We are Kemmel and Lisa Dunham, medical missionaries serving with Health Talents International in the rural area of Chichicastenango, El Quiche in Guatemala. We have been blessed with an opportunity to serve with local churches in a ministry sharing the love of God with each person we meet. We hope you enjoy our stories and updates. Email us at kemmelandlisa@aol.com.
Monday, May 28, 2007
10...9....8...7...
Tomorrow we take 6 students with us to Chichicastenango and introduce them to their host families. We (Kemmel and Lisa) also will be staying with our friends in the small town of Paxot II this month to try to intensify our language learning efforts. Please pray for this to be a productive month for us as we really would like to improve our ability to communicate in K'iche. We have our notebooks ready and bags packed. We will post some news and pics Saturday or Sunday, because we won't have internet out there! Have a great week and thanks for tuning in.
Saturday, May 26, 2007
Off to Montellano and then to Paxot II
We head to Montellano, site of Clinic Ezell, today to start orientation with the MET students (want to know more about MET, see previous post). They have finished their week of language school, including having the chance to go see a professional soccer game between Quetzaltenango and San Marcos, just Quetzaltenango lost. The school is in Quetzaltenango so it was a huge event as it was one of the final games for the championship as well.
We return Tuesday with the students so that they can begin to work with us and stay with the local families. We will also be staying with a family in Paxot II for the month so we can try to learn some more Kiche. This means we will have limited access to internet, but we do plan on coming home Sat and Sun nights to have internet access, wash cloths, rest, etc...
Please pray for safe travels for everyone and that God will bless the students with good health and great experiences while they work with us in Guatemala!
Friday, May 25, 2007
The Bell Tolls
Gaspar speaking with the ladies from Pacaja Xesic.
On Thursday, we also got to see Tomasa again. She continues to have a great attitude and seems to always be happy. She has finished her chemotherapy treatment and is waiting on the results of a CT scan. They return this Monday to the city for the results and some continued radiation treatment. We continue to praise God for the healing he has provided to her and her family so far. Let's continue to pray that she is completely healed!
Wednesday, May 23, 2007
Las Trampas and Appendicitis
The church in Las Trampas has a great story, starting with a man, Diego, who was an alcoholic (in his terms a strong alcoholic) who had hit a point in his life where he began to search for something different. Thank God he started to look at churches, catholic, protestant, etc. for answers. He ran across a small Church of Christ about 45 minute walk from his home and began to attend the church. After some time of continuing to struggle in his search, he became a christian. Then he followed God's instruction - he went to his family and told the about Jesus and soon the became christians. They erected a small adobe church and after time, they out grew the church and with the help of other local congregations they built a bigger church which now has over 100 people attending each Sunday in Las Trampas.
In clinic today we saw about 15 patients, most with the standard aches and pains, gastritis and diarrea, which brings up another topic - see below on names of diarrhea in Guatemala! Very interesting! We actually saw a patient with hypertension, this is normally pretty rare in these parts since everyone walks up and down hills, even just to go to the latrine. :)
We got to experience the hills today as a man came to clinic asking if we could go see his son who was having right sided abdominal pain. So we asked where the house was and he said "aw, just a little bit down the hill". It was down and down and down the hill, after about 15 minutes going down the hill we realized, yeah we still have to go back up. Lisa made the comment that the patient had better be really sick this time. We get many "oh he is bad sick" requests for home visits, and then we get to the house they are up and roaming around and could have probably made it to clinic.
Not this time, he was pretty bad off with what looked like an abscessed appendix. So, bad news for him was he had to walk up the same hill we did or at least half way so we could drive down part way and pick him up. The good news is we had a surgeon standing by for him. The climb up was a little rough but we made it - Gracias a Dios. The sad part for us was we were breathing pretty hard with some tight lungs while at least one Guatemalan was still breathing out his nose with his mouth closed - pretty impressive! This was after a 30 minute climb up "puro escalera" - pure stairs, just no stairs. So to end this story, we got the patient to the hospital without incident - Gracias a Dios.
Ok, so you have heard how they say the importance of something in a culture is defined by how many words they have to describe that one particular thing. Well, let us tell you, diarrea has been around a long time here and has many names. Here are some of our favorites:
--Mal de Mayo - bad of may - the month of may is when the rain starts and washes all the goodies into the water supplies.
--Asientos - the sits, meaning sitting alot.
--Ja chapam - this is kiche for water is coming out
--Chorillo - faucet
--Diarrea
--Disenteria -diarrea with blood or mucus
Tuesday, May 22, 2007
Cookin' With Gas
The stone grinder - Gracias a Dios we have a blender! This is Maria and she is the Choacaman cook / ricado queen! She had hand surgery last time we were there so we just had rice and beans, no ricado - pretty sad day.
Monday, May 21, 2007
Memory Lane
Anyway, we don't have any current pictures--forgot the camara, so these are all older pictures that we had on file. We will keep you posted as we get closer to having our students working here in Chichi.
Saturday, May 19, 2007
Medical Evangelism Training Program
So anyway, the MET program is a 6 week program in which university students in their last 2 years or medical/dental students who are interested in missions come and work in a medical evangelism environment (with real-life missionaries - US or national missionaries). During this time they live with Guatemalan families in their homes to experience their lifestyle and their culture. This also serves as a total immersion language training program as many times the student speaks no spanish and the families speak no english. For those that work with us in the Chichi area, there are some family members who only speak Kiche.
Each day they go out with a physician and their team to work in clinic ministries in local churches in both the Department of Quiche (Chichicastenago area) and the Department of Suchitepequez (Montellano area) where the Clinica Ezell is located. The students participate in performing vital signs, patient interview, prayer and distribution of medicines. They also have the opportunities to evangelize, teach, learn, etc., etc.
One of the goals of the program is to help the students indentify their level of interest in missions with the hope that they will continue in missions after they have finished their schooling.
Right now the 12 students have traveled from Guatemala City to Quetzaltenango for a 1 week period of language school. So each is with their host family preparing for a great month. We will hook up with them tomorrow morning and hopefully post a picture Monday. Please pray for each of these students, as God works in their lives.
Thursday, May 17, 2007
Class Time and Cow Lungs
Well, we had our second health promoter education class today. There were 23 volunteer promoters representing churches from as far away as 3 hours. All of these brothers and sisters were so eager to learn and asked lots of questions during the class. Our topic was on pneumonia, which is the number one cause of death in this department if not the country. We looked at anatomy drawings, talked about how a lung functions and finally looked at a cow lung. Everyone donned a glove and got up close to check out the lung. We finished up with more Q&A and then enjoyed some refreshments. It was really surprising to see so many interested in studying, and we pray that God will bless them and their communities for their dedication.
God bless!
Wednesday, May 16, 2007
Office day - See one, do one, teach one
No this is not a staged picture! Looks like it but they were all pretty much enthralled with it all. Juan is the one sitting and he is teaching the others. He and Gaspar went to some computer classes earlier in the year so now they get to start using the newly found skill. Each person took their turn in turning on, printing and turning off. So far so good. All of these guys only have a 6th grade education (minus Dr. Josefina) but do not let that fool you - they are very sharp people and learn fast.
We also learned that our neighbor Manuel had been operated on for gallstones on Monday, the same day another of our patients had a ganglion cyst removed from her wrist. Meanwhile one of the kids in Paxot II was rushed to the ER with appedicitis. We are grateful for the good work Dr. Tom Hoak and his wife/surgical assistant Janie do at the hospital here in town. So we took the opportunity to go visit and everyone was doing well. Gracias a Dios!
A cultural thing here is if you are very sick you wear a do-rag on your head. This could be a large hankerchief, a towel, etc. We have not figured out the rational yet, but it makes them feel better.
Thursday we have health promoter education day--we are going to talk about pneumonia. Lisa bought a cow lung yesterday for a demonstration.
Tuesday, May 15, 2007
Pacaja Xesic I
Pacaja Xesic is where the little girl with lukemia lives - her name is Julisa. Kemmel arrived later at clinic after a meeting in Lemoa and stopped at a store to buy some water and it turned out to be the home of Julisa. Kemmel was able to visit with the family some and learned that she and her dad went to the capital yesterday and are expected to stay about 1 month. Later the family came by the clinic, and as you can imagine, her mom is very sad and worried and we gave her some meds to help her sleep. But mostly we prayed with them and sat and talked with them. Please pray for her and especially her family as they are very close-knit and all very distraught right now.
We also saw a new sister in Christ named Francisca. She is a lady we first saw last year with what looked like post-traumatic stress disorder after witnessing the murder of her own father in their home more than 20 years ago. Gracias a Dios she became a Christian about 5-6 months ago and has had a noticeable change that we can see. Her affect has lifted and she smiles more, and even jokes a little. In the past, she couldn't bear being in her own house because of the memories. Now she lives with some cousins and has been studying the Bible more and looks to be improving and growing spiritually. It is nice to see the changes that God makes in a person as he transforms them into who He wants them to be. Pray that God will use her healing to bring others to him.
Sunday, May 13, 2007
Mactzul V
This the church in Mactzul V with the make do tienda on the side...
Marcos
One family was brought by one of our health promoters, Felipe Chivalan. He has been studying with them and has been concerned about the 17 year old son, Marcos. He has been having nose bleeds for six months and says his nose is swollen. When I saw him, he was pale and thin and talked funny. On exam an obvious tumor was visible in the right nostril and extending into the back of the throat. This is a strange tumor for an adolescent to have and my suspicion is lymphoma. I recommended that they go to the ER at the local national hospital, but his mom said they had been there a week ago and the xray was negative and he was given a Rx for expensive meds and sent home. I was a little discouraged, but encouraged them to go back and wrote them a referral note. We also prayed with them asking God to go with them and to guide the physicians that would attend him. We told them to call us if they weren't attended to, and we would see what else we could do. So far no news, so we are hoping that is good news. Pray for him and his family as they go through this trial. Also that their hearts would be open to the gospel.
Juana
Juana is a 76 year old recent widow. We call her the queen mother because her family is always very concerned for her and bring her to clinic a lot (we suspect for social reasons!). She always brings us some kind of produce--avocados today! Anyway, we chatted with her yesterday about how she and her husband had been married for almost 60 years. Her father gave her to him for a liter of hard liquor, she reported while laughing. I asked her how they met, (at the bridge or the corn mill???) and she informed me that back then you just married whoever your family agreed to give you to. But, gracias a Dios, this couple had a long fruitful marriage and became Christians many years ago. She talks about him very respectfully and was excited to hear that we had a great picture of him to give her.
Tomas
Tomas Tecum Mejia is one of the volunteer health promoters from Mactzul V, but was recently hired full time to work with Dr. Josefina and Sheri's team. He is a mature, faithful Christian and will be a great addition to the team. He and his wife Juana have a family of 6 boys and 1 girl--she is pretty special as you can imagine. He has been working with us this week in training to learn the pharmacy and business side of things.
This is Tomas attending a patient in pharmacy.
Friday, May 11, 2007
Guatemala Licensure - Part 2
This is very exciting as we were not sure we were going to be able to. We left for the city Thursday morning with Sheri as she is flying back home for a week and we also had some other errands, one of which was to pick up the paperwork we left at a government office to be authenticated. This turned out to be easy and Lisa was in and out in 15 minutes.
The next task was to get the document translated, so off we went on foot to some offices around the area we were in. We went to 3 offices and all were closed. Unfortunate for us we decided to do this on Mothers Day in Guatemala, so many people were taking long lunches, etc. Also many of the certified translators are women so maybe they were enjoying the afternoon with their kids - or at least we hope they were. Anyway, we found a translator over the phone late in the afternoon and she was great. We delivered her the documents and she had them ready for us early Friday morning.
Next we went to the University of San Carlos (USC) to see what we needed to do next. We were hoping we were done; however, we did need to copy Lisa's diploma and all of the authentication documents. So off we go looking for a copy store that is able to reduce a large diploma to a regular size page. No such luck around USC, so we went to the trusted Office Depot and we were able to get it done there. By this time it was noon and we knew the office would close for a hour or 2.
We went back later, had all of the paperwork in order, paid our hefty fee and our application is now submitted. Praise God! So now we wait for USC to do some research verifying Texas Tech is a university and verifiy the paperwork and hopefully in 2 weeks we have some more info. The latest news is once the school and info are verified, Lisa's paperwork goes before a board for them to decide if she can take the test. Please pray that she is able to just take the test and does not have to do government service as that would negatively affect the ministries that we have already started. We selected the option to take the test; however, we do not know if the board has the final say.
Tomorrow off to clinic in Mactzul V and we will start back up introducing you all to the communities we work in.
Tuesday, May 8, 2007
Guatemala Licensure
So the story started in November of last year when we received the news, then in January we traveled all over Texas to get Lisa's diploma in Lubbock, have it notarized, then go to Austin to have the notary authenticated and then to Houston to have the notary of notaries authenticated by the Guatemalan Consulate. We think this must be part of the test to make sure you think it is worth the trouble!
Now we are in the phase to have the documents we had authenticated in the states, re-authenticated and translated in Guatemala. Quite an interesting process and very frustrating. Anyway, we went to the city on Sunday so we could start some things early on M0nday. Of course, being optimists, wew were expecting way to much. We found the office we needed to have our documents authenticated in - Ministry of Exterior Relations - and were hoping it would be a day thing. Much to our dismay, not so. Takes 3 days.
Thus, we are going back tomorrow to hopefully get the paperwork, have it translated (hopefully by Friday) and then we can submit Lisa's application for the permanent licensure and find out her options to take the test. When we asked the dates back in November we were told that they could not release that information until all of the paperwork was authenticated and the application completed. Highly secret information!
Lisa has to take her board certification relicensure in July and we think the Guatemala test is in August. This allows her to study once for 2 tests. The only kicker is the Guatemala test has basic science on it as well. We will see how it goes. If she passes the test (60%) then she gets her license, if not, she has to work for the government for a year. D = MD!
Please continue to pray for this process. We have had this request before and then we put it on hold for awhile as we needed to wait until now to make sure she was not scheduled before July to take the test in Guatemala.
Everyday is a new lesson in patience and humility. The guatemalans have us beat on these 2 character traits - except when they are driving a car.....
Saturday, May 5, 2007
TGIS
We were also joined by some friends of ours working in Quetzaltenango(Xela) --a young married couple Nathan and Connie Gundecker. We really appreciated their company and their prayers for the patients. Currently they are teachers at a school in Xela and are waiting to start medical school in the fall back in the States. Maybe they can visit again in the future and see some patients of their own!
Friday, May 4, 2007
Hot day in Choacaman IV
Jesus, sr., Jesus, Maria, and Chepe.
We had a good day at our central clinic in Lemoa yesterday. Several new patients from the local ares and some followup care as well. We also saw a 4 year old girl with severe, recent onset anemia. She was white as a sheet and so quiet. Her family told us that a month ago she quit eating normally and became more and more lethargic and pale. We sent her for urgent labs and got a call from the lab that things are pretty serious. We are suspecting leukemia and the family took her immediately to the ER. She is supposed to get a transfusion and they are running more labs to determine the diagnosis. Please pray for her and her family. Her older, married sister told me that she is the baby and favorite of the family.
This is a picture of a young lady who comes each time we have clinic on Thursdays to volunteer her time. Her name is Claudia Marisol and she is from Chuguexa. The elder lady is Manuela, and she is the lady that we purchased the land from and now feeds us each time we have clinic in Lemoa.
Wednesday, May 2, 2007
Mactzul VI
This was one of the first churches of Christ in the area and they claim to actually be the first but we have heard that from a couple of churches. Nonetheless, this is a very mature church with over 1o0 members, plus kids. The elders of this church are some of the most humble, strong christians we have ever met. One such person is Pedro Calel and I do not think it is possible to ruffle his feathers - he is solid and amicable as they come. He is the local facilitator for church issues.
This is Tomas Salvador, one of the elders from Mactzul VI who has been with us at each clinic and helps us pray with each patient.
Today we had about 17 patients, one a little blind lady about 80 years old - her single son takes care of her. She has a large goiter (swollen thyroid) and hypothyroidism which probably explains why she fell asleep during the consult. She has a hernia and we are hoping the local US surgeon in Chichi can help her out. She has little to no resources. Sorry but we did not get a picture.
Tuesday, May 1, 2007
Two Very Different Worlds
Tzanixnam Clinic
Towards the end of the clinic a couple men from the community leadership came by and we were able to speak with them some more regarding the clinic and since they saw a good outcome we hope that they will continue to support the clinic by annoucing in future community meetings.
Here is a view from the clinic site.
Inside the community center where we have the clinic. The men in the hats are some of the community leaders that came and watched the clinic in December 2006.
This is one of our volunteers, Tomas Sut Gonzales, praying with a patient.