Monday, 29 February 2016

01 March 2016

Image result for year of mercyImage result for year of mercy
The Year of Mercy

     Over the last 30 years I have watched as the AIDS pandemic swept over East Africa.  We have made strides in education about the disease and treatment as well.  But stigma still reigns. That can be as heartbreaking as the disease itself.  
     One day a nurse brought this little boy to see me.  He was in severe pain with swellings on his cheeks that were growing rapidly.  He and his mother both have HIV.  He had been infected at birth but hadn't begun treatment until the very late age of five.  His mother was adamant we shouldn't tell anyone in her family why they were sick.  She was terrified her mother in law would broadcast her 'sin' to the whole village.  This illness is a huge dishonor to the family.  I knew he had cancer and would need to go to the provincial hospital for treatment.  That would cost a lot of money.  We didn't charge them and gave them $25 to get started on a journey that would most likely bring this little one back to God.  He would die of stigma and judgmental attitudes that exclude him and his mother from family and community.
     At another clinic I was called to see Mary, who was hospitalized in midlife with a severe stroke.  She, too, had HIV and she knew it.  She had left her family and roamed the streets with many men, perhaps because of her own shame and self-stigma, believing herself unredeemable and unworthy of treatment.  Her husband had tried repeatedly to bring her back home and help her to get the care she needed.  She always refused.  I walked into the ward to see her and found a well dressed woman sitting in the chair near Mary's bed.  She was about the same age as Mary.  She didn't say much and seemed distant but at least she was someone I could talk to as Mary couldn't speak.  After reviewing the long litany of Mary's ailments I explained to the woman, who was married into the family, that we needed to elevate the head of the bed so Mary could breath better and not aspirate something into her lungs.  The  nurse and I scoured this electric bed, imported from Europe, for a way to raise the head.  But we had no electricity and couln't find a crank to lift it ourselves.  I wrote my orders and moved on to the next patient while the nurse went to look for pillows.  When I returned a short time later I found Mary's visitor sitting in the hospital bed with Mary propped up on her chest.  A bevvy of family members had arrived, including Mary's husband and several women who were arranging the bedding, wiping Mary's face and gently spooning some thickened cereal into her mouth.  They were fairly well educated and lived in the town nearby.  I listened as they poured out their frustrations over many years of being unable to help Mary.  Now that she was completely incapacitated they could finally shower her with their love and tenderness.  They only wanted her to get better and come back to live with them.
     Traditional rural customs and rituals where I have worked in Tanzania, South Sudan and Kenya have usually been very caring and attentive to family members in need.  But they can be judgmental and severe when issues of morality and sexuality are concerned as I saw with the little boy.  Pope Francis has given us all a challenge to see as Jesus saw, through the lens of mercy.  That's what I saw at Mary's bedside.  Mary died in the hospital about a week after I saw her.  She went back to God surrounded by the love and mercy of her family and friends.
Coralis Salvador, Maryknoll Lay Missioner, and her colleagues



PEACE OF THESE LOVING MERCIFUL WOMEN WHO GIVE SPECIAL CARE TO PEOPLE WITH EPILEPSY

Sunday, 31 January 2016

01 February 2016


MIRIAM AND YUSUF
HEROS AND SUCCESS
     Meet Miriam and Yusuf.  You should know I never use the real names in these pictures.  But they are Muslim and that is important to this story.
     Yusuf came at one year of age, wasting away.  We figured out he had low thyroid hormone, began him on medicine and basically saved his life.  He looks scrawny here but he looked like a famine victim when I first saw him.
     Someday Miriam may save my life.  In December a bus was travelling in Kenya from the town of Mandera very far north of Mombasa on the Somali border.  It was ambushed by Al-Shabaab terrorists who ordered the Muslims and Christians to separate.  The Muslims surrounded the Christians and some women even gave the Christian women their Muslim clothes (hijab) to wear.  They told their abductors to kill them together or leave them alone.  This shocked the extremists.  It had never happened before.  Dumbfounded and confused they started shooting and left in a panic.  They shot and wounded the Muslim deputy head teacher at Mandera Township Primary School, Mr. Salah Sabdow Farah.  Bullets lodged in his hip and arm.  He was air lifted to the National Hospital in Nairobi on 22 December and he died on 18th January due to the injury to his hip and bleeding in his kidney.   Sadly, I only found the small newspaper article by chance at the bottom of the page in one of the national newspapers.  It should have been the headline news on the front page.  It should have been picked up by the international news agencies, just like the story of the three Americans who acted on the French train to save peoples' lives.  He died trying to shield his fellow Kenyans and he is a hero.  

GUINEA WORM
Now for the success part of this blog!!!!  I worked in what is now South Sudan from 1991 until 2003.  When I moved to Toposaland in 1997 the Carter Center was working in our parish to try to eradicate Guinea worm by the year 2000.  These nomadic people moved their cattle from place to place and were always short of water.  This nasty little creature infects a person when they drink contaminated water.  The filarial worm is contained in a flea (Cyclops) in the water and when it is ingested the stomach acid destroys the flea and liberates the worm.  The worm then passes through the wall of the stomach and the male and female mate.  The male promptly dies but the female takes a year to move to the extremities and she can become two to three feet long.  When she reaches her destination she causes a painful blister to form and the person puts their foot in a pond or pool of water to get some relief from the pain.  As the blister opens little worms are released into the water and if a person drinks the water the cycle begins all over again.  The big worm needs to come out and local people would slowly wrap it around a twig and remove it over a couple of days.  There is no other treatment for the big worm and the person is in such pain they can't work for many weeks.  One of my patients had 62 worms come out of his little body!!! 
     Our dispensaries worked with the Carter Center to educate and distribute cloth filters and pipes.  If people used filters to strain the fleas out of the water, transmission could be stopped.  At one time there were 3.5 million infections in 21 countries.  When we were working in South Sudan only 13 countries, all in Africa, still had the worm.  We helped Ethiopia eradicate it in 1998 because we were working right next to their southern border.  But the goal of eradication in 2000 came and went and there was no way to succeed while Sudan was still at war.  Then, the peace accords were signed in 2005.  That was the ticket to progress.  Last year there were only 22 cases reported in South Sudan, the last country to harbor this little critter.  The cycle can be broken in one year if every reported case is isolated and prevented from transmitting the worm.  2016 could be the year for success.  If this happens, guinea worm will be the second infectious disease to be eradicated from our planet.  (The first disease  we stopped was small pox.)  To be honest I AM SO EXCITED AT THE POSSIBILITY!!!  The Carter Center is also a place full of heroes.


PEACE OF THESE LOVE BIRDS AND ALL OUR HEROES TO YOU!

HAPPY VALENTINE'S DAY!!!

Friday, 1 January 2016

01 January 2016

YUSUF (not his real name) How old do you think he is?
1st JANUARY 2016
WORLD DAY OF PRAYER FOR PEACE
 
     The nurse had seen this little boy five days earlier and she thought his cheeks were a little swollen.  However, he had malaria so she treated him and told him to come back to see me.  He and his mother have HIV and both are on treatment.  In just five days the swelling had greatly increased along with swellings in his jaw and leg.  I was sure he had cancer but it was only two weeks to Christmas and this is the worst time in Kenya to get sick.  Everyone goes home and few staffs are working.  The mother refused to tell anyone in her family about the HIV infections because she was sure they would exclude them from the family and blame her for getting sick.  We don't charge them for their treatment but she didn't have money to get to the hospital.  So, we gave her the equivalent of $25 to go to the district hospital to get x-rays and I went to hospice to get morphine.  He had terrible pain, especially at night.  He is now in the provincial hospital where they have confirmed he has cancer.  He does not have a very good chance of survival with all the family and financial problems.  We can treat his pain and make him as comfortable as possible.  Perhaps if it is a Burkitt's lymphoma he will respond well to treatment and surprise me.  He is five years old but looks more like three.  Mother and child...such a hard life.
      FEAST OF MARY QUEEN OF PEACE
     In another clinic before Christmas I saw an 18 year old young woman with a pelvic infection.  Treating this problem revealed a litany of social challenges.  She finished five grades in school.  She was impregnated at age 15 by a married man.  He gives her some support for the child so she continues to meet up with him.   She gets treatment for the infection but he refuses to be treated so she gets re-infected.  She's really just a girl trying to survive.
     I sent her to the social worker who is very gifted in helping with these challenges.  We both encouraged the young mother to leave the married man and go back to school to finish eight grades.  Just as she was ready to leave she asked me if there as a chance she could have another albino child.  I was dumb founded.  After all of our interviewing and counseling we had failed to find out that her three year old son has albinism, a genetic disorder where the skin fails to produce pigment and the person looks white.  Exposure to ultra violet rays of the sun can easily cause cancer.  It is not uncommon here and there is tremendous social stigma attached to the condition.  In the most severe instances albino children and adults have been killed by witchcraft and their body parts used by the witch doctors for their evil machinations.  And yes, if she becomes pregnant by the same man again there is a 25% chance the child will have albinism.    
     All during this Christmas season I have been thinking of Mary and Jesus in light of these mothers and their children.  Why do so many young women and their children have one problem after another?  More importantly, what can I do for them?  When I am creative I find there is always something I can do for them.  In this coming year let us look at possibilities and be creative.  Let us not be overwhelmed by all the evil and troubles that seem to sprout like weeds.  Let's be hopeful and do what we can...with love and compassion.                                         
WISE OLD OWL



HAPPY NEW YEAR 2016!!!
 
 
 
 
 
 

 
PEACE OF THE WISDOM AND CREATIVITY THIS COMING YEAR WILL BRING


Monday, 30 November 2015

01 December 2015

WORLD AIDS DAY 2015
Susan at Bamba clinic for World AIDS Day 2015

 
I am still shocked by the amount of stigma related to many diseases here but by far and away the greatest shame still comes with the HIV virus.  We no longer see people who are wasted and withering away from full blown AIDS but last year more than 1600 people were infected with this virus in Mombasa.  900 people died and 171 infants were infected at birth.  71% of infected mothers did not deliver their baby at a health facility and this increases the chance of infecting their baby.  The county currently has 54,670 people living with HIV and 6,870 are children.  Only 42% of these children are receiving antiretroviral treatment.     This year our Archdiocesan Health Commission chose to go to one of the remotest villages, Bamba, to do education, testing and encourage prevention and treatment.
    


    Papa Fransiska, as the Pope is affectionately known here, has just completed his visit to Kenya.  He declined a state dinner with the authorities but made sure that he met with the residents of one of the biggest informal settlements (slums) in the capital city.  He met with leaders of different faith communities including Muslims, Hindus, and Protestant Christians.   He challenged religious leaders by telling them ‘if they came to religious life through the window instead of the front door then they should exit and go get married.’    The last day, youth filled the national stadium and a young man and woman identified corruption and tribalism as their biggest problems.  He replied to the former by saying, “It’s sweet like sugar.  We like it and then we end up in a poor way.  So much sugar we become diabetic.  When we put a bribe in our pocket we destroy ourselves.  Don’t develop a taste for the sugar called corruption.”  Regarding tribalism he said, “If you don’t discuss with each other you’re going to have divisions like dust, like the worms. Then he asked them to stand and hold each other’s hands. “Fighting tribalism isn’t just raising our hands.  We must carry out work against this.  Your ears are to listen as you open your hearts.”     

      According to him, the worst sin of all is indifference and God will vomit out the lukewarm (Revelations).  “Start now yourself because if you don’t start the next person won’t start.”

      It has been a good year for us in the Archdiocese.  We received a new Archbishop on February 21st, Martin Kivuva, a priest from this Diocese.  I have continued my schedule of visiting various clinics and giving medical education presentations to update the staff.  I have more requests than I am able to manage and the traffic jams have become horrendous.  One day I waited five hours to cross the ferry after doing a clinic that should only be 30 minutes from where I live.  In the coming year I will need to rearrange the schedule and hire a driver to continue with these supervisory visits.

      From July to September I was back in the US for my long leave before beginning another three year contract.  In August I gave the keynote address at the celebration of 40 years of Maryknoll Lay Missioners in New York.  It was a wonderful celebration and I met many people that I hadn’t seen for years given our dispersal throughout the world for ministries in Africa, Asia and Latin America. President Obama visited Kenya in July and many young people were encouraged by his advice and enthusiasm that we each be the change we want to see. 

     Kenya has welcomed two famous people this year.  The question is whether their visits will make any difference in the lives of the needy.  In a few weeks’ time we will welcome the newborn Christ child into our hearts once again.  Will we remain lukewarm and indifferent or will we use our ears and listen as we open our hearts?  There are many babies crying in this world and answering their cries will bring a calmer world and maybe even true peace and joy for ourselves.                                                                                      
Coralis, Judy, Susan and Teresa
 
 

From our home to yours

 

Heri ya Krismasi

na Mwaka Mpya

 

Merry Christmas and

Happy New Year!!!

  



Saturday, 31 October 2015

01 November 2015






Some Saints on the road to Bamba








The Likoni ferry















  ALL SAINTS DAY
     I  have been back to Mombasa for one month now.  I made my first trip to the remotest clinic in Bamba.  Along the way I saw this little home (which they call a hotel)  with the words etched in the paint...WE LOVE THOSE WHO HATE US.  On the ground lay two sticks in the form of a cross next to a small cooking pot. I stopped and asked them if I could take a picture and they were happy to share their faith in this way with you.  I continue to ponder the faith and love that made that simple etching along a dirt road in the middle of nowhere!
     Despite their quotation of one of Jesus' most radical admonitions, they certainly haven't heard anything about the Pope who echoes these words.  He is coming to Kenya at the end of this month.  He will not visit the Basilica.  He will say Mass at Nairobi University, spend two hours in an informal settlement (slum) and meet with a group of youths.  He's coming to meet ordinary people like these on the Likoni ferry.  I spent five hours waiting to cross on this ferry after my clinic that side last week.  Of the five ferries, three were broken and only two were working.  We also heard that the workers were 'going slow'...a type of strike action for better wages.
      The process for registering to attend the ceremonies for the Pope is detailed and thorough.  Already the process has been closed and only those who have presented their details will be given registration cards that may allow them to attend one of the functions.  I remember the spirit and enthusiasm of his visit to the US when I was still there at the end of September.  I hope that Kenyans will also be encouraged by his integrity to follow his example of service to those in most need.
     Thanksgiving is coming up and it is time to remember with gratitude all of you who have supported us with your prayers, letters/emails and donations.  This picture was drawn for my neighbors in Urbana by the children that Teresa Villaruz teaches.  Their school is in St. Francis Parish, Kibarani.  My neighbors,Tiffany and Tintin, had made friendship bracelets for the children which they absolutely loved!!!  I hope the gratitude and love these children show in their art painted on a plastic bag that once held the food they are served in the school will remind you of the many people you have helped us to serve.
 
ASANTE SANA!!!
THANK YOU VERY MUCH!!!
 
PEACE OF THE GOLDEN LEAVES OF AUTUMN TO YOU
     

Thursday, 1 October 2015

01 October 2015


Susan at Walk for the Poor, St. Patrick Parish

 
I'M CONVINCED WE CAN MAKE A DIFFERENCE. I'M SURE.
 
Pope Francis said this during his talk to the US Congress...a talk that mesmerized me. His image also accompanied a large group of us at St. Pat's parish on Sept 26th when we walked to raise money for those in need at my home parish.
 
I left the US on Sept 29th and arrived here in Nairobi last night.  The trip was long but otherwise uneventful.  I'm happy to be back in Kenya.  (As an update, it is now 3rd Oct and I arrived in Mombasa well last night!)

Pope Francis will be coming to Kenya at the end of November and I hope that he will bring as much inspiration and encouragement as I felt in the US.  I also hope that we will all continue to reexamine our lives in light of the needs of those less fortunate so that we can make a difference in the world we live in.                                                                                                     
     While at home I saw the full lunar eclipse on Sept 27th.  Magnificent, as is this photo, courtesy of Kevin Kuehn, for those of you who missed it.  When I reached Nairobi last night I saw the same moon as I walked out of the airport, now beginning it's wane.  I had a wonderful break with my family and friends and now I'm happy to be back in Kenya...intending to make a difference...for the better! 



PEACE OF THE THIS WONDERFUL MOONLIGHT TO YOU! 
Lunar Eclipse 27 September 2015
 


 

Tuesday, 1 September 2015

01 September 2015

Susan at 40th Anniversary Maryknoll Lay Missioners
SMILES

    For me this has been a month of smiles.  On 8th August I was in Maryknoll NY for the 40th celebration of Maryknoll Lay Missioners.  I was asked to give the keynote address and said yes before I really knew what I was getting into.  I thought this was just another talk of the normal kind I'm often asked to give.  Thanks be to God it went well and I can send you a copy if you're interested.  There were about 150 people present and I met many I hadn't seen for years.  It was a wonderful celebration of laity in mission with Maryknoll.



Nagele Family Reunion
     Next, on 15th August we were able to take Dad to the Nagele family reunion in Sheldon Illinois.  Besides being able to see his 96 year old sister Genevra, who is next to me, he saw about 80 others from the Nagele clan.  He also enjoyed looking at the corn and the beans which are doing well.







Marty and Susan at St Patrick Parish Activity Day

     Then on 16th August I participated in the Activities Day at my parish in Urbana Illinois.  Marty works with youth in the parish and we hope that more young people will learn about Maryknoll and think about joining us in overseas ministry.








     I've also been smiling at the way the campaign for the next presidential election is unfolding.  It's hard to find people discussing issues.  The candidates start so far ahead of election day and we spend so much money.  People my age are telling me they will vote.  That makes me smile more.  I remember how Kenyans stood in the blazing sun and pouring rain for up to 11 hours to be able to vote.  Few of my nieces or nephews plan to vote but I'm still one of those who cherishes the right and feels it's my duty.  There's no new news from Kenya so, for the moment, all is quiet and life continues on.  I will be in the US until 29th September when I leave to return to Kenya.
     I'm also smiling because Pope Francis has declared today 

 World Day of prayer for the Care of Creation 

I have begun to read the encyclical, "On Care for our Common Home" by the Pope.  This man is truly inspiring and gives me a lot of hope for the future...which is even more reason to keep smiling.  Hope it helps you to smile too!


PEACE OF THESE SMILING PUFFINS TO YOU!!!