I first heard about the Gorgas Tropical Medicine course in Peru during my med/peds residency days at UAB when I rotated through the infectious disease department. I thought it sounded fascinating and actually added it to my list of what ended up being thirteen things I wanted to do after residency! A friend of mine that completed the course as part of his infectious disease fellowship and then ended up working at another mission hospital in Kenya described the Gorgas course as "the best educational experience of his life since kindergarten". Well, as God continued to confirm that long term medical missions in a tropical location (sub-Saharan Africa) was His calling, I revisited the idea of the Gorgas course and applied last year. God provided the finances through my locum tenems job in Birmingham and now I'm off to Peru on Friday.
Formal intense tropical medicine training will prove very beneficial both in caring for patients in Burundi and in teaching medical students there. This course, which is a partnership between the infectious disease department of University of Alabama at Birmingham and the Institute of Tropical Medicine in Lima, is unique among tropical medicine courses in that it is one of the few actually located in the tropics. We'll round on patients in Lima, Cuzco, and Iquitos during the course and hopefully seeing actual patients will help me remember the various diseases. My studying brain is a little foggy from disuse these days. This course is also known for being quite intense - condensing information taught in as much as three years at other courses down to two months. I'm looking forward to learning a lot!
One of the aspects of the course that really interests me is my classmates. The roster shows 34 students from 12 different countries and 5 different continents. From those I've interacted with on email, most seem to have traveled extensively and practiced medicine in various settings in developing countries, primarily through non governmental organizations. I look forward to getting to know them all and hearing their stories.
I recently heard a good quote, "Am I approaching people with curiosity or with certainty?" I like this as all too often, I make quick judgments of people rather that being curious about who they are and what their back story is. Pray my curiosity will remain intact as I meet my new classmates, professors, patients, and neighbors in Peru. Also, pray for my Spanish! I used to speak conversational Spanish, but Swahili seems to have occupied the front foreign language spot in my brain for the last couple years, and I'm guessing that's not going to help in Peru! The course is thankfully taught in English, though.
OK, next blog post location: LIMA!
Wednesday, January 25, 2012
Sunday, January 15, 2012
Unexpected Opportunities
One question I've been asked repeatedly during this time in the States is, "Did you ever in a million years expect you'd be doing this?" The answer, of course, is "No". While I expected to be involved in missions on some level throughout my life and while I've been preparing to be a doctor since age four, I still had some vague expectation in my brain of being a soccer mom in the suburbs somewhere. I didn't expect to live my life with roosters and donkeys for alarm clocks, to raise money to build a house in Burundi (where's that?), to rarely treat an ear infection but daily treat AIDS patients, to be faculty at a Christian medical school in one of the poorest countries in the world. But then expectations are funny things. God seems to be in the habit of surprising me beyond my wildest dreams (or expectations) with His great joy and provision and purpose. And of course challenges are a part of that as well, but I'm thankful He's the One who holds my future and, as my Heavenly Father, He gives the best gifts to me, His child.
Below follow three unexpected opportunities from this past week:
I'm so thankful for the doctors, missionaries, and mentors who discipled me and inspired me during my training years. Last weekend, I spoke to medical students from the two Alabama medical schools about missions, medicine, and suffering. I didn't expect to lecture on suffering at this stage in my life. But witnessing death daily changes one's perspective. Especially when those deaths are of children who have preventable or curable illnesses. I shudder to remember one day at Tenwek when I as the pediatrician had FIVE end-of-life discussions with families. Sadly, ironically, I learned the Swahili needed to discuss these difficult things, but I never did learn the vocabulary terms for buying eggs in the market. But through processing these tragedies, I learned so much about God's presence and peace that I had never understood before. I love this Frederick Buechner quote:
"What about when the boy is not healed? When, listened to or not listened to, the prayer goes unanswered? Who knows? Just keep praying, Jesus says. Remember the sleepy friend, the crooked judge. Even if the boy dies, keep on beating the path to God's door, because the one thing you can be sure of is that down the path you beat with even your most half-cocked and halting prayer the God you call upon will finally come, and even if he does not bring you the answer you want, he will bring you himself. And maybe at the secret heart of all our prayers that is what we are really praying for."
"What about when the boy is not healed? When, listened to or not listened to, the prayer goes unanswered? Who knows? Just keep praying, Jesus says. Remember the sleepy friend, the crooked judge. Even if the boy dies, keep on beating the path to God's door, because the one thing you can be sure of is that down the path you beat with even your most half-cocked and halting prayer the God you call upon will finally come, and even if he does not bring you the answer you want, he will bring you himself. And maybe at the secret heart of all our prayers that is what we are really praying for."
Course they were most excited about the picture of the girl bit by the hippo and the houses with grass roofs. One recommendation: if you're ever speaking to five year olds, don't ask rhetorical questions! They will try to answer! :) The kids were adorable and I enjoyed hearing their questions and comments later in the day when I spoke to just the fourth grade classes. I've scanned a couple of the third graders' thank you notes below:
And the last unexpected opportunity of this past week occurred on Thursday when I was invited to investigate the contents of a warehouse full of medical supplies to see what our team could use. What a huge need this nonprofit organization is meeting for medical missionaries and mission hospitals around the world! But it's pretty overwhelming to consider what supplies would be relevant and practical for Burundi. Do we need a windmill? I'm certainly no engineer to know if that would help solve our water or electricity problems. Is the roof of the hospital stable enough to hold up ceiling mounted OR lights? What would we do with a defibrillator if we have no ventilators or ICU or even oxygen on the wards? What medical supplies are available locally in Burundi? And how easy is it to get these things through customs? I'm thankful for teammates and experienced friends who can help answer some of these questions! What a huge unexpected blessing that I'm not in this alone!And thanks so much to those of you who prayed for my presentations and the events of this week - God truly did answer those prayers!
Tuesday, January 3, 2012
Highlights of 2011
Some of you received this via email, but I wanted to record it on my blog as well.
At the beginning of 2011, I was just past the halfway point
of my two years in Kenya. I was so thankful for God’s direction in leading me
to join the McCropder team, but we didn’t know yet where we were going (though
we hoped it was Burundi) or which mission agency we would partner with (though
we hoped it was World Harvest). I had a one month old niece I’d never met and
family I hadn’t seen in over a year. Our power supply was very erratic due to
lack of rain and malfunctioning of the hydroelectric power plant. I wondered
how much I should invest in the new Kenyan intern class knowing I wouldn’t be
there to the end of their internship. I unavoidably realized anew my strong
desire for others’ approval and acceptance rather than resting in the
unconditional love of my Heavenly Father. But thankfully, amazingly, God
continues to bring treasure out of jars of clay. Which leads me to:
Highlights of 2011
Caring for the premature quadruplets as three of them
miraculously recovered from necrotizing enterocolitis (without TPN) and went
home to their happy parents at 4lb each.
Being encouraged and refreshed through medical missions
conferences and retreats with like-minded friends around the world (pictures above and below)
Growing through mentorship with the Sonship discipleship
course and understanding more and more the beauty of the gospel in my everyday
life.
Visiting Burundi (East Central Africa) in May and
experiencing the joy in teaching bright, enthusiastic medical students and
caring for underserved patients in one of the least developed, poorest
countries in the world. Understanding truly that this is the long term work God
has for me and the McCropder team.
Witnessing the pediatric team at Tenwek praise God for
healing Bab – the boy pictured who was admitted with severe meningitis (CSF WBC
1500) and uncontrollable seizures but who suffered no long term effects from
his illness.
Mfangano Island medical mission trip in Lake Victoria – a
trip I very reluctantly and apprehensively agreed to help lead in partnership
with two churches from the U.S. But despite my hesitation, God demonstrated His
power and love amazingly both to His children on those underserved Kenyan
islands and to His children with different but no less significant needs on the
team.
Joining World Harvest Mission, an agency that emphasizes the
centrality of the gospel and whose mission is “Laying down our lives to
proclaim the Kingdom of Jesus Christ through preaching, healing and equipping”
– exactly what our team feels called to do! Picture represents the East Africa
WHM missionaries (Burundi, Kenya, Uganda, Sudan) at our retreat in August.
I’m so thankful for the joy of getting to know this amazing
intern class through our Bible study (which they’ve continued) and through working
together in the hospital. I miss them but am glad to get updates through
Facebook and email!
Hanging out with friends, playing games, eating homemade
pizza, and watching movies with the projector are some of my favorite memories
of 2011 and of my time at Tenwek. This picture was from New Year’s Eve 2011.
Christmas with the Pfister pfamily all together again in
Nashville. What a joy!
As
you’re making New Year’s resolutions, consider committing to monthly supporting
my ministry in Burundi. I still need to raise $2830/month. Email me for more
information: alyssapfister@hotmail.com.
Thanks
so much for your continued prayers and support. Happy
New Year!
My Tentative
Schedule for 2012
January – hospitalist work in Birmingham
Feb, Mar – tropical medicine course in Peru
April – work and travels in Birmingham, Nashville,
Boston
May, June – cross cultural and language acquisition training
at Mission Training International in Colorado
June 23 – my sister’s wedding
August – begin 10 months of French language school in
Albertville, France
Summer 2013 – move to Burundi!
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