Wednesday, April 28, 2010

Lawson's Story

In a place such as West Africa, where access to constant healthcare is minimal at best, our main max fax surgeon says it's always better to have a malignant tumor that kills you quickly.  Without healthcare, the slow-growing benign facial tumors lead to a horrible death by suffocation.  Lawson was one of the first patients to come through during this outreach, and the ship arrived just in time to spare his life.  Here is Lawson's story, written by Elaine on the communications team. 

His gentle eyes betrayed his desperate hope. “I came here so I could get help,” said Lawson, struggling to speak clearly. A large growth stretched his mouth and cheeks horribly, causing his teeth to stick out in all directions. It had been growing for four years, inhibiting his breathing, eating, and speech, and eventually, his ability to work.

The tumor destroyed his life, separating him from everyone and everything he loved. The people in his village would not sell him food because they said he was a devil. His wife left him, leaving behind their three children. Without work or food, he could not provide for his family.
So, Lawson, once one of Ghana's most prominent soccer players, now hid inside his house.

Then, a radio announcement said that a hospital ship, the Africa Mercy, would soon be coming to Togo offering surgeries free of charge. Daring to hope, Lawson left his children in his mother's care and went to the patient screening.

Lawson was literally at the brink of death as the tumor slowly suffocated him. He was immediately admitted to the hospital ship, with surgery the next day. It took three doctors eight hours to remove the benign growth and repair his nose, upper lip, and cheek. The large amount of blood required during surgery was donated by crew members.

Lawson was overjoyed when he touched the bandages on his cheek. There will be more surgeries within the next year to complete the reconstruction of his face, but the immediate result saved and restored his life.
 
Unable to hold back tears of joy, a delighted Lawson exclaimed, “I can't believe what has happened to me. It is a miracle! My way was crooked, but now my way is straight. Now, I am a man!”

 Lawson can hardly wait to surprise his family with his transformation. He is anxious to eat real food again especially his mother's ademe, a stew made with legumes, fish and red oil. Then he will think about starting his new life.

He has photos of what he looked like before surgery and after. “I want to show pictures to everybody, so people can see what Mercy Ships did for me. Everybody who sees me, they will be surprised,” he grinned. “I survived! Praise the Lord! Hallelujah! Amen!”

Friday, April 23, 2010

The Hunt for Moringa

Directly translated from its Togolese name "yovo-vi-ti," it means the little plant from the white man.  Its leaves have been used for centuries to treat malnutrition and various illnesses, and many NGO's throughout Africa promote its nutritional benefits through local education programs in the community. Hospitals and pharmacies sell the leaf powder to patients.  It grows readily along the roadside and is found in the market.  People use the trees as fences, and the leaves in stews and sauces. 
So what it is?  Moringa is a plant native to India that now grows in West Africa.  Similar to spinach, the Moringa leaves are high in certain vitamins and minerals such as Vitamin A and Iron.  But unlike spinach Moringa is also very high in protein - good quality protein (eight of the nine essential amino acids!) which is quite unusual for a plant food.  I first heard about Moringa in December when the hospital manager suggested we look into using it on the ship with our patients regularly, as it was already being used sporadically in the baby feeding program.

This week, I went out with the agriculture team to visit a Moringa farm.  My thought was that if we could work with one of the local NGO's that grows it in good conditions and sells it in the market, we could potentially purchase it to give to families.  So many mothers here don't have the financial means to purchase formula, so babies get porridge - a mix of flour, milk and sugar that they introduce after or in addition to breast milk.  However, milk, sugar and flour don't provide a whole lot of nutrition for a growing baby, so NGO's throughout Africa have been encouraging mothers to add the Moringa powder to the porridge to provide better nutrient coverage for these growing babies.    
Our agricultural specialists Ken and Jean Claude and I headed out to the local village of Tsevie earlier this week to check out the Moringa farm.  In true Mercy Ships fashion, we were stopped multiple times by Africans whistling us to the side of the street as our Mercy Ships land rover trudged along down the dirt road.  "When are you coming?  Can you help me with my cataracts?"   Handouts were provided (always important to take along when Mercy Ships branded) and we went on our way. After two phone calls and multiple stops to ask if we were headed in the right direction, we sped past Cristof waving us down on the side of the road.  Cristof is our Moringa contact and works with the Center for Ecology and Development through the Mercy Ships Agriculture Program Food for Life.   He grows the Moringa in a co-op here with about twenty other Africans who farm the land.  Below is Cristof holding a Moringa leaf on the farm. 
But before we got to see the Moringa we made a quick pit stop at his house.  There were a few people to screen that heard we were coming through the village. Here we were, two agriculture specialists and a dietitian, looking at surgical candidates!  Ha! After some quick histories and photos we were on our way to the farm.  This is the road (or lack thereof) that we took to get to the farm.  It was basically a dirt path made for a bike, and the land rover had no problems plowing through the bushes and trees. 
I learned that the Mercy Ships agriculture program teaches the local farmers many things.  They teach them how to rotate crops, and how to keep the soil nutrient-rich year after year.  The general practice in Africa is to burn the land at the end of the harvest season which robs the soil of nutrients.  Here is a burned area on the way to the co-op:
Below is an area that hadn't yet been burned.  They will be growing pineapples on this part of the land. 
The Africans use machetes to chop down the growth into farmable land. You can see the area that has already been cleared in the foreground and the yet-to-be-chopped area behind.  Sometimes Africans have the stereotype of being lazy - especially the men, but let me tell you the Africans working out in the field in the hot sun were as far from lazy as you can get! I have never been so hot in my life. While I come from Arizona where it can get pretty dang hot, this is a new level of hot here in Africa.  I lost multiple liters in sweat at the farm and I cannot even begin to imagine working in this humidity and sun day in and day out.  Thank goodness for shade huts!
Then we traveled to see where the Moringa is dried.  It must be dried in the shade to prevent nutrient loss.  The leaves are then ground, packaged and sold in the market in Lome two hours south.  Basically it's like dried high protein vegetable leaves.  Here are Cristof, Jean-Claude and I outside the drying house.
On the way out we went through a pineapple farm....
...and ate some pineapple off the core! In my hand is also a Moringa pod.  You can take the seeds out of the pod to plant new trees.
After a long day at the Moringa farm we came away with this final product:
the dried Moringa powder. Perhaps it looks a tad bit questionable in these unmarked bags. Actually, when one of our doctors from TX came to the ship with Moringa in hand, we heard he got an earful at customs!  In addition to the powder itself, I also came away with a new appreciation for rural farming.  I had no idea how much effort goes into making these fields farmable, and how hard these Africans work.  The African way of life here is so interesting, and every day I learn something new.  In a country where malnutrition is so prevelant, I think there is exciting potential for what lies ahead in regard to Moringa application.   More to come on that soon.... 

Friday, April 16, 2010

Friday's Favorite: Got Milch?

One of my friends Ryan recently left the ship, and his trademark was his constantly witty attire in the form of t-shirts.  In discussion one day, those of us sitting at dinner decided to order some shirts with our own saying "Got Milch?"  This was a pun on the "Got Milk" campaign back in the states, because here on the ship we don't have that cold, calcium-rich American goodness.  We have a more highly pasteurized Dutch milk in a box called milch, which just doesn't do the trick.   Thinking we were so creative, we ordered our Got Milch shirts and were excited when they arrived recently.  Julle, Estelle, Haley, Leah, Allison and I all decided to all wear them together last week and took a few photos. Here are Leah and I with our milch in a box.
 However, after one day of wear we realized that the words Got Milch were placed strategically across our chests.  On more than one occasion, people asked us if we were promoting breastfeeding for the feeding program on the ship! Ha!  
Here on the ship we live with 400 other people from around the world.  The take home lesson this week was that the next time we decide to order a t-shirt, we'll have to remember that sometimes cultural slogans don't transcend internationally =) 

Saturday, April 10, 2010

Easter Brunch!

When I went home over Christmas, one of the best things about being back in the states was the crazy selection of food.  Here on the ship the food is really good, but after a while you get used to the same meals again and again so a little variety is always nice.  In honor of Easter last weekend the galley cooks went above and beyond.  Check out the Easter fruit spread!
We had fresh fish, french toast, eggs benedict, potato scramble, croissants, rolls, and the list goes on and on.  My favorites though were the watermelon fruit boats and apple swans
...and who doesn't want an apple swan on Easter!    When life here on the ship can sometimes be monotonous after a while, we always say it's the little things that make a huge difference.  I am so thankful that we have such amazing cooks here on the ship, as they definitely made our Easter day of celebration extra special!

Monday, April 5, 2010

Friday's Favorite...just a little late

This picture is my Friday's Favorite this week.   Africans checking out the white man and his crazy pants...err shorts.   I love it! 
This was the start of our camping experience two weeks ago.  Sixteen of us headed to Kpalime, a town about two and a half hours north of Lome that seems to be popular destination these days for Mercy Shippers. With plenty of waterfalls and good hiking, we partook in the Kpalime trend.  We arrived to our destination to set up camp just yards away from many of the small surrounding African communities.  
After setting up camp in the African village, we hiked a small mountain with our guide.  Here we are, all sixteen of us at the top.
   
This is also where Leah learned to balance a pineapple on her head!
Our guide showed us the grasshopper with the "African Mask"..pretty crazy!
And since I moved cabins in January here is our first out-of-town roomie pic: Leah, me, Sandra and Suey!

We returned back to the campsite to get dinner as the rain was headed in. I saw one of the African ladies doing her routine walking the goats (which she did multiple times while we were visiting)!
Since we were practically in their village, we invited our hosts to hang out for the evening.  They ate with us in their true African way (spaghetti with your hands)...
played games with us
and danced with us late into the evening complete with bongos and song - even those who you'd think would be in bed at that hour!
Look at this cutie hanging out with us in her pj's.  With no running water, the kids were all so dirty, but so precious!
The next morning we awoke to the chickens ready to start their day at 5am.  Or, if we weren't awakened by the chickens, then we awoke to some African friends who wanted to play bright and early with us and with the bongos.  Check them out trying to wake up the neighboring tent!
 Day two involved our trip to the falls.  After our fresh fruit breakfast provided by the village locals, we walked with our guide and arrived to this:
where we had some fun playing in the water
(Juan looked too ridiculous to pass this one up)
...and we posed for a group shot (please note Tom on the upper left who missed out on the group photo by climbing the falls.)  We had such a great time not only at the falls but just spending time in the village with the Africans and learning the way they live.
There is a quote that says "a mind once stretched by a new idea never regains its original dimensions."  Every weekend away continues to shift my paradigm and this weekend was no exception.  So much of the world lives with so little - no clean water, no electricity, and no solid walls to surround their homes.  These are basic necessities that we so easily take for granted in the west.   We can read all we want or watch the documentaries on TV, but until you come for yourself and experience life on less than a dollar a day you don't fully comprehend the impact it has on you.  I came to Mercy Ships thinking I was giving up so much of my comfortable life in the US to help the forgotten poor on this big hospital ship. But here on the ship, I still get my three tasty meals a day, a shower at my convenience and healthcare if I need it.  Despite just a glimmer of this daily life in the African village, I know I still have so much more than these Africans will ever see or imagine in their lifetime, and that is a very humbling thought.