Saturday, December 28, 2013


İMerry Christmas, dear friends!

Thank you, as always, for your support and your prayers along this journey.  It’s hard to believe that I am 1+ years in, with a little less than a year of my service remaining.  But then when I think back over these past several months and how many things have happened, and all the stories I have to share, it seems plausible. 

With the scarcity of internet and the busyness of life here, keeping up with this blog has been something that has fallen to the bottom of my to-do list for the past several months, but I thought that the Christmas season was the perfect time to update you all on what has been happening here in Trujillo, Honduras.

Now with a year of nursing at the Finca clinica under my belt, I realize how much I have learned and grown as an NP!  Of course clinic days hold many typical situations (lots of respiratory infections and interesting, not-common-in-the-U.S.-skin infections, and intestinal parasites and amoebas, high blood pressure, and ingrown toenail-removing…I never would have guessed that that last one would become commonplace!) but then there have also been the out of the ordinary stories.  A few weeks ago three-year-old Jairo came in with what started as a mosquito bite in his armpit and then progressed over the course of a week into a large, angry abscess, basically a collection of pus the size of a baseball and surrounded by cellulitis or inflamed tissue.  His father told us that he was not sleeping, eating, or moving his arm.  I realized immediately that I would need to open and drain the pus collection, although performing such a procedure on a little person is always a daunting prospect. With the help of my co-nurse, Natalie who held him down and calmed the poor little guy, I administered the anesthesia injections and was able to successfully drain the abscess. (Don’t worry, I won’t describe the mountains of pus that come out!)  After two days of packing the wound and antibiotics, the abscess was drying out and Jairo was once again a happy, active child.  His father and he had walked about 3 hours from their home up in the mountains, and I was thankful they made the journey, before the infection became even more serious.  Thanks be to God that he is doing well now! 

The days that we visit our home-bound patients in Buena Vista, the town up the mountain, continue to remind me why I love nursing here…because of those opportunities to form relationships with people, be welcomed into their simple homes and spend time with them.  Some of you have heard about my patient, Bertila, who has severe diabetes and high blood pressure but has improved greatly now that she is injecting insulin and taking her medications faithfully.  This past month when I visited, she had just returned from Trujillo (the bigger town) where she was visiting two of her daughters.  She happily shared that she would never have been able to visit them at this time last year, but now had the energy to make the trip.  Every month she proudly shows me her insulin bottle (still staying cool in her outdoor stone sink or “pila”) and reiterates how she is watching her diet (few tortillas and only small helping of rice, more beans, eggs, fish and vegetables).  Then our conversations turn to talk about her children (she had 18 in 20 years!) and grandchildren and neighborhood gossip.  When I check her blood pressure and glucose level and oftentimes congratulate her on the results, she never fails to respond with “Primero Dios”, translated more or less “to God be the Glory” or “I owe it all to God”.  What a beautiful outlook…it’s one that I hear expressed so often around here but that never fails to humble me. 

A few months ago I was blessed to be asked to be madrina, godmother, for three neighboring children, Ysmary (3), Levis Isai (6 months), and Selvin (18 months).  They all have visited the clinic frequently over the past year and Selvin’s father works as a watch guard at the Finca, so I have had the pleasure of getting to know them and being welcomed into their families.  I learned about Honduran baptismal traditions along the way as well (it is the madrina’s role to buy the baptismal clothing for the children and decorate white candles…luckily one of our Franciscan sisters let me in on these things a few days before the big day!)  The baptismal Mass was beautiful and I’m glad I have a year left to love my little ahiadas – godchildren.  I love that I now have actual “family” here in Honduras, even more of a connection! 

There are so many nursing stories, and so many of them revolve around the beautiful people around here that I have become blessed to call my friends.  There is Don Nicola, the older gentleman with a twinkle in his eyes and a heart of gold who survived a severe case of malaria and continues to battle severe asthma, who came down the mountain the last clinic day before the holidays especially to wish us a Merry Christmas and thank us for our friendship.  He is currently helping another dear neighboring elderly couple to rebuild their house that tragically burned a few weeks ago.  A few months ago we were surprised by a visit from the mom who gave birth right outside the Finca back in April and her beautiful, curly-haired, bouncy baby girl.  (Ashley and I say that we “half-delivered” a baby that day, as she had actually already slipped out about two minutes before we arrived, but was still attached to the cord and everything).  I will always feel a special bond to that amazingly strong young woman and her darling daughter. 

Life at the Finca with the children, especially during the Christmas time, has held many blessings as well.  Whenever the challenges of being far from home and family, friends and the comforts of life seem to be overwhelming the good moments, spending time with children, reading books, or playing Monopoly, or swimming at the beach, always helps me out of the doldrums.  One of my favorite memories from the past year was putting together a running club.  Getting the kids to enjoy distance running and to train for a Turkey Trot was something that I and one of the other missionaries, Kevin Kuehl, had talked about for a while.  We started practicing in September with a group of kids age 7 to 18 and continued pretty faithfully three times a week.  At first getting the kids, who are used to soccer and sprinting, to run the lap around the Finca fence (a little under a mile) was difficult and we heard lots of complaints (“running is feo- bad”) plus there was the distraction of plenty of fruits just waiting to be picked from the trees along the way, but by then end of November we were conquering the roads outside the farm and running along the beach.  Race day was a great event, with 14 runners, plus some missionaries, and the other kids and adults helping out to mark the course and cheer the runners on.  18 year-old Juan Carlos earned the first place medal, beating out a couple of the missionary guys, but 11 year-old Brayan, who has always been 100% dedicated in every practice and has really learned what it means to find the rhythm, came in right behind the older boys. 

Coaching a group of young runners was something that I had always wanted to do, and never guessed that it would take coming to Honduras to make it happen.  Along with learning every day in my nursing work, I cannot even begin to name the number of things I have learned over this past year…driving a huge stick-shift vehicle without power steering through crazy roads and rivers, Spanish, cooking over an outdoor fire, learning to live in a community of 11-20 people, surviving 2+ weeks at a time without internet or much connection with the outside world, and learning to trust in God in the daily moments of life.  I certainly am not an expert in any of these areas, nor maybe will I ever be, but I know God will continue to give me the grace to continue each day.  Your support means so much to me too…more than you will ever know!  Watching Yadira, our littlest child here, gleefully enjoying her first visit from Santa on Christmas Eve, I know that in spite of all the challenges, I am blessed to be here. 

THANK you all and blessings on your new year!

Love,
Laura

 PS- I couldn’t get any pictures up this time, but look out for them soon!

Sunday, February 17, 2013

4 Months in Honduras!


Dear Friends,
I pray you all are doing well!  I can hardly believe I have been in Honduras for over four months now (and in Latin America for six!)  Much has been happening for us at the Finca lately and I would love to share a few stories with you!  

Life with the children has been full and busy as always.  A new little girl is now calling the Finca her home.  Yadira is two years old and sadly had suffered abuse and neglect before coming to the Finca.  When she arrived a few weeks ago she was also suffering from some medical issues and was developmentally delayed in speech and walking.  Yadira and I have spent a lot of time together over the past few weeks as I have cared for her medical and nutrition needs and worked together with her social worker on her social and motor skills.  It has been such a blessing to be able to watch her progress and see her smiling, giggling, starting to form a healthy attachment to her house mom, and speaking a few words like agua and mama.  She is a beautiful, joyful little girl with a budding sassy personality… she definitely has the “clamping her teeth closed and wagging her finger ‘no’ at me” maneuver down when she sees me holding her medicine syringe! She is the baby of the Finca by about 4 years, so everyone here has fallen in love with her, especially the other little girls in her house.  Keep Yadira in your prayers that she continues to thrive at the Finca!

A few months ago I shared a story about one of our sweet, elderly patients who has uncontrolled diabetes while taking maximum doses of oral medications.  For a while Ashley and I didn’t know how else to help her, but finally we discovered that we could buy insulin at the hospital in town, and we designed a contraption to keep the insulin cool (she does not have a refrigerator)— the insulin is now inside a larger pill bottle attached to a rock, sitting on the bottom of her cool, stone outdoor sink, the “pila”.  I wanted to share that Bertila is now on insulin therapy and has been successfully giving herself injections every night.  Insulin injecting is a difficult concept for anyone, and as I started to educate Bertila in the beginning I could see the fear and anxiety on her face. At one point I doubted whether I had been crazy to be considering this whole idea.  At the end of our time together however she seemed to be growing more confident and with the support of her daughter, I decided to let her try injecting on her own.  When I made the hour and a half climb up the mountain to see her last week, she proudly showed me her 2-Liter Pepsi bottle full of used insulin needles (with the small bottle neck, no one can reach their hand in!), the small bruises on her abdomen to mark her injection sites, and she fished the insulin bottle out of the pila where it was still tied to a rock and staying cool. She has also been taking her other medications for diabetes and hypertension successfully twice a day and has been trying to maintain a low carb diet.  Bertila told me she now felt well enough to visit her two daughters and grandchildren who live in town (they have been asking her to visit them for a year now, but she has never felt up to it until now) and she is making plans to go this week.  Bertila's smile and new confidence warmed my heart…I am so proud of her!

Christmas was a while ago now, but many of you have asked about our holiday traditions at the Finca, so I wanted to share a bit about our Christmas as well.  Every afternoon leading up to Christmas Eve we prepared by holding the Posadas, the traditional reenactment of Mary and Joseph visiting the inns and asking for a place to stay.  The children took turns being Mary and Jesus and every afternoon included lots of singing, readings from the Bible, and a special snack.  The night before Christmas Eve we were joined by The Pescatore family, the original founders of the Finca del Nino—I will have to share their amazing story sometime—who were visiting this year.  Together we ran a regular Santa’s workshop, forming an assembly line to prepare presents for the kids and filling backpacks with little gifts.  Christmas Eve is the big celebration day in Honduras and we started out the day helping the house moms cook a big traditional feast and keeping the crazy, excited kids out of their hair!  Then everyone dressed in their best and we had a special Mass at the Finca, followed by the big party.  Everyone enjoyed mountains of food and then we watched a few Christmas plays featuring the kids and a dance by the older girls.  Next, Santa (a friend of the Finca’s) called each child up by name and gave them their backpacks full of presents…such big smiles all around!  The night ended with a dance (lots of Salsa and fun!), and then everyone forming a big circle outside on the campo (soccer field) at midnight for a final prayer and sparklers and fireworks. 

I’ve been staying busy making cakes for birthdays, holidays, and all the special occasions around here.  For one of our girls, Miriam’s Quinceaneara (15th birthday) at the end of January, I enlisted the help of her 8 year-old sister Seidy to make the chocolate layer cake.  It was actually Seidy’s idea…she first asked me a few months ago when she saw one of the cakes I made for another birthday celebration if she could help me make a “beautiful cake for her big sister’s Quinceanera”.  Seidy was indeed a big help and when the cake was finished (decorated in her sister’s chosen theme of light blue and butterflies), Seidy was proud to have a special way to contribute to her sister’s exciting day.  Now all the other little girls—and boys too—want to help me make and decorate cakes for upcoming celebrations…I think I’m going to have to make a list!

There have certainly been some big celebrations at the Finca lately, but most of my happiest memories have happened in small moments…teaching a new mom of a two week-old and answering her questions about how to take care of her new baby, playing at the beach with the girls of House 2 and finding forty-two perfect conch shells, finishing an asthma nebulizer treatment for a little 10 year old girl with severe asthma and seeing the relief on her and her mother’s faces, reading books with a few of the little boys, teaching Wednesday evening catechism class and hearing the kids pray every time for los pobres (the poor people) and los que no tienen comida (those who don’t have any food) and for their families (many of whom have abandoned them), chatting with one of our Honduran house moms on a warm Sunday evening.  Although it can be hard to be so far from home and you all, it is in these moments that I am blessed to know I am supposed to be here at the Finca.  Every day here holds new adventures, challenges, struggles, and moments of joy with the kids, my patients, and our community.  Thank you all for your continued thoughts and prayers and notes or emails of news and support!  Keep them coming!

For those of you who have asked, my mailing address is:
Finca del Nino
Apartado Postal #110
Trujillo, Colon
Honduras, Central America

God bless and hope to be in touch again soon!
Laura