Sunday, January 31, 2010

Humbled on the Homefront...

This whole experience has humbled me in a lot of ways. We said from the beginning, we didn't want to be at ground zero and we would be happy out on the fringes. God put us there and it was such a blessing to serve. Had we been near the center of it all, I may not have gotten to know and serve my pt's as much, I wouldn't have been able to witness God working the exact way He did before my very eyes in Jimani, I wouldn't have had to learn to trust for His guidence in such a practical way.

We all have roles in life and I am no different from you. If you were given the skills God gave me and then gave you an opportunity to go...you would do it. I'm not special. I just had the honor of being obedient. You were obedient in your own way. On the first post about this trip the day before I left, I mentioned that I had bought $500 in medical supplies that I honestly didn't have money for. By the time I got home, $300 of it was paid for...two days later it all was paid for...and then tonight at church...someone handed me money and told me to use it however I saw fit. I promised that anything over the $500 would go in a check straight to Makarios and that is exactly where it is headed tomorrow. I met most of the givers at Passion 2010 as I served with them, I serve with one at church, and another is from a house church back home...many of whom do not know me. That is obedience. And I am so humbled. The fact that people would A) ask how they could help was amazing B) Actually follow through and give money blew me away and C) to someone they had just met or never met. Bride of Christ...you are generous! You gave with your heart, you gave with your time (PRAYER, messages, texts, calls, posts) and you gave with your resources. I cannot thank you enough! Those that have clean wounds cannot thank you enough...and may grasp how high and how wide and how deep is the love of Christ! I can say truthfully that the Church was represented well. I have never been so proud to be a part of it! I pray our words and our actions, not only reflected Jesus, but that it also stirred those around us that do not know him. The only difference between what we were doing and what humanitarians do is Jesus...but what a difference one man makes.

The Dominicans say "gracias", the Haitians say "Merci", this American says "thanks", but this Believer says "To God be all glory and honor and praise, I serve You as I serve others, I count it a blessing and privilege and thank you for the opportunity and for making it possible through your people."

Thursday, January 28, 2010

Denise and Annika


Upon arriving the first day at the little hospital/orphanage, that we now know is called Good Samaritan, and put straight to work in the ER, I was put in charge of little Annika. She is a month old with third degree burns and a fracture to her right arm. We were told her parents were killed in the quake and her aunt brought her in. This super cute, kinda sassy, little one was not going to lack for care! I had her and loved her, felt personal responsibility for her (being a human and a peds ER nurse) and every person that walked by felt the need to lay a stethoscope on her even if just for an excuse to have five seconds of light in his/her day.

I got her ready for surgery, Kurt the pediatrician walked her up for surgery, and I was left praying. Praying she would make it through surgery and that they would somehow be able to save her arm. A while went by and then I saw Kurt sitting on the bed watching Annika to make sure she was recovering well. I took over and started talking with one of the translators who was helping in the ER while Kurt went to find the aunt. He spoke spanish and creole, so our conversation proceeded in spanish. He asks about her a little bit and asks where her parents are. I sadly tell him I was told they were killed. He looked at me like I was crazy..."What? No, her mom is right over there." and points to a woman laying on a mat under the pharmacy window, one of the busiest places, turned on her side facing the wall and shaking. Mitch was her nurse and I had seen him giving fluids and antibiotics. I thought, surely my spanish is failing me and I am hearing wrong. We went back a forth a little bit, both of us insisting on the story we were told. Kurt came back with "aunt" who was actually "cousin" and both of us had huge smiles on our face. "That's Annika's mom!" Apparently he had got the story from cousin as I was getting the story from the translator. THANK YOU, JESUS! Not only was Annika's mom alive, but she ended up in our ER at a completely different time! Then my heart broke as I looked at Annika's mom as she facing the wall, without strength to turn over and unable to care for her baby, Denise (pronounced Deese)looked bad...like real bad, didn't know if she'd make it through the night bad. I'm sure she was thinking, "do they see me here? I am going to die here." We decided to move her so she could atleast face her sweet baby. After I finished doing all sorts of nursing stuff, I just couldn't take it anymore. The cousin was kinda hands off, we had to teach her that it's important to change the diaper and feed her (although feeding her was a point of solace during the day that I looked forward to). By the time we left, she was a pro, but at the time she was content to sit on the bed...I went over, scooped Annika up and took her over to Denise. We didn't have a bed to put her on yet, so she was on a mattress on the floor. She was still on her side, but now facing her daughter. I said her name and it took all her strenth to push her hand out to lay on the mat. I leaned down with Annika and put her head in her mothers hand. I was holding her awkward and she was crying, but she heard her mom's voice and immediately stopped, turned her head and nuzzled her mom's cheek.Denise had one tear traveling her cheek, rubbed her cheek on her head, speaking soothingly and had a smile like I've never seen. During my labor and delivery practicum in nursing school, that was always my favorite part. Cleaning off the baby and handing the baby to mom for the first time. Watching them instantly become a family face to face. This might have been even more precious...like a second birth. Denise might have thought her sweet liitle baby had died, she might have thought she herself was dying, but to see each other and hold each other for the first time since such a life altering event was an absolute miracle in front of my eyes that I will remember forever.
The next day Denise was sitting up in a wheelchair and looking at her daughter face to face. Camera's were snapping. I took a couple, but I wanted to soak in the moment.

Denise seemed to be a new women over night and Annika was showing no signs of infection and going back into the OR the next day for debridement again. But like I said in the last post...the aftershock came and everyone was pulled out into the open air...Robin and I found Denise shaking and it was not good. We grabbed a doctor (one that we actually ran into in the airport two days later) and worked on getting her under control again. I got pulled to start organizing and moving pt's and I knew that Denise was being taken care of. Medically I didn't care for her...Mitch was taking care of that while I had Annika, but emotionally I felt it was my job to do something. At one point, I looked up and a sheet was being held up to give her some privacy and I saw blood all over the sheets. I prayed! What else could I do? She had doctors and nurses giving the best care they could and I was needed elsewhere. Finally things had calmed down and Denise was recovering well. I walked over to her to point out where Annika was for her and see how she was doing. She grabbed my hand, smiled and looked like a million bucks. I am not sure what all medically they had to do, but The Great Physician guided their hands and was caring for Denise. I have no idea how they are doing now. I think of them often and wonder how their continuing operations went...but God is in control and loves them regardless. I rest in that. This was Denise right before the aftershock.

There were plenty of stories that I listened to of parents losing their children, literally right in front of their eyes. Building falling and crushing...fires burning. But this was a story of hope. Yes...plenty of suffering and complete devastation...but those who hope in the LORD
will renew their strength.
They will soar on wings like eagles;
they will run and not grow weary,
they will walk and not be faint.
Thank you Jesus for HOPE found only in YOU and the suffering YOU went through!

Monday, January 25, 2010

Jimani, DR...a place God led us to

I honestly have no idea what to say. I, first, must THANK YOU for your prayers! I know that that is the only thing that got the team of 7 through those days. Please know that amazing things were accomplished...and it was only through Christ. Everything seemed to have an amazing story and I am not sure how to organize my thoughts. I'll just tell from my perspective and tell stories I guess.
OVERVIEW: Arrived Tuesday, drove a very bumpy 8hrs to Jimani, told by the hospital that they would call if they needed us, there was plenty to do, obvious need, people everywhere, we left some supplies, found an orphanage and played with the kids a while, but they were fine. It was getting too late to do anything else and the church was full of Haitians so we drove 1 hr to Devaje to sleep. It was a bed and I was grateful. We ate dinner and prayed a lot, hoping to find the orphanage (in need of food and water we had heard about) in the morning. All in all, I would be lying if I didn't admit to being a little discouraged at the end of the day. I had paid a lot of money to be there b/c I truly felt like it was what God was calling us to do...so where were we supposed to go from there. Thursday morning we got up and went in seach of the orpahange...only by God's divine direction did we find the Good Samaritan. (Basically the Lord led us to that place. 5 MD's from TN had this vision and started building. The upper building was built to be a outpatient surgery and clinic, the lower building was built to be an orphanage for Haitians. It took five years to complete the orphanage b/c the guy that was building it wanted it to be earthquake proof and at one point fired a whole crew for not building it the way he wanted it. It was just completed about 6 months ago but since DR/Haitian relations are so bad, they weren't able to yet get the kids from across the street over to the new place. Well Praise God b/c it housed all our refugees!) We offered ourselves up and all of us were put to work. I was placed in the ER. I wish you could see it with your own eyes b/c you need all your senses to take in this place. It's hard to explain and frustrating to know that no one will understand it. There were people everywhere in controlled chaos. Charts consisted of paper tied around their necks like a neckace and then someone brought in folders and paper. (Makarios actually ended up buying more admin/office supplies for everyone with donated money.) In a matter of five seconds I saw a young girl with a leg amputation, a 12 yr old boy with blown out eye injury that lost his eye, multiple femur and pelvic fractures, wounds everywhere covered but in need of cleaning, everyone had broken bones with casts or external fixators, so much to do. I started IV's, emptied foley cath bags, debrided and dressed wounds, worked hand in hand with the doctors to get our pt's to the OR or up to the Ward when they were stable. At one point I had just taken a bedpan to dump it in the bathroom and on my way back I looked around with a dirty bedpan, saw a truck unloading food and water, Haitians sleeping or laughing with family, 1,000 things to do and the only thought that came to my mind was "God is so good!" It literally stopped me in my tracks as it seemed like such a weird time to have this thought, but tears welled up and I kept going thankful to see beauty among ashes. Amongst so much suffering and overall disgusting tasks, there was such joy and people that God had sent there. I felt honored to be a small part of it. We worked hard all day and found a place to eat and sleep...another bed! No floor! And a lovely pipe sticking out of a wall for a shower that felt like the most magnificent thing I've ever felt in my life. Friday we got up early, went straight back and went right to work. There was more organization than the day before and organization seemed to be the goal. Darren had 55 pt's and he, a nurse and a MD worked 12 hours to not only see pt's but get their meds together, explain use and discharge instructions, and get them ready for discharge. In the ER, we had a great little system going and I had an AMAZING team to work with. I grew close to my pt's over the day as I was constantly checking pain levels, giving antibiotics, shots, IV's, draining things, Changing dressings, feeding babies, and just loving on them. Blood administration was started upstairs, Surgeries were proceeding, each ward had about 7 rooms, each room had 12-20 people inside. I said bye to all of my pt's, which was one of the hardest thing I have ever done, they all wanted to know when I would be back, why was I leaving, what my name was, how to find me, and hug after hug after hug. All I could say, as I was holding back tears was, Merci (thank you) to them. Then it happened...one of the top 3 scariest things I have ever experienced in my life..and I don't know what the other two are yet! It was time for us to leave when someone asked me to run upstairs quickly to go see a woman that was "shaking", I was thinking seizure or septic...septic it is. The doctor asked me to run up to the main pharmacy grab some meds and come back to start them while the iv was started. By the time I got back, the other nurse had tried twice and needed me to start the line. The pt's and their families were laughing and joking, some singing and praying while I started the IV. I had just finished taping it down when I heard a loud boom and got knocked around a bit while 20 people ran for their lives out of the room. The woman I was starting the IV on grabbed my arm, trying to climb up me to get her out and begging me not to leave, save her or help her (I don't know, it was Creole, but her eyes said it all!!!) Another older woman was left in the room calling on Jesus as if she had just accepted she was going to die or God was going to deliver her. I looked out in the hall and just saw people running, dragging mattresses, carrying beds and people. For a split second I had the same fear (do I need to get out of here right now, how do I get these two women out, it's just me left here with them!) I tried to convince the lady I was coming back and ran out into the hall, a teenage girl with just a short t-shirt and underwear on grabs me to help her, she was sobbing and shaking, she couldn't even move. Her bandages had come loose and I could see all her scars and wounds, I just held her and looked down to try and find someone from the group. ROBIN! Praise Jesus I saw her as hundreds were running out. I was yelling for her and she yelled back that it was an aftershock but everything was fine, no damage, I didn't feel it (I did feel the one a few hours later). I took my girl down the three flights of stairs, weaving through people, wheelchairs, beds and belongings. In a matter of five minutes every single person was out with everything they had, including IV poles with IV's still running...how did they manage that!?! I felt like that point in the movie where the character is standing still and the camera is just swirling around her in circles. I frantically searched for my pt's from the ER to make sure they were ok, knew we were safe, and to comfort them. I found Darren and he was stunned as he told how he felt the pile of bricks he had his hand on move a little and then not a second later watched a man (who only had an eye injury) jump off the second story balcony. Not look down, not hang over the edge...just straight ran and jumped. He landed and Darren ran over to help him, he couldn't walk and ended up having compression fractures. Can you imagine? That was just such a small taste of the fear these people will live with for the rest of their lives, and you felt so helpless, and all the organization? Out the window. I was surprised at how many people still had their charts...they knew they were important. I've never seen people move so fast, helping others so fast, calling to Jesus and singing so fast. When they all got out, that was the first thing they did. It may just be cultural, but it was encouraging none the less. We worked for another 2-3 hrs to get people in rows and organized outside...they were not going back in out of fear that the building would fall. My heart broke when the translator I had been working with just looked frustrated and exhausted as he was trying to explain. "To you, this is not an earthquake, but to us, to Haitians, this is an earthquake. It is to us, we just lost everything, our homes, our families, our arms and legs, I was holding my sister when our house fell and killed my brother. To you it's not, but to us it is, don't blame us for reacting this way, I'm sorry" Some in english, Erika and I in spanish and Robin in creole couldn't convey enough that we understood, none of us were mad, and we were so sorry for what he had gone through.If i had just lost my arm or leg and watched a building kill my whole family, I would run too, no question, and a bunch of white people holding their hands up saying "No, it's ok" wouldn't make me change my mind. He grabbed my arm, took me to his sister and asked me to cover her arms...there were basically chunks missing and he and I both knew they need to be cleaned and covered before infection set in and being out in the open air with dust and other people, the chance is high. I hugged him and told him I would do it, no problem. I got her taken care of, moved some more pt's around and we were getting ready to leave when a woman came up to me and handed me the medication I had ran for with the tubing. Are you kidding me!?! I was amazed, the only thing missing was a needle and with all the running and mayhem, I couldn't believe that not only the medication made it, but that the tubing (a completely seperate package) was still with it! It was an IV medication and can only be given with the proper tubing! She led me to the women, I hugged her and explained to her new nurse what happened and why she needed it. We finally reached our limit and were beyond exhausted. It was time to go. We went back to the hotel with our keys that we had kept only to find out they had given our rooms away. They offered a house for us to stay in, but after we saw it and saw the neighborhood, we decided to just drive a couple hours to the nearest midsize city and get a room there. We traveled back on saturday, Darren and I had to say goodbye to the rest of the team as they headed back to Puerto Plata and we stayed in Santiago for our flight in the morning. On both of my flights we ran into doctors we had worked with and it was great to hear how God was working in their lives as well. I was planning on being back in time for church, but the weather in ATL had a different plan. After sitting on the plane for 2 1/2 hrs and being told it would be another 2 hrs before we took off I was at the end of my rope, I got a coffee, a cinnabon and cried for about two minutes. But God works all things for good and I was able to share what I did but also WHY I did it with three people...the gospel! Again, God is so good!
Alright, that is all I can process right now...but it will be storytime as days go by...I was told many and experienced plenty and they all deserve to be shared. Here are a few pictures...














Monday, January 18, 2010

Heading to Haiti...well kinda

Ever since the moment I saw the news of the earthquake in Haiti, my heart has been there. Myself and the medical team from back home were immediately on board for trying to get a team together and go down and help. I actually got a call to start seriously thinking about it as I was forking over $700 for car things (GA plates, tags, tax, transmission, brakes and rotors). I laughed when Darren mentioned it and then realized he was serious. Off went an email to my boss asking for time off and on to my knees for a plan to come together. Doors seemed to keep shutting and we were given the opportunity to learn patience. We sit here with trauma skills and willing hearts, but no way in. So we prayed.

Sunday night I got an email telling me to get plane tickets for Tuesday. I do not know much about the situation we are walking into. I do know that we will be working in the border town of Jimani at a local hospital that was found in desperate need. I think things are looking better as Makarios continues to send supplies, but on Wednesday a small medical group will arrive and it is an honor to be a part of it. I think there may possibly be 2 MD's, 2 PA's, and 2 RN's...which would be awesome! I believe we will be sleeping in a church. We will probably smell, but I look forward to the closeness and conversations. I told my family...This is why I became a nurse. I will do absolutely everything I can to alleviate pain, stop infection, and clean the wounds that these people are suffering. But more than that...I have the opportunity to place a hand on someone, to hug them, to care for them and their children IN THE NAME OF JESUS and lift their lives to God. Their souls are far more important than any physical actions.

Two weeks ago, I had the priveledge to watch God work in major ways in the hearts of 22,000 college students at Passion 2010. I was a volunteer on the International Students Team and at one point was literally sitting among the nations. Brazil, Ireland, Australia, Korea, England, Ukraine, Mexico, and Estonia were just a few of the people I got to serve while they were here. But now is the time to GO, to meet needs in other people's countries, and to follow the calling that God has placed on my life.

I am so very humbled to have received all the comments, messages and phone calls offering words of encouragement, support and prayer. They are truly what will get us through the next few days. Please pray for protection, endurance, wisdom and Hearts of our Savior.

Some of you have expressed willingness to give financially. First of all, that alone humbles me. Whenever I go on medical missions trips, I have a few months notice and plan my budget accordingly. I am not used to needing others for financial matters and basically work to go on these trips. This obviously was not on my radar and was not ready for it. I am solely responsible for my plane ticket, but I did spend $500 on medical supplies that we will need and what has been requested. If you want to give to that, the easiest way to get it to me would actually be to send a check to my mom (Sherri Simpson) in Ohio. She has access to my account and can put it directly in. Anything above the $500 will be sent in a check from me to Makarios. If you would rather give straight to Makarios International for tax reasons, you can do that at Makariosinternational.org. Just make sure you put Haiti medical needs in the memo. To get the Ohio address, email me at holalola1685@earthlink.net. I will not be taking my computer, so I do not know if I will be able to check anything until I get back Sunday night.

Thank you for praying! I cannot say it enough! I am so excited to be leaving tomorrow and watching God work on a global scale! This song has been on my heart for days...may it bless you and encourage your obedience.

By our love...Christy Nockels

Brothers, let us come together
Walking in the Spirit, there's much to be done...
We will come reaching, out from our comforts
And they will know us by our love...

Sisters, we were made for kindness
We can pierce the darkness as He shines through us...
We will come reaching, with a song of healing...
And they will know us by our love!

The time is now
Come Church arise...
Love with His hands
See with His eyes...
Bind it around you,
Let it never leave you,
And they will know us by our love...

Children, You are hope for justice,
Stand firm in the Truth now, set your hearts above
You will be reaching, long after we’re gone,
And they will know you by your love