Kenyan welcome

Kenyan welcome

Thursday, September 5, 2019

Preparation amidst chaos!


Greetings friends!
As Marilyn and I prepare once again for our annual trip to Kenya, we have been consumed this year not only by our preparation for our trip, but also by a whirlwind of activity surrounding the sale of our family home, and looking for another place to live upon our return!  This may be the first time we actually look FORWARD to getting on a plane to begin our grueling 20+ hour journey!  As many of you already know, we placed our home up for sale in Mid- March, and after many months of tepid interest, we were resigned to leaving for Kenya without having sold our home as anticipated.  The plan was to leave our home on the market until we returned in October, then to take it off the market for the end of the year holidays, and re-list it again in the spring of 2020.   Once again, the old adage: “be careful what you pray for” has proven to be true!  On 8/13, a couple driving around our neighborhood saw an “open house” sign that had inadvertently been left in the boulevard leading into our development.  Our open house had actually taken place on 8/11, but the sign remained in place.  After driving into our development, the couple saw our “for sale” sign and stopped to check out the “open house”.  At the time, Marilyn was at home preparing the house for a viewing by yet another couple that same evening.  She was just about to leave the house for the showing, when the errant couple came knocking at our door and inquired about our “open house”, and whether they might “have a look around”.  Being the gracious person that she is, Marilyn explained the mistaken situation, but invited them in anyway.  After a quick tour, they left with profuse apologies, only to call and request a second visit with their agent the following morning.  They came back again for a third viewing that same evening.  By this time, we were getting anxiously excited about the prospect of a potential buyer, but very nervous about our upcoming Kenya departure date of 9/5.  After about 10 days of anxious waiting, we were notified on 8/22 that the couple had decided on another property.  We heaved a sigh of relief, mixed with some disappointment, and set about preparing for our journey to Kenya.  On 8/24, their agent called back and asked if we would still consider a potential bid on our home.  On 8/25 we received, and signed, a contract on our home, with the stipulation that we needed to be out by 10/7.  After some furious calculations, we decided that this was “do-able”, but only barely…. after all, we were scheduled to return from Kenya on 10/1…. And closing was set for 10/3… how much more time did we need!?  On 8/26 and 8/27 we viewed some properties for sale, as well as some for rent…on 8/28 we submitted a bid for purchase on a house, and on 8/29/19, the contract was signed.  Closing on our new home is set for 10/4.  Our move is planned for 10/5…In the MEANTIME, we have been furiously packing up our house, packing for Kenya, arranging for requested repairs on our old home, having inspections done on our new home, arranging for moving services, talking to tree trimmers, pool service people, electricians, title companies, insurance companies, etc., etc., etc.…  WHEW!!!!  We are exhausted, and we haven’t even left yet!!  Following this week of frenzied chaos, we attended church this past Sunday.  The pastor spoke about living in God’s will, and how to discern His will for our lives.  We were reminded that our work is to “remain in His word”, our identity is to be “rooted in Christ”, and that we are to be “ambassadors of Christ” in the world; or “living love letters to the world” on behalf of God.  On Tuesday night, we attended our weekly bible study with medical and dental students (as well as other healthcare professionals) associated with CMDA (The Christian Medical and Dental Association).  The topic of discussion was “How to discern a calling from God”.  Our CMDA director, Scott Phillips, used the metaphor of a ship being guided through a treacherous channel by the use of 3 lights, which when perfectly aligned, appeared as one, but when out of alignment appeared as 3 separate lights.  We were reminded that the first light represents scripture – all callings from God should be consistent with scripture.  The second light represents circumstances in our lives, and counsel from trusted brothers and sisters in Christ – all callings should be compatible with our circumstances and with Godly counsel.  The third light represents inner witness – confirmation from the Holy Spirit…. God within us… that our leading or calling is actually from our Creator, rather than our own selfish desires.  Do you think perhaps there is a message there in the midst of our chaos?!  It was as if God was reminding us…He had indeed called us to Kenya, we are to be his “living love letters” to others, his ambassadors to the sick and less fortunate, and that by the confirmation of His spirit, all 3 “lights” are in alignment…we are indeed where he wants us to be…and Oh, by the way, “leave the rest to Me”.  So once again, this time in the midst of great chaos, we are off again to partner with our brothers and sisters in Kenya…we hope that you will join us…at least through this blog, and hopefully by your prayers…and be blessed, as we are blessed by our experiences along the way. 
With love, Randy and Marilyn.  

Monday, October 1, 2018

Headed home from Athens


The final leg of our 2018 adventure involved a brief stop in Athens, Greece, where we met up with some of our dear friends from the Netherlands (Petra and Peter Axt), and from San Antonio (Rob and Cynthia Grimes).  Petra and Peter have been meeting us somewhere in Europe each of the last 5 years that we have returned from Kenya.  They are a wonderful couple that we met in Guatemala several years ago when we served together on the SAGE (San Antonio- Guatemala Expedition) mission team.  Petra is an internist, and Peter is an anesthesiologist in the Netherlands.  Following our time together in Guatemala, we have stayed in touch with them and their family, and visited them in their home country, and they have likewise visited us in Texas.  It has become a wonderful tradition that we have come to look forward to as we leave Kenya for the U.S. each year.  This year, we were also blessed to have Rob and Cynthia Grimes spend a day with the 4 of us in Athens, as they got ready to leave on a 2-week sailing expedition around the Greek Islands.  Despite warnings of severe weather including heavy rainfall, high winds, and possible hurricane conditions off the coast, we all came together for a few days and braved the elements to tour the city and some of it’s incredible historic sites.  The rain was relatively light, but constant for 48 hrs, and no heavy winds or flooding was encountered in the areas that we visited.  A bit south of Athens, they did have some heavy winds, high surf, and flooding along the coast, but fortunately we were spared.  Our enthusiasm for spending time with our friends was not dampened, and we had a very relaxing time catching up on events in our families.  Rob and Cynthia left for their sailing expedition today (Monday), and fortunately, it appears that the storm activity has passed (or so we hope!).  Marilyn and I spent our last day taking a guided tour of Corinth and visiting some of the sites where the apostle Paul made some of his famous addresses to the Corinthians, and the men of Athens.  It’s incredible to get a glimpse of what the ancient world must have looked like at that time…though admittedly, we both have difficulty imagining the grandeur of the buildings from what remains of the ruins.  Artists’ renderings of the original architecture definitely help!  In addition to touring the numerous ruins of the area, we spent time sampling traditional Greek foods.  We had some wonderful meals here but are looking forward to getting home, where we hope to regain control of our diet and our waistlines!  We are rested and refreshed….recovered from the trials of Kenyan medicine, and ready to return to our home, family, and friends.  We look forward to seeing you soon!
With love,
Randy and Marilyn.

Cynthia, Rob, and Marilyn...ready to hike to the Acropolis...

How do I look?...fabulous!!

The Parthenon atop the Acropolis

Three goddesses outside Athina's temple

Overlooking Athens...

Top floor dining room of the Electra Metropolis Athens Hotel

View of the Acropolis from our hotel dining room...

The Corinthian Canal...connecting the Aegean and Adriatic Seas...


More views of the Acropolis...and some damp hikers!

Our last meal in Athens...headed home in the morning!




Friday, September 28, 2018

Goodbye to Tenwek


It’s come time to once again say goodbye to Kenya and to friends both old and new.  Our time here has been memorable as always, and it has been a privilege to work alongside the long-term staff at Tenwek.  We closed out our time here caring for some incredibly sick patients…one in particular captured our hearts (both Marilyn’s and my own).  NR is a 28-year-old young woman who was approximately 35 wks pregnant at the time of transfer to our facility.  She had initially been cared for at another facility for 4-5 days for a change in mental status.  She had a hx of HIV, which had not been disclosed to the patient’s family members…she had reportedly been compliant with her HIV meds with last known outpatient follow-up in mid September.  On presentation to the other facility she was treated for bacterial meningitis, but had not had a confirmatory spinal tap done.  She was getting progressively worse, and by the time she was transferred to us, she had begun to seize repeatedly.  She had a total of 4-5 seizures while being transported, and by the time she arrived at Tenwek, she was unresponsive, but breathing on her own.  She underwent emergent CT scanning of the head and had a mass documented in the right cerebellum, as well as a possible second smaller mass in a deeper area of the brain (right thalamus).  Her right pupil was dilated and unreactive and her CD4 count came back at less than 200… suggesting that she had not in fact been compliant with her HIV meds, and was therefore at risk for any number of opportunistic infections, as well as some central nervous system malignancies.   Her CT scan showed increased intracranial pressure, so we were not able to safely perform a lumbar puncture for diagnostic studies, but had to initiate empiric broad-spectrum coverage for numerous organisms, and hope that we had guessed correctly.  All the while, we were concerned about administering anything to the mother, which might cause problems with the unborn child should delivery become imminent.  The mother was treated for all the usual pathogens common to immunosuppressed HIV patients including TB, Cryptococcus, bacterial meningitis, and Toxoplasmosis.  She was also treated with anticonvulsants, and was intubated and placed on a ventilator for respiratory support.  Her condition rapidly deteriorated over the first 24 hours and she was treated with mannitol and steroids to decrease her brain swelling, and to prepare the unborn child for delivery.  On her second hospital day, the baby began to show signs of distress and the mother underwent emergency C-section with delivery of an apparently healthy and vigorous baby boy.  After delivery, the mother began to show signs of improvement and gradual stabilization.  By the time we left to return to the U.S., the mother was beginning to wake up, respond to stimulation and commands, and was free of fever and additional seizure activity.  She was showing hopeful signs that she might stabilize and have some reversible cause for her mass lesions in the brain.  The child was likewise stabilizing and appeared to be doing well.  The Tenwek medical staff worked together diligently and aggressively to help this young mother and her child…we also prayed over her on a regular basis, and remain hopeful that God has heard our prayers for her, and blessed our efforts to help her.  It’s a beautiful and rewarding experience to see God at work in these difficult situations…unfortunately, such a case is not by any means rare, but is all too common in this community.  The Tenwek staff is to be congratulated on the incredible work they do with limited resources and critically ill patients.  I intend to check in on NR after my return to the states, and will continue to pray for her and her child.  I would ask that you would consider praying for them as well.  Please also pray for the medical staff – for strength, endurance, wisdom, and discernment.
As we were preparing to leave Kenya, we again made a brief stop at Kijabe Hospital and the Rift Valley Academy near Nairobi…. We visited our friends Ryan and Shannon Potter and their young family.  They are missionaries from the San Antonio community, where Shannon attended medical school, and where we met her through the local CMDA chapter.  Her husband is a biomedical engineer who has also been working on the mission field with Shannon for the last 3-4 yrs.  They are currently in transition as they await guidance on where the Lord would have them serve. …please pray that clear guidance would be forthcoming and that God would prepare for them a place of His choosing where they might continue to serve together.  Please also pray for their new daughter Whitney who is awaiting cleft lip repair on November 1st.   The “Smile Team” will be visiting Kijabe at that time, and one of Shannon’s fellow missionary plastic surgery friends will be doing the repair…what a blessing to all concerned!  After visiting with the Potters, we were able to connect with our dear friend Matilda Ongondi who is back in Nairobi, and serving at Kenyatta National Hospital (a 3000 bed hospital!!) where she practices Clinical Hematology.  Plans are underway for her and some of her colleagues to help develop hematology and oncology services at Tenwek Hospital in the year ahead…very exciting news given the high prevalence of hematologic and oncologic problems seen in this community.  Please pray for this endeavor and all who are participating in it.  It is clear to us that God has continued to bless the Tenwek community, and has exiting plans for the people of Kenya.  We look forward to continuing to do our small part to help where we can.  Now we are off for some rest and relaxation with our friends from the Netherlands – Peter and Petra Axt.  We are planning to spend a few days together in Athens, and will also be joined there by some additional dear friends – Cynthia and Rob Grimes.  They are arriving with plans to sail around the Greek islands for a few weeks.  Please pray that the anticipated storms, winds, and possible “Medicanes” (Mediterranean hurricanes) will not be as severe as predicted, and that our time together will be safe, blessed, and restful.  Please also keep our dear friends Cyndie and Gayle Williams in prayer as they travel home to Fredericksburg TX today.  It seems impossible that our time at Tenwek has again come and gone so quickly…yet, we are tired (physically and emotionally) and are looking forward to being together with you once again…our family and friends.  Till then…

With love,
Randy and Marilyn.

The Tenwek Medical Team 2018

Tenwek OB/GYN Team 2018

At the guesthouse with some beautiful Tenwek children...

Marilyn with Whitney Potter

Shannon and her family

Zach and Sydney...entertaining "grandpa" Randy

More fun with Zach and Sydney...

Shannon, Gayle and Cyndie Williams, Whitney, Randy and Marilyn...photography by Sydney!!

Dinner in Athens with the Axts...fun times!

Petra, Peter, and Marilyn....with a guard at the tomb of the unknown soldier...Athens.