences, we were met on the spot by the illest person on site at the moment. This is always a bit confusing because due to our own language and cultural barriers we are by far the last ones to know that the person we are conversing with is ill. The last two times this has occurred it is after our lengthy and tangental conversation that I realized the man before us had chains either on his hands or feet. This means he’s ill. Why chains? Chains are a way that the Toby staff or fellow family members use to restrain a patient that they see as a danger to himself or others. They are used temporarily when needed. In this man’s case he was in a full blown manic episode. He has Bipolar Disorder however his caretakers have very little to no clinical knowledge about this disorder. What they do know are the signs of it: he hasn’t slept in days, he won’t stop talking and pacing, he thoughts far exceed reality, etc. Since the opportunity presented itself we were able to assist his family and Toby staff with education and understanding about the cycles of Bipolar Disorder and to help sort out various medications they had on hand but did not know how to effectively administer.

Our purpose of this visit was to teach about health and hand out trees. Not just any tree, the miracle tree that we have been raving about. The church filled with men, women and children and Jonathan gave a presentation. Then we opened up the trunk of the car as people gathered eagerly to receive their tree. I heard people walking away shouting, “vitamins, vitamins” as they proudly walked home with their new Moringa tree.  It was a joyous occasional for all.

The Gift of Giving

It was a shopping spree like none other.  One 100lb gunny of rice, 10 live chickens, several baskets of assorted vegetables, a sack of flour and a sack of sugar.  Mandy and I loaded up the car, grabbed the boys, and drove out into the bush.  We were headed back to Toby [Toobee]  to bring a little Christmas cheer to some of the poorest and neediest people on the planet.  As we pulled into the compound, the bell gonged and the sick and care-givers alike began to collect in the plain concrete church.  We greeted many with whom we had met during our last visit:  the pastor, the community leader, and the sick man who had previously been chained up to protect those around him.  It was such a pleasure to give this gift from us and our supports to this community… to see their eyes light up when they saw the luxury items of flour and sugar… to hear the kids sing and dance… to see the smiles on the faces of the sick.  For us the most touching moment was when an elderly sick lady presented us with her chicken as a thank you.  It was a poignant reminder that it is not the gift but the heart of the giver that is important.  It was a powerful opportunity to reflect on the greatest gift of all as we celebrate the birth of Christ.

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New traditions

A fun new tradition that we began this Christmas was our first annual American/Malagasy/Norwegian all in the spirit of Mexico and Jesus Posada. This is a tradition that my mom carried out in our neighborhood when I was young. It’s simple. You gather kids together, have them play dress up and re-enact the Christmas story, sing songs and then eat food together. We had a blast joining with families and friends and carrying on this festive tradition in our yard this year. It’s definitely a repeater.

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A new year and bumpy roads

Welcome to our new website! It is time to freshen things up a bit for 2012. It’s hard to believe that it’s already been nearly four years since we started our adventure towards Madagacar. As we bring in the New Year we also celebrate our one year anniversary in Madagascar. Oh the stories to tell! And we have told quite a few through our years of blogging (see highlights from the past year below). We know there are many more stories to come as we move forward in life and ministry in Madagascar.

Whether you are a friend, supporter, family (hi mom’s) or just passing by we hope you find what you are looking for here. We invite you to connect with us in one way or another and join us on the bumpy road of life in Madagascar.

Toby

Toby centers are very special places in Madagascar. They especially pull on my heart because they truly are a place where the least of these are found. A person is brought to a Toby center because they are either spiritually ill, mentally ill or physically disabled. At the Toby near us they are provided with a mud hut and a care taker (called a Shepherd in malagasy), if they were not able to come with one. This person prepares their food and helps with all their physical needs since the ill cannot care for themselves. Pastors and other “shepherds” pray for the patients who are considered spiritually sick, meaning there is an evil spirit tormenting them.  We suspect that many of the patients also suffer from undiagnosed schizophrenia and in the future we hope to provide education and medication for this misunderstood illness.
I have visited our nearby Toby center (about an hour out into the country) twice and hope to continue this on a regular basis. The need is great and my heart breaks for the poverty and suffering of both the sick and the care givers. There is a psalms that says bread strengthens the human heart. How true it is. We were blessed to share not only food, but our time and hearts with the brave men and women at the Toby.

I was struck by the weariness of the care takers. Their job never ends and rarely are they thanked for their sacrifice.

Their job can also often be dangerous. This man’s mother and wife had to restrain him when he was a danger to others.

The pastors that give their lives daily to care for the least of these

The Village Trip

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Last month we took our first trip to the bush as a family. Our little family of four along with our teammates Jamie and Alissa, their kids, a short-term worker and 8 other Malagasy friends and partners hopped aboard a helicopter and a boat to take the rugged trip 120 miles south to Mahabana. Mandy and the boys experienced life village style while Jonathan worked with our partners to conduct a medical clinic and provide health education.  Life village style means a few things: lots and lots of sand, lots and lots of rice, community meals three times a day, a tribe of kids always on our heels and a true rugged experience. It’s hard to sum up the trip because each of us had a unique experience of our own. In a word, for Jonathan it was fulfilling, for Oliver it was fun, for Alex it was rough (fevers several times a day) and for Mandy it was challenging. All in all we are glad we did it and we learned a lot. Mahabana is a special place with an amazing history full of darkness and hope (click here for more details on the history of Mahabana). We are blessed to take part in promoting health and healing in this far corner of the earth.

Where there is no doctor

Maman’i Eby (or “Mother of Eby”) is eager to learn.  She was sitting on the edge of her seat as Alissa, a fellow healthcare provider, and I started teaching her our Village Health Worker curriculum.  As a respected woman in her village, a love and concern for the health of those around her, and wife of the mayor, she is a perfect fit for this task.  As our first session progressed, it became obvious that she is a quick learner.  Despite our language limitations, she picked up ideas and terminology quickly and was able to reexplain in more succinct terms.  Just as importantly, Maman’i Eby is a great teacher.  When we were at a loss for a way to describe an idea in Malagasy, she would discern what we were trying to say and teach us the new words and phrases.  As this pilot project continues, I am excited to see how we can impact health in the village of Mahabana through our partnership with Maman’i Eby.

The Tree of Life

What do you eat if you live on a sand spit between the ocean and a mangrove forest?  Fish, of course…when where is some… but what else?  What about a balanced diet?  What about nutrition?  Can fruit and veggies be grown in sand?  These are questions I ask when I do medical visits to Mahabana.  I see malnourished kids and I have mothers coming to the clinic asking for vitamins.  But what can be done to provide a natural and nutritional diet that can be planted, grown, and prepared in the village?

… Enter the moringa tree.  This tree grows up to 10 feet a year and thrives in arid conditions.  The nutrition found in its edible leaves is astounding.  Check out these figures:  as much protein as eggs, 3x more iron than spinach, 7x more vitamin C than oranges, 4x more vitamin A than carrots, 4x more calcium than milk, and 3x more potassium than bannanas.  On top of all of this, oil can be extracted for fuel, and the seeds can be ground up and used to purify water.

During our village clinic visit last week, we were able to give a presentation, hand out seeds, and show the leaves from an already established sappling.  Before we left , I saw women collecting some leaves to cook.  Now when patients ask for vitamins, I will have something to give… the “Tree of Life”.

Language and Medicine

 

My notes were in English, my Power Point was in French, and I spoke in Malagasy… and people actually understood me for the most part!  A few weeks ago I gave my first presentation to a group of nurses with an organization that does outreach to remote villages in our area.  There were 7-8 nurses who were in from the bush with travel distances as far away as 6 days.  It is exciting for me to use my professional and language skills to promote health in the remote areas of Madagascar.  I look forward to seeing this role expand as I jump further into work and relationships here in Mahajanga.