21 May 2014

      Greetings to all.  I know that there are many people praying for us.  It is a great comfort.  I have just returned from a clinic in Voi, three hours away, that went very well.  When I arrived home I found that the lock on the outer gate of the door had been opened but the inner door was still locked and no one entered our flat.  It is very obvious when my car is gone for two days that I am not around.  So my friend came over this evening to chat.  It's nice to have someone else around when there is trouble.  Yesterday we got news of student demonstrations in Nairobi against the increase in school fees.  The gathering turned chaotic and police used tear gas causing disruption in the town center.
      Today the newspaper reports that hotels on the coast are closing and 4000 people have been laid off of work.  I have asked around about security in Mombasa and it is still tense.  The concern is that someone is planning a major attack that will involve shooting people indiscriminately in areas of heavy traffic...either Nairobi or Mombasa...similar to the attack on the Westgate shopping mall last September in Nairobi.
      I will be going to a clinic in Mrima by the Tanzanian border on Friday and the rains have cooled everything off so that I'm a bit chilly!!!  We continue to pray for one another.  Peace of the gentle rains to you, especially those who are starting to sweat in the northern hemisphere!

18 May 2014

     Due to the threat of terrorism Britain evacuated 500 nationals from their holidays here south of Mombasa last week.  The US Embassy pulled all their people from Mombasa and closed this weekend.  Since it seemed prudent to avoid trouble we cancelled our Maryknoll meeting here in my house today and all stayed home.  It was cold and rainy...if you can believe it after all the sweating we've been doing...but otherwise the day was calm and quiet.  Thanks be to God.

16 May 2014

Greetings to all,
     I don't usually write at this time of the month but there have been several bombings in Kenya and this is the easiest way to communicate to many.
     I am in Mombasa and all is fine here at the moment.  I had gone to Nairobi by bus on 3rd May and that night when I was beginning my retreat I heard of bombing in Mombasa.  This morning I was able to talk with one of the Brothers who works with youth in the Archdiocese.  On that evening he had just finished a meeting with the young people in Mwembe Tayari, a busy, bustling center for public transport downtown. We have all been there many times; Judy passes through there every day on her way to and from work.  His right ear drum was ruptured and he fell causing abrasions to his right side but he was able to run away and call for someone to come get him.  He saw four dead bodies, two men and two women...one of whom was pregnant.  At the same time there were explosions on the beach near the Reef Hotel, the place where members of Friends Across Borders trips have always stayed while visiting Mombasa.
     Since then there have been two more incidents of explosions in Nairobi, one on a major highway and this afternoon in a busy market.  The British have evacuated tourists and stopped others from coming to Kenya.
     I am glad that I had a good retreat and feel much more rested after having a break.  We will need to be more careful in Mombasa about where we go and what we do.  We are grateful for your prayers and pray especially for the families of all the innocent people who have been injured or killed in these attacks.
     Blessings of the waning moon to you!  susan

01 May 2014

Box 84425-80100                            

Mombasa, Kenya

nagelesusan@gmail.com   

http://healthministryinkenya.blogspot.com/

     May 2014

Dear Family and Friends,

     Recently, we visited an old Arab city nearby  where we found this huge Baobab tree. It is over 500 years old!!!  Baobabs are 90% water and they can live for 10 years without rain!  I look kind of insignificant standing in front of it.  Sometimes I feel insignificant in light of all the problems and troubles there are in the world.  The last couple of weeks have brought several violent incidents to Kenya and three out of four were here in Mombasa.  People keep forgetting that we are one family and we only hurt ourselves when we hurt one another.

    Then last Wednesday I saw the little boy that I mentioned in my December newsletter.  When I called the mother she didn't come into the office.  She put the little fellow on the doorstep and he walked in himself!!!  I first saw him in April last year.  He was one year old and couldn't sit up.  His muscles were all very floppy.  Now, at two years, he is standing by himself and flapping his arms like the little angel that he is.  It was very hard to get this picture because he was not at all interested in posing for the camera.  A small dose of thyroid medicine has given him the strength to grow more normally and behave very mischievously.  For me Easter has come early because he has more energy and his life is renewed.

HAPPY EASTER!!!

     So when we feel insignificant let us remember that we are part of a much greater whole.  And when we feel like there isn't much we can do, let us do what we can and then wait and see what God will do with us.  You are a great part of what we do and we are very grateful.

                  Blessings,

                  Susan Nagele

We are grateful for your prayers and financial support.  If you would like to know more about Maryknoll Lay Missioners log onto our website: www.mklm.org or call toll free 1-800-867-2980.

Sorry I haven't quite got this blog format down having done my newsletter on another document.  My blog expert, Mary, is coming for a visit in June.  We are all super excited and maybe she can get me straightened out!!!  

PEACE OF GENTLE ST. JOSEPH THE WORKER TO YOU!!!

01 April 2014

Mtumwa Dispensary

Exam Room

     I had heard about Mtumwa but didn't know there used to be a dispensary there.  Sr. Pauline had been looking for the dispensary but hadn't found it during her 7 year tenure as health coordinator.  One of her last trips was to take us there last month.  We found a building that had three small rooms at one end which had been used as a dispensary off and on for some years.  The man who last worked there left to start his own private clinic a short distance away.  His qualifications remain dubious; his motives clearly profit oriented.  People living in rural areas are often targets for unscrupulous health care providers.  We met some representatives of the village and tried to figure out what was going on  and what they needed.  The pregnant women and children must walk 15km or nine miles to go to a vaccination and antenatal clinic. Often it is late when they arrive and they are told to go back home.  The parish priest suggested we should try to begin these services.  We will see what we can do.
   

Meeting with Community

 













   
     The results for the nurses who sat for their exams came in this past week.  Both of the nurses who had gone for training on money used from my ministry account passed their exams and were literally ecstatic. They agreed to work in Kiminini Cottage hospital  for three years in return for their scholarships.  (This is the hospital that I worked at from 2003-2009.  We were trying to improve nursing staff by sending young people to school).  The woman, a single mother, was bright and needed a way to support her daughter and herself.  The young man was a former street child who had been brought to Bosco Rehabilitation program which is run by Russ Brine, a Maryknoll Lay Missioner.  It took 7 years to accomplish these goals.  It didn't fit neatly into the typical 5 year plan with targets goals and objectives.  But I think we succeeded to improve the lives, and therefore the families, of two young people as well as the health care provided in Kiminini.
     There have been more violent attacks on churches in the Mombasa area recently.  Last week three armed men attacked a Protestant church in Likoni on Sunday morning and killed six and injured 15.  No one has taken responsibility publicly and no one has been arrested.  Al Shabaab has been a continual threat to security here.  With Holy Week and Easter holidays approaching, all of the churches are taking added measures protect their faithful.

                                          Peace of the One who gave his life for us to you!                                                                           

01 March 2014

My driver!!!

     I have just returned from another trip to Giriama/Bamba.  It was a doozy!  On Feb 25th I did my first clinic at Giriama and saw 11 patients. It went well.  On Feb 26th Sr. Veronicah (a pharmacist) and I left at 8am with her in the driver's seat.  It took two hours to get there and there were many patients waiting for us.  This small clinic was begun to assist people with disabilities who needed physical therapy.  There is no resident nurse and Sr. Veronicah goes there every Wednesday to do what she can do.  I am now trying to go with her once a month.  I saw 22 patients and she saw 16 patients.  Most of the people I saw were quite sick...a woman with a blood pressure of 232/120 (normal is less than 140/90), several people with epilepsy and a child who may have Tourette's syndrome.  We managed to leave by 5pm for which I was grateful.  I wanted to get back to Giriama before dark and that would be in two hours.  When we neared the mission Veronicah complained that the clutch was really hard to push in.  I didn't know what to say except 'pole = sorry'!  A few minutes later the clutch went out.  She figured out she was in fourth gear and we had a distance to go yet.  She kept her cool and I kept encouraging her.  We were on a dirt road with a lot of pot holes and all we could do was hold on and fly over them.  Fourth gear wouldn't let her slow down very much.  When we neared the church she asked if she should stop and I said 'not at all...just keep going as far as you can!'  We made it all the way to the gate of the school at the base of a hill which led to her home.  She had to slow down and the engine stopped.  She tried to start it again in first gear as it was a stick shift.  No luck.  I looked out at the horizon to see a bright red sun quickly setting over the valley below.  A man walking by was the driver for the school and came over to see what was the matter.  Then the small car of some builders pulled up and they got out to help too. The men decided to take the rope off the gate to pull the car up the hill.  However, the driver jumped in the driver's seat to try to start it one more time and when it engaged he roared up the hill in first gear while we got a lift in the builders' car!  We were home by 7pm...just as the sun slipped below the horizon and night gently fell.  Both of us were grateful the clutch didn't break in Bamba and marveled at how well we arrived after a long day of challenges!

Sr. Pauline Nthenya and Susan

     I have moved this picture of Sr. Pauline and myself from the side bar.  She is moving on from her position as HIV/Health Coordinator in the Catholic Archdiocese of Mombasa.  She has been here for 15 years and is now going with two other Sisters of St. Joseph from her community to Malawi.  They will take over a hospital from the Medical Missionaries of Mary.  It has been my great privilege to work with her for the last four years and I truly cherish every moment.  I learned so much from her and she was very understanding of my limitations due to health problems.  The 8th of March is International Women's Day and we will have a celebration at our house to honor the great woman she is and say farewell. We will also welcome Sr. Salome Kamene who is taking over from her.

Blessings of all the wonderful women in your lives to you!!!

01 February 2014

 

Bamba Catholic Dispensary

This past week I was able to visit one of the remotest parishes in the Catholic Archdiocese of Mombasa.  It took me four years to get there!  We left Mombasa at 7am and reached Giriama dispensary at 9am.  I had driven this far and Sr. Veronicah drove another 2 hours to reach Bamba at 11am.  It is a dry, sandy place where the soil is black and not much good for farming.  There are a lot of bone deformities among the population and research on the soil suggests that some of the minerals it contains could be the culprit.  In addition, attempts to drill boreholes for water have been disappointing.  The water is so salty it can't be put on plants or given to animals, let alone be be used for human consumption.  There are many people with chronic illnesses.  The first two patients I saw had epilepsy.  They are lucky because they realize it is a disease and not a curse so they get relief with medicine.  A woman with very high blood pressure also had a big heart and irregular rhythm caused by damage to her heart from the high blood pressure.
     In the picture you can see a woman seated at the right under a tree.  Several women could not speak to me in swahili.  The older ones never learned and the younger ones didn't go to school long enough.  Lack of a national language really marginalizes people.  None of the three Kenyan Sisters I traveled with spoke Giriama, their local language, either.

Susan at Mrima Dispensary

     The week before last I went to Mrima dispensary and left depressed.  We have been trying to improve this unit.  The facility structure, medicines and supplies were all available.  Sadly, the staff were incompetent, dishonest and sometimes outright cruel to the patients.  I apologized to a man who had come to see me and he gave me details on how some of the staff were treating the patients.  He did say that the unit was a good place in the past.  This facility is a two hour drive away and the Health Coordinator is trying to manage it from Mombasa.  Her attempts to find a Sister to be the administrator have been fruitless.  While crossing the ferry on returning to Mombasa the pharmacist from the county where Mrima is located came up to talk to us.  Later he spoke with the Health Coordinator offering to support the five diocesan dispensaries in this county by paying for staff salaries, electricity, water, medicines, supplies, etc.  With that support health services could be provided free of charge!!!
     To be truthful, I'm still cautious and uncertain.  Things go up and down here so often it's hard to believe others.  But I would like to hope that some people care enough for others, especially those most in need, that they will help us provide the quality health care that everyone deserves.

Happy Valentine's Day!!!

Peace of the loving hearts to you!