Special Delivery    From Dr. Mark and Allison Karnes
alicek on July 10th, 2011

In Michigan and other Midwestern states, a high school graduation tradition is slowing winding down.  By July, most of the graduation ceremonies and fabulous open houses laden with meatballs, potato salad and barbeque are over but in Ethiopia they are still in full swing.  School was officially over several weeks ago but graduation ceremonies continue.  It’s not uncommon to see little children dressed out in black graduation robes and caps holding bouquets of roses as they proudly exit the school with their parents.  Yesterday as Mark and I took a walk in the neighborhood groups of children held their precious diploma in their hands indicating they had passed to the next grade.  Smiles and congratulations were heard throughout the neighborhood.  Last weekend we were invited to the graduation open house of Kidist, our language teacher Paulo’s wife.  Kidist graduated from Arba Minch University with a degree in elementary teaching with an emphasis in Amharic.  In some ways the open house was very similar to a Michigan open house. Gifts of money are valued and appreciated and food is a key part of the celebration. With rainy season in full swing, Paulos rented a large military tent and set up benches inside for comfort.

Open House Tent

Loud upbeat Ethiopian music greeted us from a CD player with extra-large amplifiers.  We took lots of pictures of Kidist in her graduation gown but that is where the similarity ended.

Kidist with her diploma

As foreigners we were treated to very special Ethiopian celebration food inside their mud brick home.  Doro Wet is a chicken dish made with the basic Ethiopian ingredients of onions, tomatoes, garlic, oil, butter and beri beri spice. What makes Doro Wet different than other Ethiopian dishes is the extra spices that are added like cardamom, cinnamon, and nutmeg. You scoop up the delicious sauce with handfuls of fresh baked injera.  After enjoying the meal sitting around the coffee table in the living room, we went out to the tent where an enthusiastic singer was entertaining the crowd with his guitar and songs.  Later a very energetic preacher gave a lengthy sermon about heaven.  As we picked our way back home over dirt ‘roads’ pitted with potholes and tortuous ditches gauged out by the heavy rains, we could hear the ominous thunder rumbling in the distant hills and were glad that Paulos had erected the tent for their celebration.

alicek on June 29th, 2011

19/10/03

26/6/11

Dear Friends and Family,

Here is hoping that all is well with you.  My beautiful wife is back home with me in Soddo.  Hooray!  It is marvelous having her here, unfortunately she contacted a cold in the USA and has been quite sick this entire week.  Harry and Donna Brown are here, arriving a couple of days before Alice.  Harry recently retired from teaching computer technology and television at Muskegon Community College.  With his expertise he was able to help me purchase some important equipment for our ultrasound while in Addis Abba.  He also is working on filming a documentary on Soddo Christian Hospital. In addition to the Browns,  Nardos and Azariyas (two teenage children from our Addis Abba Ethiopian family) returned to Soddo with us to spend a few weeks of their summer holiday in Soddo.

I want to give you an update on Tesfenesh.  Tomorrow she will have been here three weeks and is still very critical.  Two weeks ago when I wrote to you about her I mentioned how attentive to her her husband had been.  Well, I was mistaken.  It is her young brother who has been by her bedside day after day.  Her husband has stayed at home stating that he does not have enough money for transport to the hospital.

Seven days after her operation her skin incision broke open spilling a large amount of pus.  At that time her temperature came down and she was able to take a few steps.  We were very encouraged and hopeful for her.  Now, after an additional week, her fascial incision has come apart.   In fact, her fascia (the fibrous connective tissue that keeps the internal organs inside the abdomen) totally disintegrated.  When taking off her dressing, her rectus muscles are visible and today I can see straight through to her uterus and intestines.  There is nothing between her internal organs and the dressings that we change every three hours.  She is too ill to take back to surgery and there is no tissue that we can put together over her internal organs.  We will have to wait until her body produces a protective lining and covers them on its own.  Months later, if she pulls through, we will take her back to surgery and repair her hernia.  Yesterday she received another unit of blood. She is extremely anemic and has a high fever.  Her Foley catheter is still in place draining most of her urine, but today she started leaking urine from her vagina for the first time, indicative of the formation of the dreaded vesicovaginal fistula.  She does have muscle control over her legs but has no control of her bowels and soils her bed often.  Please continue to pray for her.

This past week we have been very busy with many deliveries and surgeries.  I rounded on 18 patients yesterday.  We have had two sets of twins in the past 24 hours and many other challanging cases.  One 22 year old woman died of metastatic cervical cancer this week, but we were, however, able to operate on a 25 year old with ovarian cancer and are hopeful that she will survive.

Please continue to pray for Tefenesh and that God will give us wisdom in knowing how best to care for her and the other patients that he sends our way.  Thank you for you generous donations to our maternity benevolent fund.  Her entire care is being underwritten by that fund.  Thanks also for your words of encouragement.  They mean so much to us.

Love,

Mark

alicek on June 29th, 2011

Greetings from Soddo.  This week has been very different for me. A lot of my energy has been focused on one patient who I will talk about  later.  Also, Alice and I celebrated our 37th wedding anniversary June 8th, but on separate continents.  This was a for for us.  Usually we spend a couple of days going to a bed and breakfast along Michigan’s beautiful west coast.  Alice spent the day returning home to MI from Waco, TX where she had been with David, Betsy and Jack David.  I really missed her but was grateful that she could be with our kids and new grandson. It was a blessing that she was there because Betsy became very ill with gallbladder stones and spent four days in the hospital undergoing two surgical procedures.  While Betsy was in the hospital, Alice took care of Jack David who is now two months old.  Betsy is now recovering nicely and Alice has re turned to Michigan.

Monday afternoon upon returning to the hospital from lunch, I was informedl that a patient had just been admitted to our “ICU” with a ruptured uterus.  I went there immediately and found a young 15-17 year old girl (no one knows how old they are here), who was exhausted and frightened.  Her abdomen was distended and rock hard and looked similar to a two humped camel’s back.  There was no heart beat because her little boy had died at least two days earlier.  She hasd been in labor several days and had ‘pushingn down pain’ for three days. . She was feverish and her baby’s face was presenting at her vaginal opening.  His nose and dmouith couild be seen there, which is termed a face presentation.  She was septic, meaning that she had a life threatening infection.  We immediately took her to surgery and opened her abdonmen.  Upon opening it, we were met with a foul stench that filled the room.  .It was one of the most difficult cases I have ever encountered.  The head was entrakpped within the p elvis making the baby very hard to deliver.  The baby’s skin had already begun to slough off and as we attempted to deliver him it partrially peeled off in our hands.  Finally, afater muich stgruiiggle and maneuvering, we were able to extract him fromhis hyoung mother.  He was placed in a cardboard box on the operating room floor.  Next we had the task odf piecing together her sheredded uterus.  Since she had been in labor for such a long time the lower uterine segment was str etched out paper thin and torn.  It was like trying to sew butter or Jellow together.  The Ethiopian surgeons automaticallyt perform hysterectomies on any patient with a uterine rupture but I have found that the patients do better if we can save their uterus  if possible.  Hers was extremely challenging for several reasons:  she kept losing a lot of blood, her uterus would not clampdown, and she was severely infected.  Her postoperative course has been very rocky and she is acutely illto th is day and still may not survive.  She has a high fever and labored breathing.  Her lungs sound terrible alnd we are afraid she may be developing a pulmonary embolism.  We cannot give her Heparin because, No. 1, we do not have enough of the medication, and No. 2, we have no way to test her clotting lev els.  We have started her on  Aspiri,k our only available treatment.  She has received blood tranbsusions from three relatives, Dr. Michele,  our visiting resident from Muskegon and myself.  Her legs are swollen and ulcerated.  They look similar to an elephants.  She has no bowel congtrol and is unable to walk due to nerve damage from the baby being trapped in the pelvis for such a long time. Her Foley catheter will be in place for several weeks (if she survives) due to the fact she has no bladder control.  Hopefully, she will not develop a vesicle-vaginal fistula.  Her husband has been very supportive.  Please joinus in saying a prayer for her.  Her name is Tesfenesh, which means hopeful.  In the future, hoopefully I can share somen of our other patient’s stories but hers is the most pressing at this time.  Thank you for your prayers and encouraging words.

Mark

PS.  After writing this I went to the hospital and Tesfenesh is doing some better.  We are “hopeful” for her recover!

alicek on June 26th, 2011

Abebe entered my life on my first day of ESL class.  There were 10 students but Abebe caught my eye.  His English was above average and his interaction with the class excellent.  But there was something else about him…he seemed sad.  After class I walked him outside and asked if there was anything wrong.  He quietly told me that there was but he would tell me at another time.  The next time we met for class he was there again.  He walked with me up the long compound drive and told me part of his story.  He was an orphan, his parents dying when he was quite young.  He had been living with his father’s brother and his wife, but the aunt did not like him and was always criticizing him and beating him for any infraction.  He couldn’t take it anymore and fled the home to live with some school friends.  He needed some work to help with his expenses.  Since we were in a new house and it needed a lot of outside attention, I hired Abebe to come and help me out.  Little did I know that in the process of working with me, he would steal my heart.

Abebe planting ground cover

Part of Abebe’s story is way too familiar to me.  My father was also an orphan.  Both of his  parents  died during the 1917 influenza epidemic that killed an estimated 30 million people around the world.  He and his sister were split up between aunts and uncles.  He was taken by an uncle, a farmer in Missouri , who needed extra male help on the farm.  My father was cruelly beaten by the uncle who expected him to be more of a slave worker than beloved orphaned nephew.  He was able to finish grade 7 in school before he eventually ran away from his uncle and the farm.  He only really talked in detail about it once to me, but his story seared my heart.  Now here came Abebe… bright, kind, orphaned and in need of a family to love him.

My heart  and Marks are huge for teenagers who need a safe place and someone to love on them. While I was in the states, he spent a lot of time with Mark, planting a garden and even playing a game of Scrabble with him.   Abebe loves Jesus and often teaches small children in Saturday “Sunday” school.  He prays deep prayers.  He is a thinker and is sometimes way ahead of me and the other workers when it comes to ideas about designing gardens and pathways.  He recently finished his 9th grade studies.  I asked him if he was the first in his class, knowing how bright he is.  He very humbly said, “No unfortunately, I am not the first.”  “I am the third.”  Well, third is pretty good in a class of 2000 students!  In the fall we hope to get him into a private high school where he can finish grade 10 before moving on to the high school classes at the government school.  We are seriously working on sustainable ways to make a difference in this very sweet boy’s life.

alicek on June 12th, 2011

Texas was way too hot for this Michigan girl, but hanging out with my two kids, Betsy and David and my precious grandson was worth the heat.  Jack David is now two months old and responding to people and hugs.

Jack and me

The plan was for me to take over in the home after Betsy’s mother Jill came back to Michigan.  Betsy had two more weeks of school to finish and then home for the summer to be a full time mom.  Each day Jack and I got up when Betsy and David left for the day.  We went for early morning walks before the Texas heat simmered up to 100 degrees.  Betsy left enough breast milk in the freezer and I kept busy making bottles, singing to Jack and preparing dinner.  On the last day of school  Betsy left class and keeled over with pain in her abdomen.  By that night she was vomiting and the next afternoon we took her to an outpatient clinic and then on to the ER where they diagnosed gallstones in her duct and gallbladder.  She was in so much pain.  She was finally admitted to the hospital on Saturday morning and had two surgeries, one on Sunday morning to remove the stones from her duct and then on Monday to remove the sick gallbladder.  She came home from the hospital on Tuesday morning before I had to fly out at 5:00 that afternoon.  I definitely had more Jack David time than I anticipated, but was so very thankful that I could be with them during this unscheduled health crisis.

David, Jack David and me

Before the hospitalization they took me to Rosa’s to meet their small group…David pastors a Spanish speaking church at Antioch.  Their friends in the church are so warm and friendly and just made me feel so welcome.  Saturday morning we went out to an Anabaptist community where we ate breakfast in their lovely restaurant and then toured all of the buildings where they make textiles, grind flour and create beautiful furniture.

David, Betsy and Jack David

David and I took two trips to HEB, their upscale supermarket where I thoroughly enjoyed checking out all the new foods and ice cream labels.  Yum.  I think David would have bought me every ice cream that my heart fancied.  We settled for some yummy Blue Bell peanut butter crunch and my favorite, Ben and Jerry’s Pistachio Pistachio.

The rest of my trip has been lovely catching up with my friends and family here in Michigan.  By next weekend, I should be back with my loving husband!

alicek on May 15th, 2011

With Mother’s Day fast approaching and no children around to celebrate with, we decided, along with Jackie and Duane Anderson, to make a getaway from Soddo and combine several errands into a mini retreat. The planned departure was Thursday morning. We were packed and ready to leave when Duane came to the door at 7:00 A.M. to inform us that we could not leave until Friday.  The Ministry of Education, at the last minute, had decided to come to Soddo to inspect the hospital in regards to the PAACS residency program.  Our administrator, Desalyn, wanted Duane here.  That worked out OK for us for I had lots to do here.

The rains have begun and it is planting season.  I have taken on the rather daunting task of working in the hospital flower beds and helping to direct our talented gardener, Degu and his new assistant Mogus.  I say the task is daunting, because the gardeners have created so many flower beds, along each walkway and each building that they cannot possibly keep up with the maintenance.  The beds have continued to get larger and larger with fewer flowers and more weeds.  My goal is to tighten the beds so that we can maintain them and sustain them in the long dusty dry season.  With that in mind, I wanted Degu, our gardener to accompany me to Addis to pick out plants for the hospital.

Our first destination was Addis Abba where Jackie and Duane wanted to purchase new furniture for their house.  Jackie and I have this lovely unusual relationship.  We both like the same things…books, colors, ideas, baskets, flowers, food, tea, exercise.   I’ve never met anyone so much like me. They really liked our comfortable furniture and wanted something like it.  We arrived in Addis about 5:00 on Friday afternoon and went straight to the furniture store.  They shopped the store and ended up purchasing the identical furniture for several hundred dollars less…it was on sale!  We shopped for staples at a nice grocery store and later ate out at a delicious Chinese restaurant run by a great Ethiopian chef. The next morning, Duane had lots of meetings and Jackie, Mark and I took off to get our errands done.  Our hospital driver, Goucho and Degu, hired an Isuzu truck to carry the furniture and meet us at our final destination, Debra Zeit to purchase flowers for the hospital

We chose Debra Zeit for two reasons, the most important being they sold many flowers along the roadside and we would be able to purchase plants for the hospital flower beds.  The second reason was that there were beautiful crater lakes with several nice hotels.

I love to garden; in fact, you could say it is one of my passions.  Walking along the two mile stretch of flowers, shrubs and trees was a taste of heaven.  The plants were healthy and cheap!  For instance, I purchased 40 good sized hedge plants for .50 each.  Geraniums were the same and palm trees were only $3.00.  Degu and I shopped and shopped and he carefully chose healthy plants for the hospital. We sent him back to Soddo with the Isuzu truck and we went to our hotel.

It wasn’t quite the hotel we were expecting but the owner, a kind and chatty former nurse from Belgium welcomed us.  We settled into two mud huts with grass roofs overlooking the lovely Lake Babagayo, a volcanic crater lake.

Lake Babagayo

The furnishings were rather primitive, but we did have electricity and hot water.  We had a pleasant dinner sitting outside, enjoying the peace and quiet of the still lake.

Our African lodge in Debra Zeit

The peace and quiet, however, were short lived.  In the night a pack of dogs and hyenas began a barking howling war that lasted several hours.  At 4:00 A.M. the Orthodox Church turned on their loud speakers and we felt like we were right inside the church listening to the chanting in the ancient Geze language.  By 5:00 the road outside our room was bustling with truck traffic.  We thought about looking for another hotel but wondered how Jackie and Duane would feel.  But the first thing they said in the morning was, “Let’s look for another place.  We have no electricity or hot water and the bed is like sleeping on the floor.”  It actually was.  It was a mud bed with a thin mattress over the top.  Ours was much more comfortable.  So

Our mud hut hotel room

after a small breakfast we walked along the lake looking for another hotel. Eventually we found a lovely resort that was empty for Sunday night. It was right across the lake from our previous hotel.  When we ordered lunch we discovered that the cook and hostess were Americans.  She assured me that he would make me a real American hamburger and he did.  So we spent our Mother’s Day relaxing in a beautiful Western style resort overlooking the water where I enjoyed my first tub bath since coming to Ethiopia! Unfortunately, the Internet didn’t work, so we had no contact with our children on Mother’s Day.  That was a disappointment but the compensation was a delicious candlelight meal on the water prepared by an excellent American chef.

Breakfast at our hotel overlooking Lake Babagayo

Monday morning we left early to return to Addis and finish our shopping.  But first, Jackie and I had to take one last look at the flowers.  I decided to purchase a few more plants for the hospital (few meaning about 40!) and more for our house, including three rose bushes. We packed the shrubs on top of the van along with our suitcases and arranged the rest of the flowers inside the van.  We headed to Addis where we had too many errands to accomplish by 2:00.  We dropped Duane off for another meeting and headed into town to shop.  As we headed into a round about the police flagged us down.  Our driver got out of the car where the policeman chastised him for having plants inside the van!  He gave him a ticket of 160 birr and kept his driver’s license.  This meant that we had to pay the ticket and then drive back to the police officer to prove to him that we had paid the ticket so that Gaucho could get his driver’s license back!  Two precious hours later we turned in the receipt and drove away with the plants still inside the van!

Justifiably, Goucho was edgy about the plants so after we finished our shopping for perishables, we repacked the van and loaded the remaining shrubs and plants on top.  I put my foot down, however, with the roses.  I showed Goucho that I would place my sweatshirt over the top of the plants to hide their existence, but I would not put the roses on top of the van to blow in the wind for 5 hours!  We arrived back in Soddo about 8:00 Monday night, tired but also exhilarated to have so many new plants to work with.

alicek on May 2nd, 2011

At 5:15 A.M. the rains came in earnest, pounding the house with the unrelenting force of sheer water.  We snuggled down in our bed and pulled the duvet around our chilled shoulders preparing for a cozy rainy morning in bed.  At 5:55 the phone rang, jarring us out of our lovely respite with the rain.  Mark quickly got out of bed and went into the bathroom to take the call.  My end of the conversation went something like this: “How far dilated is she?” “How far dilated is she?” “How far dilated is she?”  I said, “How far dilated is she?”  “Is she crowning?”  “Is she crowning?”  I said, “Is she crowning?” “Crowning?”  “What are the heart tones?”  “What are the heart tones?” “Do you have heart tones?”  He never raised his voice and continued to ask each question patiently over and over.  As most of you know, I’m not near as patient as Mark and I wanted to scream from the bed, “What are the HEART TONES?”  Our nurses are required to speak English, in fact, their nursing school is all in English but the unfortunate reality is that they really do not understand spoken English.  The poor cell phone quality also contributes to the frustrating phone conversations.  Mark put on his blue scrubs and walked into the living room.  He slipped on his white coat that holds all the important things like his stethoscope and fetal doppler.  I got up and turned on the bright fluorescent kitchen lights preparing to make the morning coffee.  Mark opened the door into the dark morning and I heard him shout!  “Uggh, get away, what’s this?”  His arms were flailing as he fought off the hundreds of flying insects that had hatched from the hard rain.  They were swarming and swirling into our house seeking the kitchen light.  Quickly I quenched the light and he carefully opened the front door which I hastily closed behind him and he walked out into the dark rainy morning to check on a patient that he had virtually no idea what the problem was.  He left me to fight the flying bugs swirling around my kitchen.

The bugs are about the size of a butterfly.  They have four paper thin wings that remind me of the original biplanes.  They flutter at a rapid speed for about five minutes and then crash to the ground where the wings fall off and the bug, about 1 ½  cms. long remains. The entire onslaught lasted about 15 minutes.  I swept up the wings and bugs, made the coffee and just laughed at the sheer madness of our early Tuesday morning.

alicek on April 28th, 2011

I stood outside on the balcony overlooking the lush courtyard watching the gray clouds rapidly move closer to the high school compound.  The wind began to dance through the open doorway of the classroom creating a pleasant contrast to the earlier heat of the afternoon.  Would it rain, I wondered?  I looked over at the young man standing next to me waiting for the class to begin and I asked him, “Do you think it will rain today?”  He thought for a moment and then said, “No, it will not rain.  The wind will blow the rain away.”  “Hmm,” I said. “In my country if the sky looked like this and the wind felt this way, it would definitely rain.”  But thinking that he must know more about the weather pattern in his home country than me, we went into the classroom to begin the lesson.

The classroom in this private high school is rather sparse considering it is just that, a private school.

My classroom at Chora High School

One would think that since the students are paying tuition to attend this private school that the facilities would be a little more ‘up scale.’  The lab does have microscopes and there are working computers in the computer lab, but they are ancient. The long desks in the classrooms are getting rickety, swaying from side to side if one leans just a little too hard on the edge. The chalk boards are black painted wood. The floors are concrete and the windows leak.  The hardest part about teaching in this school is the echo that my voice makes when I speak. Even if the room is full of attentive students, it is nearly impossible to hear the students speak.  Ethiopians are traditionally quiet soft spoken people who rarely raise their voices.  The contrast with the boisterous Cameroonians and Nigerians, the people we used to work with, is like night and day.  When I ask a question in class I have to physically walk over to the student and ask them to repeat their answer.  I just cannot hear them with the echo reverberating off the barren walls, windows and bare concrete floor.   There are no books in the classroom, no bookcases, no curtains, no pictures on the walls….nothing to soften the stark concrete structure.  To make matters worse, my classroom is on the second floor, just under the rooftop.

My class is supposed to begin at 3:30 when school lets out.  But that is a reality that is not going to happen. The students need time to visit with their friends before coming to a special tutoring class for the national examination they will take in June.  In actuality, my class usually starts at 3:50 and goes until 4:55. When I began this class three weeks ago I started out with 47 students.  It has pared down to about 12, which is actually quite manageable when you are teaching English as a second language.  We usually start the class with a warm-up activity and then repair a poorly written paragraph.  After that we review old examinations.  Ethiopian students are like just about any ESL student, they leave out the important little words like the, an, our, it and at.

Yesterday just as we were reviewing an old national examination the rain began.  This was no normal rain, however.  It started with big splotches against the window panes and then it began in earnest.  Talking was impossible…the heavy deluge pounding on the metal roof just above our heads was deafening.  The rain continued, pouring heavy water against the windows and muddying all the ground that wasn’t thickened by creeping grass.  I tried shouting to be heard but even though they could probably hear me, trying to hear their quiet answers against the pounding storm became laughable.  I had to admit defeat.  It was 4:45 but I bundled up my papers, closed my backpack, erased the board and got out my umbrella preparing to exit.  The students sat quietly at their desks.  Did I forget to say something?  Did I do something culturally wrong? Then I remembered.  They have a custom here that my teacher friends in the states would love.  Out of respect, the students wait for the teacher to leave the classroom before they get up.  They never exit the door in front of me but always wait for me to pass through first.  It is a nice gesture that I admit I’m enjoying.  It is gratifying to teach and have the students listen and participate and seem eager to learn.  Later as I was walking out of the compound trying to negotiate the slippery mud, two of the girls ran up to me and put their arms around my waist steadying my slipping feet.  I held the umbrella high as we walked home together slipping and sliding and laughing in the rain.

alicek on April 24th, 2011

16/8/03

4/24/11

Today we are celebrating life and the resurrection of our Lord.  Happy Easter everyone.  This week we have experienced the depths of despair and the heights of joy.

  • Our fourth maternal death:  On Friday Stephanie was working at the government hospital when a young teenage mother came in in an almost comatose state. She had been in labor for four days and her baby was dead but undelivered.  She was brought in by her brother because her husband had abandoned her during the pregnancy.  Both she and her brother were orphans themselves.  He had less than three dollars to his name and did not have the necessary money for her medications.  The government hospital refused to provide any care for her until he could bring a paper from his local government substantiating his financial situation.  This, of course, would take too long.  Stephanie made arrangements to bring her to Soddo Christian Hospital because we have, at least, a benevolent fund which takes care of these patients during these circumstances.  Many of you have given to this fund making this a possibility. Stephanie called me saying she was bringing the patient over and was going to have to perform a destructive delivery.  After this gruesome procedure she was examined and it was thought that her uterus had ruptured.  In actuality, her uterus was like a stretched out balloon and had no contractility to it.  In an attempt to save her life, she was taken immediately to surgery, while three visitors, two medical students from England and Kim Hardy from Grand Haven donated their A+ blood.  At the time of surgery her stretched out uterus would not contract and was necrotic from severe infection and prolonged labor.  We performed a hysterectomy removing her necrotic  foul smelling uterus.  The blood loss and the infection were too overwhelming for her little body and she died a few hours later in our ICU.  This death could have been prevented had she not waited so long to seek medical attention…but the reality of her  death is that her extreme poverty contributed to her ultimately  death.  For more on Meskeram’s story please see Dr. Stephanie Hail’s blog site at: www.drhail.wordpress.com
  • Ovarian Tumor:  Earlier this week we operated on a patient with a massive ovarian tumor larger than a basketball.  The outcome was postive and the patient recovered and did very well. She had lived carrying this tumor inside her for seven years.   You can see pictures of this tumor at our blog site at www.soddospecialdelivery.org.  Go to the gallery at the top of the page and click on it.
  • Kim Hardy:  We are very happy to have Kim Hardy, ultrasound and X-ray educator from Grand Haven, MI staying with us for five weeks.  Kim has been patiently instructing me and my midwives and  nurses in ultrasonography. She is also working with the techs in the X-ray department helping them improve their imaging in both X-ray and ultrasound and in orthopedics working with Dr. Anderson in performing nerve blocks.  Yesterday she went out to a rural clinic with Dr. Mary Vanderkooi.  Not only did she bring her teaching skills to Soddo but also carried a suitcase full of suture and other much appreciated items including colorful hats for our OR staff that had been made by our OR staff back in Muskegon.  Alice is thrilled to have a bottle of Oxyclean to clean my dirty white coats!
  • Teaching:  Alice loves her new job teaching English at the private high school near the hospital. She goes Monday through Wednesday from 3:30-5:00 P.M. helping 10th grade students to prepare for the important national examination they will take in June.  This test determines whether these students will continue on to the 11th grade and possibly university.  If they fail the test their formal high school education will be over and they can move on to either vocational schools or choose to quit.  Alice stated, “I really become alive in this classroom.”  She is continuing her work at our small school on the hospital compound as well as overseeing our hospital gardeners. 
  • Easter:  Easter is a big holiday in Ethiopia and Soddo in particular.    I asked our Amharic language teacher, Paulus, how the Christians here celebrate  Easter.  He said that a good majority of Christians spend all day Good Friday in fasting and prayer at their various churches for about 12 hours.  On Saturday night they gather at their individual congregations at 8:00 P.M. for an all night praise/prayer service. At 4:00 A.M. Easter morning many of the churches gather at one place for further singing and praying until dawn at which time they return to their various churches and have services until about 11:00 A.M.  Afterwards they return home for a special holiday meal. All of the homes are decorated with grass for the traditional coffee ceremony and many of the bajoj’s (mini taxis) are decorated with palm branches.  Paulus asked me how the ferengis (foreigners) celebrate Easter.  I was too embarrassed to mention the Easter bunny, colored eggs, chocolate candy and fancy new Easter garments.  Our Easter this year was very different.  For the first time we experienced a Seder meal.  A Seder meal is a meal designed by Messianic Jews celebrating the traditional Passover meal but also tying the scriptures to Jesus, the Messiah. We celebrated this on Friday night sitting on blankets and pillows in our lapa (traditional thatched house) with all the missionaries.   Earlier that morning Alice and I had the privilege of praying and worshipping with our Ethiopian brothers and sisters in church.  One of the hospital workers helped translate for us.  Our friends, Elizabeth and Peter came from Addis to spend the weekend with us.  Early this Easter morning we woke up at 3:30 A.M. and walked a short distance to a local church where we worshipped with about 150 young people gathered outside in the church courtyard.  A large bonfire was blazing and a live band played praise music as the kids worshipped, singing and dancing. It could have almost been an American youth group except that the girls danced with the girls and the boys danced with the boys!  At dawn, while walking home, it was thrilling to hear the echos of worship coming from all quarters of the town as people lifted their voices in praise to the ressurrected Jesus.  Later this morning we worshipped with our Soddo Hospital missionaries singing many traditional Easter songs followed by a delicious brunch in the lapa. Alice made her traditional hot cross buns.   Later today we visited with friends and then I was called back to the hospital to take care of a woman who was hemorraging internally due to a ruptured tubal pregnancy. 
  • Thank you for your continuous prayers.  We covet them.  Love, Mark and Allison
alicek on April 18th, 2011

Recently I wrote about the privilege of giving blood at Soddo Christian Hospital.  As one friend wrote, in Africa we become the walking blood bank and it seems like the Obstetrics Ward drains most of our blood!  The mother I gave blood to went home last week with her newborn baby girl after a stay of three weeks. She came in with a hemoglobin of 2.5, in preterm labor with severe malaria.  I remember watching her little body scrunched on the bed, barely alive as she wrestled with the pain of labor and the struggle to get air into her emaciated body. Mark really doubted if she would live through the labor.  He certainly didn’t expect her baby to live.  But through prayer, God was gracious and she survived and here baby survived.  I was able to pray with her several times during her stay and each time I entered her room she was smiling more and feeling stronger.  We sent her home last week with new baby clothes and hat and a brand new mosquito net for her bed.

Allison posing with the mother and daughter she gave blood to.