Skeletons in the ER

Heather Ferrari
Heather Ferrari
Nepal 2018

This week I spent my time in the Emergency Department. The most common incident would be a motor vehicle accident, and the second most common was physical assault.

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Here are some patients I saw through out the week in the ER:

  • Motor Vehicle Case: The patient had fallen off a motor vehicle and shattered every bone in his face. His whole face was swollen and black and blue. He could barely open his left eye and his right eye was completely swollen shut. They did a CT scan and an X-ray of his back, his brain had no damage and he had not damage to his spine, which is honestly amazing. He would receive surgery in the next few days. 

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  • Physical assault case: physical assault cases are very common especially during festival season. According to one of the doctors I spoke with, many people drink during the festival season especially men and they tend to get in fights and end up in the hospital. This patient was hit over the head multiple times with a plank of wood. The patient had two huge lacerations and two lacerations on his back. One of the doctors stitched the two lacerations on his head with very little stitching, there were areas that were still open. I would have thought they would have stapled it, but I guess they do not have the money to staple. It surprised how few sutures they did, what I would have thought required around 10 maybe more they used six. 

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  • Drugged Addiction: this patient came in after realizing his injection site in his lower thigh region started to have pus discharge. This patient had been injecting drugs for 20-25 days, and the discharge has been the most past 20days. It took a while for the nurses to get IV access, at least three of four tries
  • Cardiac patients: two cardiac patients came in around the same time. One patient was in hypertension crisis. The patient sat around for a while with no treatment taking place because the family had not paid yet, they were waiting in line to pay. Once the family paid the patient went for an angiogram and PCI. The patient had had a anterior wall MI about 4-5 hours ago. On his monitor you could clearly see ST elevation. The other patient was in SVT and transferred to the CCU, after being give amiodarone. 
  • On Wednesday I walked into the ER as a nurse was walking from the ambulance area through the ER to GYNO/OB carrying a baby. I went to the ambulance dock and saw that a mother had given birth to the baby in the ambulance. After a little while, I left the ER to go check on the mother and baby, the mother was being cleaned and stitched, and the baby was healthy sitting under a heating lamp. 
  • On Thursday there were two chronic alcohol patients: one patient had a seizure disorder from the alcohol. The other patient was having tremors, auditory hallucinations, and was tachycardic.

On Friday, two other volunteers and I worked night shift in the ER. The beginning of the night was quite busy. There were many patients with motor vehicle accident, a patient with appendicitis, a patient with gallstones, many patients in the observation ward, and some physical assaults. Around 10pm is when the night started to get busy. There were three motor vehicle cases and a very very drunk patient. The first motor vehicle case the patient was riding a bike and got hit by what is similar to our garbage trucks. His fibula, tibia, some ankle bones, and many foot bones were all broken. The patient was placed in a almost full leg cast and would hang out in he ER until surgery the next day or even the day after. Another motor vehicle case was a older patient who was intoxicated and got in an accident. He had a broken arm and was also placed in a cast until surgery the next day or even the following day. The drunk patient was very aggressive and almost fell out of her bed multiple times. Her family had to keep her in bed with all their strength to prevent her from falling out of bed. Her family also believed that she might have taken drugs as well. After around 2am it was very very slow until our shift was over. Working a night shift here really let me see what evenings are like in Chitwan. We don’t really leave the house after dark, so it was interesting riding to work in the dark and seeing how busy the streets were. 

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A normal routine for a patient. The patient will arrive via ambulance or walk into the ER. The patient will then be placed in a bed, and assessed. After the assessment is complete the family then takes the orders to the billing counter and the patient’s family pays for all the treatment that will occur, which could take anywhere from 10mins to over an hour depending on ow busy the ER is. The family then comes back with the statement saying they paid and the nurses and doctors begin treating the patients. If the patient needs stitches there is a procedure room where the patient will receive stitches, where yet again the family has to go out of the hospital to the pharmacy to get the sutures, and any other supplies that might be needed. The patient is then stitched up and moved back to the ER area. There is a yellow zone, a red zone, and an observation ward. The yellow zone is less critical than red, and the observation ward is after the patient becomes stable but still needs to be observed before discharge. Once the patient is stabilized he/she will be either transferred to a floor or moved to the observation ward, from the observation ward the patient may go see doctors in the out patient department if the patient is not critical enough to be admitted, but needs to see a specific doctor. If the patient does not need to see a specific doctor then the patient will be discharged from the observation ward. Most of the patients in the emergency room are not super critical and the critical ones get stabilized and transferred to an ICU floor. 

Observations made:

  • Alcohol addiction, drinking and driving, and motor vehicles are a problem
  • Motor vehicle accidents (bikes, motorbikes, and tuktuks) are common and road rules, stop signs, stop lights, or any traffic controls are nonexistent 
  • Many patients have back flow of blood into their IV lines, patients will randomly disconnect their IVs lines themselves even while medicine is running. 
  • Physical assaults are very common, often times I thought that accidents were occurring like running into something or something falling while working because there were so many physical assaults I didn’t think it was possible to have that many but nope people really get into fights here.
  • They don’t run toxicology reports for alcohol or to figure out what drugs patients took, they only have access to be able to test certain drugs, but it has to be with in a certain time of consumption. 
  • On night shift there are no surgeries except emergency surgeries which include gallbladder removal, appendix removal, or c-sections. Most night shift surgeries that occur are c-sections. 

 

 

Last Day in the U.S.A (Until 2019)

Rachel Beihl
Rachel Beihl
Spain 2018 - 2019

My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.  – Maya Angelou

More than a month ago I compared myself to the white rabbit in Alice in Wonderland. I was hustling and rushing to get everything done. Can you imagine what the end result was? Ha, let me tell you.

From September 28th through October 13th, I tried to check everything off my to-do list, from packing and sending e-mails, to studying and saying my goodbyes.  Just when I thought I covered all my bases, I realized I had dropped the ball on obtaining my Spain Visa earlier this summer. I thought I still had time to contact the embassy and  Spain consulate in the U.S. Clearly. I knew I needed a visa to stay in the Schengen area for more than 90 days.  I had contacted both the D.C. and N.Y.  consulates via e-mail, in hopes that they would be able to answer some of my questions, but they did not. After informing them of the steps I had taken, they shut me down before I could ask my questions. Who’s to blame? Me. Life moved extremely fast this summer and I shouldn’t have underestimated this process. Everything about that experience screams, “First time traveler.” But that’s alright, I accepted my mistake and made the necessary adjustments after. As the singer Aaliyah cantered, “If at first you don’t succeed, you can dust yourself off and try again.”

On a more personal note, saying good bye to my Nashville family was not easy.  The day I left Nashville, I was with my boyfriend Trevor and holy cow did I cry! I knew I was going to. I live in the moment and when the emotions roll in, I let them come full force so that I don’t let them linger any longer than they have to. I cry because I love deeply. I don’t know what tomorrow may bring but I do know  I am loved and I value every moment I share with others.

Now, the driving part was actually easier than I expected. It was a road trip party for 1. I drove 10 hours to Washington D.C. to see my childhood best friend Bella. The next morning  finished the last 4 hours of my drive. Since then I’ve been seeing family and friends non-stop. Studying for the GRE was not a thing these last two weeks, but that’s okay. When I look back at my life at least I know that I prioritized the things that matter most to me.  It’s important for me to be around my loved ones because we have such a unique relationship. Plus, I know that I’m a hard-working, driven individual. I may not know what lies ahead, but I know it will be rewarding.

Everyone asks me if I’m excited or nervous for this trip. My response is, “Neither.” I’m more curious than anything. My social and cultural upbringing, along with my life experiences, have prepared me for this trip. It’s going to be a new experience, a new world, a new life style, and I am prepared for this new journey. It’s going to be challenging but that’s the point; I want to be pushed out of my comfort zones. It’s the opportunity of a lifetime. I am beyond thankful for this Lumos scholarship. The journey continues my loves.

Follow my blog account on Instagram for more photos and posts of my journey! @lifebeyondthevines.

Life Beyond the Vines

Con cariño,

Rachel Mercedes Beihl

P.S. I am 100% balling my eyes out tomorrow when I say goodbye to my parents. (:

 

 

Finding Your Voice

Shannon Fish
Shannon Fish
Rwanda 2018

Why is it so hard to be heard? In the line of communication, where do our voices get lost? If we speak out against hate, disparity and prejudice, how far is our voice actually carried? Why are some voices given priority over others? What can we do to allow everyone the equal chance to step onto the platform and speak their truth?

These are some questions I have been reflecting about in the past few weeks. Thinking about others’ voices and my own.

So, what do I mean by “my voice?”

My voice is MY opinion.

My voice is MY own personal experiences that no one needs to validate, except for myself.

My voice is MY desire to seek change and prosperity.

My voice is MY outlet for loving and supporting those in my life.

My voice is MY public projection of who I am and what I think.

I should be free to use my voice and not suppress what I think and feel. But in a world that polarizes more and more each day, I often choose the easier choice of keeping quiet and not polluting the world with just one more loud voice.

Recently I have been struggling with the action of using my voice and not being afraid to speak my own truth. As a person who hates conflict and heated debates, I often steer away from telling my whole truth and revealing exactly what I think. Well I am known to say how I feel about something if it impacts something greater than myself, when it comes to every-day decisions I often choose to go along with the opinions of those around me and reserve how I truly feel.

Yet while I encourage my students everyday to be bold and confident in who they are, what they are feeling, what they are learning and where they are going, I often struggle with this myself. Yes, I am an empowered, capable, passionate, confident woman who has been given the agency and opportunities to successful seek an excellent education and pursue my chosen career. But I am also a woman who struggles to say my whole truth in the event that someone would disagree or get hurt. I believe that there is a balance between using your voice and abusing the ears of others listening to your voice. In other words, attempting to destroy other peoples beliefs, and tear down the spirits of others is not the proper use of your voice. Instead you should seek mature discussion of issues and challenges, then seek transformation in your communities and spark change. But then again, that is just my opinion and my own voice telling you how I feel.

In order to feel that I can fully encourage my students to use their own voices, I am too seeking to demonstrate how I am using mine. Currently I am trying to more bravely stand up for what I believe in and use my own voice to speak up against hate, violence and discrimination.

For example, there are so many things I see every day that have become a norm in my mind: street children asking me for money, boys walking with girls at night about to engage in prostitution, people living without proper access to nutrition, girls suppressing their voice, single mothers being ostracized from their family and society, girls missing school due to their menstrual cycle (being out for nearly a whole week or more), girls beating themselves up over being 20 and single without kids, mistreatment and misunderstandings of those who are mentally ill, and men constantly speaking over women in conversation. Sometimes I shock myself for how I have normalized what is going on around me and how it doesn’t infuriate me every second of the day. How I have assumed this stance of, “Okay, I would love to change this, but what can I do about this? Are you kidding me? Organizations with millions of dollars streaming into communities barely create a few ripples of change. In fact foreign development can often create more harm than good. So what can I do? Let my know when you find the answer.” Quite frankly one person does not change the world. In fact one person can barely change a community – let alone a person.

So when people back home tell me: “Oh good for you, sweety. You are changing the world. Go change the lives of those Africans. You will be so good for them. They are so lucky to have you there to empower them.” I am infuriated. Not only are there so many things wrong with this western-centric mindset, but I can’t believe this mindset is still being propagated in the United States when we have the means to know differently.

Firstly, my goal while I am here is to develop relationships and encourage my students to pursue the very best in themselves and in their society. By the end of my fellowship, I may have only impacted one student or one teacher, and it would have been well-worth my hard-work and dedication. The reality of international development is that I may never see my efforts come to fruition, or see the impact of my work.

Which leads me to the “changing the world” part of that phrase. The reality of international development is that the most sustainable developmental work comes from creating relationships with the local people and equipping local leaders with the agency to address the problems that they themselves see in their community. So when international agencies and donors seek immediate outcomes and data tables proving their work is “doing good,” often workers on the ground are rushed to find immediate solutions instead of meeting with community leaders and members to strategize the best answers to the community’s problems. An organization that combats the normal metholodogy of foreign aid is Mocha Club, and I highly recommend you look them up to see what this proces looks like.

Next sentence: “Go change the lives of those Africans.” Africa is a HUGE continent. HUGE HUGE HUGE. Congolese and Kenyans are so different in mannerisms, opinions and speech than Rwandans, and they are neighboring countries! You can not group Africans into a category. There are Rwandans, Nigerians, Egyptians, Moroccans, South Africans, and 49 more nationalities with people who have drastically different cultures and mindsets.

Lastly, I have a problem with the word “empowerment.” This word has been consistently misused in the field of international development and foreign aid. Counterpart International said it best in their recent article, “Banning the Phrase ‘Empowering Others’”:

“Empowering is giving authority or power to someone to do something. International development organizations do not have power to give to citizens. And talking about us as an organization empowering people robs them of their agency to take control of their own lives and claim their rights.”

What if as Western nations we stopped using the word empowerment, and began to support leaders in communities to obtain transformative agency that would equip others with the means to change their OWN lives? What would we call that? Possibly, it would simply be called sharing resources, education and opportunities? Maybe we would see the real solution to be participating in humanity by seeking peace, security and happiness for all. What do you think?

I hope this blog post sparks a new conversation between you and your family members and friends. I encourage you to bravely seek your own voice but to never lose sight of practicing empathy for those in your life who have contrary opinions to yourself. Once you find your voice, encourage others to find theirs! It’s a big ask, but you won’t be alone; I’ll be working on it with you. And with time we may just be able to create small seeds of change and steer the conversation of development towards new directions.

______________

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On the bus ride from Kigali to Rwamagana.

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On Safari in Akagera Game Park!

 

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Visiting the Kibungo Girl’s Soccer Team!

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Helping my friend Lily set up at the market.

 

 

0692BF5C-F126-4053-92D4-A4988A0371D5My host sister.

BD346205-5EF3-48ED-AC10-75E5876DA9A4 With my host mama, Laura.

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Visiting a friend’s home, Jean Claudine, with my friend Meredith.

91E5CE06-5EF1-4D51-9B0D-BDBCF681CDB8  A Sunday afternoon in Kigali.

BA29110D-5769-4711-94D1-A91ADD09F5C1  Leading the first Drama Club at RLS!

Happy Dashain ❣️

Heather Ferrari
Heather Ferrari
Nepal 2018

Well I have been home for almost a week now from trekking. When we returned from our trekking in the Annapurna region, the following day the festival of Dashain started. This is one of the longest most celebrated Nepali festivals. It celebrates the triumph of good over evil. This holiday is very similar to our Christmas. Family comes into town, it lasts for 15 days, blessings occur with tika, and money and gifts are given. This week has been a very slow week in the hospital because many patients are sent home for the festival. We only worked three days this week, as the other two were spent celebrating the festival with our families.

I spent one of the days in the tropical medicine ward, which also is an endocrinology ward. Many patients in the tropical ward have the diagnosis of AUFI, acute unknown fever illness, diabetes, typhoid, dengue fever, scrub typhus, and malaria. Most of the patients I saw were positive for scrub typhus. Scrub typhus is a disease caused by bacteria that you get from a chigger, tick, or mite bite. It is often associated with thrombocytopenia, fever, and body aches. The patients receive doxycycline and are under observation for a few days until they can be released from the hospital. On our rounds during the tropical unit many patients complained of being stuck in the hospital during the festival time as this is an important holiday in the Nepali culture. Some of the patients were discharged after rounds, but others were kept for observation hoping to make it home soon. What I thought was interesting was when patients are diagnosed with diabetes they do not go through an education course, or get supplied with educational brochures. In the ICU unit I worked in a few summers ago we had a nurse specialized in diabetes and she would hold education meetings with newly diagnosed patients. The only education they receive is from the doctor during rounds. 

The other two days I spent time in the ER. Most of the patients I saw in the ER were motorbike accidents. The traffic here is insane. There are no rules of the road and no stop signs or traffic lights. It is a free for all on the road. Many patients came in with lacerations across their face, or their legs after having fallen off their motorbike. It is also festival season, so drunk driving occurs often which could have been the cause for some of these injuries. We had one patient come in with tuberculosis, but the problem with this is that there are no isolation rooms, there are no N95 masks, there is nothing here to prevent the spread of it. He had a history of TB but from what I could understand he did not take his medications properly. I avoided his area at all costs, not wanting to get TB or spread TB. 

On Wednesday of this week it was the day of goat sacrifices. We went around to the houses around our area and watched goats be sacrificed, shaved, butchered, and cooked. It was quite an experience watching these events take place. Family comes into town from other parts of Nepal and it is a huge family affair, very similar to stuffing a thanksgiving turkey in our family. The men all sit outside butchering the goat and drinking beer while the women are inside starting to cook the goat and prepare the meat to eat through out the whole day. For the next few days all the family does is eat goat, drink, and celebrate together. Kids are running around everywhere, receiving gifts from family and friends that come over to eat goat.

shaving the goat

shaving the goat

The sacrificial goat

The sacrificial goat

Carolin, the house we were at for the goat sacrifice, and Sandra my roommate

Carolin, the house we were at for the goat sacrifice, and Sandra my roommate

Then on Friday it was tika day. At 9:51am we started the tika, which was the set time for all of Nepal. The tika blessing starts with the eldest person in the family so for us it was a 84 year old grandma and she blesses every single person in the family starting with the youngest and money and fruit are given to you once she blesses you. Then the next oldest blesses the whole family, which was my host grandmother and grandfather. This process continues until the youngest couple blesses everyone. It took a total of two hours and half hours for the whole ceremony of tika and blessing. It was really special, and Binod, my host dad, blessed each one of us volunteers and blessed us wishing us the best in our career path, that we will be successful, and the best at what we do. There are so many people here at our house and at the festival activities. But now the festival has started to slow down. Although it lasts for 15 days, we will all be back to work on Monday, and all the shops will open again. Today we will be going to a special luncheon and the Kathmandu director will come down and have lunch with us and bless us with tika again toady.

my grandparents blessing me

my grandparents blessing me

my parents blessing me

my parents blessing me

Sandra and a new volunteer Tim

Sandra and a new volunteer Tim

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with my host parents

with my host parents

Tomorrow I will go back to work and start my shift in the ER! Later this week I will upload pictures from my trek in the Annapurna Region. 

 

Shaking Things Up

Olivia Hosey
Olivia Hosey
Haiti 2018 - 2019

I cannot believe I’ve already been in Haiti for two weeks. At the same time, I cannot believe I’ve only been in Haiti for two weeks, as it feels like I’ve been here forever. These days have been filled to the brim with excitement, adjustment, and lots of joy. I am honestly very surprised by how easy it has all felt so far, and so is everyone else here when I tell them that. I have so much support here and feel that I have many people (both American and Haitian) who want to help me with anything I may need. I think that is just God’s way of welcoming me here and assuring me this is where I am supposed to be for now.

I spent my first weekend in Haiti at none other than a gorgeous beach (on a personal trip of course). Laura, a new American friend who also works in Gonaives, invited me to go with her after she had an especially difficult week. We stayed in a wonderful Airbnb and it was so important that I got to take some time to experience the beautiful, peaceful side of Haiti that foreigners aren’t as used to seeing in the media. Additionally, when living in a culture that is so different from your own, it is so important to prioritize self-care, and sometimes that looks like getting away from your normal environment and relaxing on the beach for a little while. People are often reluctant to come to Haiti as tourists, and foreigners here on short-term mission trips often feel guilty when their group spends part of their time at a resort when they feel they should be “helping”. But tourism is such a needed industry in Haiti, one that, in time, can greatly contribute to the economic development of the country.

On Saturday night, Laura and I were preparing to go to bed and had just turned on the air conditioning in the room when everything started shaking. I thought it had something to do with the AC and Laura thought it was the fan so we both ran around trying to fix them. Then, the shaking stopped, and Laura suggested that it was actually an earthquake. I didn’t believe her until our host confirmed it. We got in contact with our friends in Gonaives and everything was still standing and everyone was safe, but (quite literally) shaken up. We found out that a 5.9 magnitude earthquake had hit Port de Paix, a town only 50 miles (although a several hour drive) north of Gonaives. We found out later that at least 11 deaths, hundreds of injuries, and several damages to buildings occurred as a result. Immediately after though, since I didn’t even know what was happening until it was over and only felt it slightly anyway, I actually kind of forgot about the earthquake soon after it happened.

The following day, I was back in the guesthouse in Gonaives that I have been staying in. I was unpacking and organizing my room, when all the sudden, the entire room started shaking. The  metal-framed bunkbeds in my room banged around loudly while I heard several screams outside my window. I immediately knew what was happening and sprinted out of the house into the front yard. I was greeted there by the pastor who lives in the downstairs portion of the house and his family. Thankfully, he speaks fluent English, as I am still working on my Creole. He saw that my whole body was shaking from fear and offered me a hug as well as a chair to sit on. I sat outside with them for almost two hours. They were so kind and offered me food, conversation, and companionship as we all tried to figure out what had just happened and what to do next. We discovered that this was not an aftershock from the day before; rather, it was a completely separate 5.2 magnitude earthquake.

After communicating with Kathy, I mustered up the courage to go back inside and pack an overnight bag, and then headed over to spend the night at Kathy and Beaver’s. We planned to sleep outside as a precaution, but a heavy rain came, so we ended up staying indoors for the night. As I lay down to sleep, memories flashed through my head of the semi-traumatic event that occurred just hours before. I somehow managed to still fall asleep relatively quickly and get a full night of rest.

First thing on Mondays, we have a thing called the Big Question meeting with the whole 2nd Story Goods staff. It is a beautiful time for everyone’s voice to be heard as we discuss important ideas related to Haiti or to us personally. Naturally, our Big Question involved how everyone was feeling after the earthquakes that occurred over the weekend. We have a few people on staff that were in Port au Prince during the devastating earthquake of 2010, and they were definitely the most affected by the recent happenings, as it brought up painful memories for them. Soon after we went back to work, Kathy started running around yelling at everyone to get out quickly. It turns out that she had mistaken a big truck passing by for another earthquake. It was clear that everyone was on edge, so she said that maybe we should just close down for the day. Instead, everyone insisted on working outside instead. They determinedly dragged their desks and equipment out from under the concrete building and continued working. As Kathy put it, it just “seemed like we were better being together”.

I keep reminding myself how in college, I used to do the kinds of things I’m doing for 2nd Story Goods “for fun” in my free time in my work with Enactus -a university student organization that partners with social enterprises and non-profits to help them with their business models- and now I am getting to do the work I’m most passionate about full-time! I was very involved with Enactus at Belmont, and 2nd Story Goods is actually one of Belmont Enactus’s projects this year, so I will be working closely with a team of Belmont students and delegating tasks that they can do to help us grow 2nd Story Goods from Nashville. I am so excited for this partnership, because Enactus was integral to my development in college and taught me so many skills and lessons that have prepared me to work in social enterprise in Haiti; it will be a joy to give other students the opportunity to learn like I did, and it will be such a blessing to have their much appreciated help and opinions on things we are doing here. I will be managing what they are working on from here by keeping in contact with their project manager, Bailey. On Monday, the Belmont Enactus 2SG team had their first meeting and I called in to meet everyone. It was surreal to Facetime with them and see their excited faces; they are going to start by researching new markets for 2nd Story to enter in the U.S. While 2SG does have three employees stateside currently, only one is full-time, and this team of students that is dedicated to increasing sales is sure to be a huge help to us growing the business, and in turn, being able to employ more people who are in need of jobs in Haiti.

My arrival to Haiti has already shaken things up in the company a little bit. We spent a big part of last week shifting the job descriptions of the 2SG leadership team as well as defining my own job description. One of my goals in coming here was to be able to provide Kathy with the space to do the things that we as a company most need her to do, and take the things off of her plate that she can pass on to other employees. She didn’t know that I was thinking this way, but after we discussed it, she told me that she has been praying for this kind of space to be created for her. We have cleared her schedule a little bit and delegated tasks that others can do so that she can spend more time writing and designing new products (not to mention taking a break from work on nights and weekends), two things that are her natural gifts as a writer and artist, and two things that are vital to the success of the company. I have essentially taken on the role of her personal assistant, so I can manage her schedule, keep things organized, and make sure these important things are being accomplished.

On a side note, if you are familiar with the Enneagram (a personality typing system that has transformed my understanding of myself and others), Kathy and I have a wonderful working relationship (and friendship) because we are both 3s and can completely understand how each other thinks; however, she is a 3 wing 4 and I am a 3 wing 2, so instead of driving each other crazy, we balance each other out. The 3 is the Achiever: the productive, goal-oriented type that can become obsessed with, well, achieving. While working closely together, Kathy and I will be able to hold each other accountable for not overworking, which will be very beneficial and healthy for both of us.

In addition to managing the Enactus team and Kathy’s schedule, I will also be focusing on developing and implementing marketing strategies and leading the leadership team through a book called Traction that will essentially help us develop a strategic planning process. I will also be working some with ProLead as they establish a framework for rehabilitating the culture and systems of existing organizations and incubating new businesses. I can’t express how perfect every single part of my job is for me. I couldn’t have come up with a better dream job if I tried!

When the earth does it, shaking things up is sometimes not the best thing. But when we do it, sometimes it can be really fruitful. Sometimes, we have to be willing to shake things up in our own lives and organizations in order to accomplish the things we truly want. Here’s to continuing to shake things up in the next year!

Our lovely room at the Airbnb!

Our lovely room at the Airbnb!

Meeting outside with Kathy (CEO) and Valery (HR and Operations Manager) on re-writing job descriptions

Meeting outside with Kathy (CEO) and Valery (HR and Operations Manager) on re-writing job descriptions

Our beautiful poolside view of the Caribbean Sea at the Airbnb!

Our beautiful poolside view of the Caribbean Sea at the Airbnb!

One of many bright sunsets from Jubilee, the neighborhood where many Much employees live

One of many bright sunsets from Jubilee, the neighborhood where many Much employees live

Some of the 2SG staff working outside the day after the earthquake

Some of the 2SG staff working outside the day after the earthquake

An early morning, pre-work bike ride with Kathy

An early morning, pre-work bike ride with Kathy

Being proactive! in a ~reactive~ environment.

Natalie Cataldo
Natalie Cataldo
Thailand 2018 - 2019

Hello again! 

So I am a volunteer for the Wildflower Home, yet the tradeoff of work that I am completing for the foundation fits more of the description of a full-time employee. I knew this would be the case before arriving in Thailand, and I think the ability to provide this free service to the home while not having to worry about my financial capability is one of the greatest things about the Lumos Award. 

I mentioned in my last post that I was feeling overwhelmed with the amount of work needed to be done at the home. Within the last two weeks, the overwhelming feeling has only increased as I have seen more and more potential issues/needs/expenses/lost opportunities/etc. Before I go on, let me again say how much I respect and commend the leadership of the Wildflower Home. With few resources, low-end budgets, and barely any recognition or help from the government, they have been able to do so much for many, many women and children that are from all over Southeast Asia. They have kept long, fruitful partnerships and friendships with people that support the home in many ways. I receive requests to volunteer from a least one person a day, and the strong desire of so many to help the home is due to the good nature behind it. And they have never turned away any woman that is seeking help. 

There are many elements to Thai culture that have created it to be a very reactive culture, in my opinion. The hierarchy that exists among the people; the disapproval of questioning your elder; the collectivist pride that looks at Western culture as too individualistic (they’re not wrong). In the short time span that I have lived and worked here, I have begun to notice how the culture does not prioritize structure, time, or conducting work in a proactive mindset. I have been affirmed by many people that this theory is not wrong. And as someone who’s usually in a proactive mindset (I would say to most facets of my life), this is where I am having trouble. During a check up meeting today where I asked the director if there were any ways I could improve, I was told that I have been too critical of the home and need to focus more on being with the mothers and the children. Before today, I would spend time with them at different points of the day or go hang out with the children in the daycare to take a break from the office.  But now I have been asked to dedicate more time of my day out of the office and away from grant writing. I accepted the critique and asked if there were specific things that would be beneficial for me to do. “There are many things. But know that you will learn more from being with them than they will with you.”

I wouldn’t fight that notion. After being a Young Life leader for 3 1/2 years in college, I can confidently say that pursuing relationships with those that live a different lifestyle from me (and come from a different background) has proven to be more eye-opening and beneficial to me than I could have ever imagined. On one hand, I am thankful that time with the women and children is now fixed larger into my schedule. On the other, I am nervous about the long list of things that are asked of me to get done. If I am being 100% honest, I feel that I am in a tough position because I have been brought in to help with planning/producing of funds for a large year of growth for the home. Yet, my questions, concerns, and work pace has created an underlying tension that will only be permanent if I do not change. If the cultural norm is working reactively, then I must dial it back a bit while also getting stuff done that will bring in more money and more staff for the home. No pressure!

I have been reminded of some advice that I would tell my Young Life team back in Nashville. “Remember that you are not here because you have something to prove; you are here because you have something to give.” We recently had some volunteers who’s expectations were not met after the month that they spent helping the home. After signing up for a women’s empowerment program, they felt that helping in the daycare, cleaning dishes, and teaching English for an hour a day was not parallel to the job-description they signed onto. In all honesty, seeing their frustrations both frustrated and humbled me. Seeing them come into the role with expectations and maybe a desire to receive that feel-good “I made an impact!” glory did not allow them to see that by helping the mission of the Wildflower Home in the small (yet mighty!) ways they were empowering women. And by recognizing that in conversations with them, I understood and was humbled by my own expectations that I brought. As the grant writer and administrative volunteer for the home, I want to get. stuff. done! I want to make. moves! My fear right now is that this slight change in my work priorities is going to change the whole route for the rest of my time here. But, I have to keep swallowing my own advice and remember I will help the Wildflower Home improve if I give my all to whatever task they ask of me, not just the ones that I have set out here to do. When talking about the negative traits a volunteer can bring into an organization, my friend Alyson said something that I hope will stick with all of us. What is your heart posture? Are you closed off to some things because they do not match your expectations, or are you open to helping in the smallest of ways because you know no matter what you are helping the organization move towards it’s mission to create an impact?

Before we move on, I just want to clarify that I am not saying my worst trait in the workplace is that “I care too much.” No, no…no. What seems to be happening here is that I am caring too much about things that my organization would rather not focus on, at least for now. I also want to note that the other volunteers that I have come across while working together at the Wildflower Home have been helpful, kind people. I mention their time with the Wildflower home only to point out the way I began to understand my own expectations.

On a different note.....!

  • Random tidbit: a lime to Thai people is like Windex to Mr. “Gus” Portokalos in My Big Fat Greek Wedding. They are the favored natural remedy to most things, and since my health has been a rollercoaster of ups/downs since arriving the fruit has never been so prominent in my life.
  • October is a month full of donor visits and communications assignments. I have loved the amount of contact I am getting with people as a representative of the Wildflower Home. It has improved my public speaking skills and made me feel like a solid member of WFH team, even though I am just a volunteer.
  • I got locked out of my apartment and was stranded on my balcony for a solid 20ish minutes, alrightttt!

And photos!

 

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Sometimes I will be working and someone will just come and place a baby on my lap. And then sometimes I’ll steal one away and pretend to be working.

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All of my friends!

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Another friend!

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Caught practicing my Thai skills with this man. Was I doing well? Hard to say..

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Some more friends!!

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Lunch at Huay Tung Tao Lake

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Thailand’s okay!

 

Thank you for reading and thank you for caring! Hope you’re doing well.

Natalie

 

Bonjou from Haiti!

Olivia Hosey
Olivia Hosey
Haiti 2018 - 2019

As of Monday, I have officially made the big move to Gonaives, Haiti. It is so surreal to finally be here, and these first few days have been filled with so much excitement and joy as I’ve started to come to terms with the fact that this is actually my real life for the next year. I feel like I’ve stepped into my higher calling, and it has been so fulfilling already.

As providence would have it, my flight from Atlanta to Port Au Prince was the same flight as Beaver and St. Juste, leaders with MUCH.  They were making their way home from a week of fundraising in the USA. Beaver and Kathy Brooks are the founder leaders of MUCH. MUCH is organized into three distinct entities that work together to accomplish the mission: The transformation of individuals, families and communities from systemic poverty to a place of thriving at every level of life.  

Market Place Gonaives (MPG)  Strategy : A physical space that hosts an environment where businesses, entrepreneurs and employees  thrive. The renovation of the old Match factory in Gonaives into a commercial retail development.

2nd Story Goods  Strategy: Dignity through jobs   Those trapped in crushing poverty are best served when presented with opportunity to realize their abilities and earn a living by their own hands.

PROLEAD  Strategy: Education that flips broken businesses and employee relationships. Creating a healthy sense of personal power and responsibility and company culture where everyone thrives!

MUCH has been working on Market Place Gonaives (MPG)  for several years now. MPG will include the first full-service grocery store outside of Port au Prince in the entire country, as well as space for vendors, a cafe, an auditorium, and space for both Pro-Lead and 2nd Story Goods. MPG was supposed to open in September, but they received heart-breaking news in July that the outside walls of the building (which were already standing before the project was started) are not earthquake-proof. Beaver and Kathy were grateful to receive this news prior to opening the Marketplace, but described the news as feeling like they were climbing a really big mountain and thinking they were almost at the top, only to find out they had much farther to go. So, it is an interesting time for me to be here, as they are working very hard to fundraise the rest of the money they need to complete the building. (I have just skimmed the surface on MUCH’s projects here. If you are interested in learning more, please check out their website at much ministries.org)

My plane ride to Haiti was eye-opening. As soon as I got on the plane, I saw that the amount of Americans outnumbered the amount of Haitians and it made me feel a number of things, one of them being that it is a reminder of humility amidst texts from everyone at home telling me to “go change the world” that there are many people here already trying to do just that and none of us have found the answer yet. As I landed and looked out over my new home, I was overcome with a feeling that this was exactly where I was supposed to be all along and that it is God who has brought me here.

Kathy was waiting for us outside of the airport when we arrived. Kathy will be my boss for the next year, as I will primarily be working with 2nd Story Goods. When I was here 3 years ago, Kathy and I developed a deep connection, and she became one of my biggest role models and closest friends. We have kept in touch since I left, and I am so excited to get to spend this year working under her and learning from her, as she is one of the wisest people I’ve ever met! As we all piled into the car that was already half-way filled with materials for 2nd Story Goods, Kathy introduced me to Manoucheka, a woman in her 30’s who was adopted from Haiti when she was 3 and grew up in Holland. She studied fashion design and is in Haiti for 5 months; she is working with another organization doing fashion design for at least the first 2 months and we are hoping that she will come work with 2nd Story Goods for the remainder of her time in Haiti. So, she came along on the 3 hour ride from Port au Prince to Gonaives to spend a few days testing the waters at 2nd Story Goods. Manoucheka and I became fast-friends during the car ride; she has only been here for one month, so she is also adjusting to the culture, language, and hot weather. She stayed with me in a guest house for the few days she was in Gonaives, and I saw having her here as a huge blessing as I was adjusting.

In my very first few hours in the country, I got a taste of the complexity of the challenges that Haiti faces. We were all chatting away during the car ride when suddenly, St. Juste told Beaver to quickly pull over the car. We had, unknowingly, driven straight into the traffic caused by a manifestation. Manifestations are protests that happen in Haiti when the people are frustrated with the government and want to get their attention. They often cause road-blocks in the process. While we were waiting in the car, St. Juste got out to find out what was going on. He found out that the people were very angry because every time it rains, water floods their houses and businesses and they want the government to fix their streets so this doesn’t happen anymore. After waiting a little while for things to calm down, we were able to pass through the rest of the town safely.

We soon saw why the people were so upset when we passed a street that was flooded with at least 2 feet of water and it was getting in all of the buildings on that street, with various possessions floating around in the water. We were very thankful to get through and sat in silence for some moments as we passed by the pink and orange sun setting on beautiful rice fields and the beauty of Haiti shone through again, before they asked St. Juste his opinion. We had an interesting conversation about how there are ways for them to get this done without a manifestation; they form a community association and talk to the mayor, and then either the government or an NGO responds. However, often times the government takes a long time to do something, so they get very frustrated, angry, and grieved over time and a manifestation happens, in an attempt to get the government’s attention. Beaver made the comment that all they need to do is get the water in the houses of the people who are making the decisions, and then the problem would be addressed over night. This led to a conversation about loans that were given to Haiti many years ago for development projects and now it is time for the money to be paid back, but it is clear that the money was stolen by some a Haitians instead of invested. St. Juste said that he feels the best way for loans or aid to happen would be for the organization or country to ask the Haitian government to present which projects they think need to happen, and then instead of giving them the money, that group or country would oversee the development themselves in order to reduce the likelihood of corruption.

Since Monday, I have been settling in and defining more clearly what my day-to-day will look like in Haiti. I have been in lots of exciting meetings, and in the coming days, I will have exciting news to come about what my role will be here for the next year. I also promise to take more pictures, but this is what I have for now!

Manoucheka and I enjoying a home cooked lunch at 2nd Story Good's new cafe.

Manoucheka and I enjoying a home cooked lunch at 2nd Story Good’s new cafe.

The beautiful view from the guesthouse I am staying in for my first few weeks here

The beautiful view from the guesthouse I am staying in for my first few weeks here

One of Kathy's inspirational boards in the office at 2nd Story Goods

One of Kathy’s inspirational boards in the office at 2nd Story Goods

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Manoucheka, me, and Kathy at 2nd Story Goods

Coffee and Cardiology

Heather Ferrari
Heather Ferrari
Nepal 2018

This week I spent my time back in the CCU, and for those who do not know or have not heard I have officially accepted a job at Vanderbilt University Medical Center in the CVICU. So being in the CCU is like being home for me, it is the place I love being and the place I constantly return to in this hospital. The CCU brings me much joy, and I love being able to treat and care for cardiac patients. I am very excited to start my career as a nurse, and being in Nepal has played a large role in the process.

Often times I participate in rounds and I look at monitors and assess what is happening and how to treat this patient. One day I felt like I was in a cycle of just standing there looking at monitors and listening to the rounds but I picked up on something. We were standing at the bedside of a patient and instead of a normal heartbeat on the monitor I heard a double beat with a pause and it continued this way. I was very confused as I had never heard or seen a heartbeat like that. I checked her chart and she had been diagnosed with bigeminy. After watching her heart rate, it was a regular rhythm then followed by a PVC, being diagnosed with ventricular bigeminy. She was placed on an amiodarone drip, which would help her irregular rhythm. When I returned to the unit the next day her heart beat had returned to normal sinus rhythm. Being able to see how quick a patient’s stability change is amazing. Although Nepal is low on resources and has limited access to man treatments, they have access to cardiac drugs, which in this case helped this patients bigeminy. 

We had another patient come in after he had fallen of the roof of his house. He is an alcoholic currently going through alcohol withdrawal. He fractured ribs 3, 4, 5, and 6. One of the doctors approached me and asked if I had ever seen a patient with subcutaneous emphysema, I said no. So he lead me to this patient and let me feel the air throughout his arms and shoulder from the trauma this patient had endured. During rounds the doctors discussed the placement of a chest tube as you could see paradoxical breathing and the patient starting to desat quickly, the nurses applied a face mask and the patients 02 saturation went from 54% to 100%. Since this patient did not have any cardiac issues the patient was transferred to the medical ICU to continue the treatment plan. The feeling of air in parts of the body where air should no be was weird and a little concerning/scary. It was similar to pushing on bubble wrap and feeling it pop underneath your fingers but never hearing the sound of the pop. He had bruising all over his abdomen, and favored his left side. 

Another patient had placental abruption at 34 weeks. She had a c-section and the baby is healthy, but since she was on warfarin due to her mitral valve replacement they had to wait so she wouldn’t bleed. She has mitral valve regurgitation and had a mitral valve replacement 12 years ago. They are constantly checking her PTT/INR to check when they can start her back on anticoagulants. Her heart rate has ranged from 75-175, she is often in tachycardia. Today was the first day where I saw her stay somewhat stable fro most of the day. 

This week I was able to go to the cath lab again and watch the placement of a PCI in the left anterior descending coronary artery. They first performed an angiogram, then proceeded to put the stent into place. As we were transporting the patient to the cath lab, the family was very distraught and upset. The wife was crying as she witnessed her husband go into the cath lab, hoping to be fixed. You do not often see people cry here in Nepal, even when a family member passes away. I have only witnessed two people cry here, and one was outside the hospital setting.

It has been a great week here full of coffee dates (much needed caffeine for a very busy week) and celebrating halfway points of friends. I am taking one of my two weeks of vacation that projects abroad allows since I am here for fourteen weeks, this coming week as another volunteer and I head to Pokhara to trek for 8 days! We are very excited and are excited to take a break from the hospital routine to allow us to rest and recover. I will be sure to write and post of my vacation time in the Himalayas, sorry there are not many pictures this week!

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There is a coffee shop located in the hospital and it has the best Carmel Macchiato, which provides me with some western food and comfort like I’m sitting in a local coffee shop at home 🙂

Threads

Shersty Stanton
Shersty Stanton
Haiti 2017 - 2019

A few Septembers ago, I had the honor of sitting down with Betty Wiseman and interviewing her for a third-year writing profile. She had retired the year before I attended Belmont but her name continued to be mentioned frequently throughout the athletic department. She had taught, led, served, coached, and administered at Belmont for 47 years before retiring, and she continues to invest in and take Belmont’s student athletes all over the world on sports ministry/evangelism trips. I knew I just had to meet her and I finally had a reason to!

What started as a single interview has grown into a life-long friendship with Betty, and I carry her wisdom and teachings with me every day. She talks of divine appointments, seizing each day, looking for God’s fingerprints daily, and focusing on WHO is next instead of WHAT is next. But it is the idea of God weaving the tapestry of our lives with different threads that I have been reminded of the most as of late. It is rare to get a glimpse of the greater work of art in the making of the tapestry, but we must be faithful in following as God is faithful in weaving each thread even when we don’t see how it will fit to make something lovely.

September has been filled with many threads, both figuratively and literally, and while I don’t always understand each of their purposes at the time, I hope for the day when they fit together to reveal something labored over and truly beautiful because of it. This month I began attending an embroidery class taught locally, and I’m seeing how threads come in different colors and can be made into many different stitches. Some stitches are more challenging than others and some come more naturally. Some build on past stitches while others are completely new. Sometimes you mess up the stitch and must start all over again or cut part of the thread out. But most importantly, you can have the best thread and fabric and needles and picture of what you want to create in your head, but you must have someone to teach you to use those things and to correct your work along the way. Sewing has so many life lessons and applications attached to it!

Here’s a look at a few threads being woven together in the past month:

Sea Change

This past year and especially this past month have been a ‘sea change’ of sorts, as discussed by Shauna Niequist in her book “Present Over Perfect,” where she says, “The word sea-change is from Shakespeare, from The Tempest: a man is thrown into the sea, and under the water he is transformed from what he was into something entirely new, something ‘rich and strange.’”

There’s no hiding that at times I feel like I’ve thrown myself into the waters of Haiti, struggling to swim and propel myself forward more often that not. I’m forever learning to shed the weights of what I thought would work for microfinance in our partnering communities, realizing I had no clue or a good, practical framework all along. The steps towards my end goal were always a little blurry, but these new waters are providing some much needed clarity.

Small strokes. Culture. Language. Relationships. Questions. Trust. Pray. Forgive and be forgiven. Do life with people. How can I ever know what people truly want to better their lives if I haven’t walked a day in their shoes?

I’ve also had to pick off a few dead scales of what made me successful in the past to make room for new skin for this challenging work. This has not been easy or pleasant, and there are plenty more that need to be removed. I’m seeing how my task-oriented, ‘planner’ way of living just isn’t going to work here no matter how hard I try. My desire for independence isn’t going to fly either—I need the people around me for daily life more than I ever knew could be possible. Cars break down, water and chicken feed are heavy, and in the heat of difficult situations my Kreyol just doesn’t work sometimes. Men anpil, chay pa lou...a lot of hands make the load light.

And with this sea change, a new type of boat has become necessary to traverse the waters. In reading “One Thousand Wells” this past month, I came across the motor boat verses sailboat analogy. Motor boats are great if you want to go fast and you want to go alone. You are in complete control of the boat’s direction and can keep putting gas in the engine. They are results driven. Sailboats, however, are at the mercy of the wind to set the pace and often require a team of people working as one to get the job done. Sometimes the boat doesn’t move at all no matter how hard you will for the wind to come, and other times you need to change direction or make adjustments to find the wind that catches the sail. Sailboats are more process driven. Both have the same end goal of the shore in mind, they just have drastically different methods of getting there.

I pulled off the dock to Haiti with a motor boat mentality, and it didn’t take long for me to sink in the Caribbean waters. I’m learning to love manning a sailboat and enjoying the journey and company along the way. It requires a different skill set and mind set than what I set sail with, but when I dock at the port I will know all along it was always more about the journey than the destination.

“In other words, before you try to conquer something as big as a mountain, you have to change (Jena Lee Nardella).” You must learn to acclimate to the climate, build the right muscle, and recruit the right traveling partners before making it to wherever you’re going. And change we must, and I’m really starting to like these new waters.

Here I Raise My Ebenezer

In the midst of reading stories of engaging local communities for global change, I had the honor of meeting with the president of Eben Ezer Mission, Pastor Michel, a few days ago. In the last 50 years he has built many things in his community from the desolate ground up—including the first well, private university, and secondary school in his area—but what caught my attention was his community led model of credit unions and co-ops, purposed to completely engage the community members to invest their own money into local businesses while providing access to financial services that are available to few people in Haiti. It almost seems too good to be true. I’ve only just begun to learn about this model, but I look forward to visiting some of their credit unions in person in the next few weeks and seeing if this is something we can make happen in our partnering communities. This could be the answer to cleanly establishing micro finance as separate from Disciples’ Village’s foreign mission status…an effective way to engage communities to jumpstart economic change from the inside out.

Friendship

This month I read that when making a friend, it is often not the person themselves that we are drawn to but some thread(s) that we have in common. For instance, I became fast friends with my teammates in college because we had softball in common, or now I’m drawn to people who have similar interests in economic development and global entrepreneurship. This gave me much peace when analyzing why I’ve lost the ‘spark’ of friendship with some people who I was close to in college and why others have stayed the same. Some of our common threads have disappeared while others have remained unchanged.

This has also proven to be invaluable in forming bonds with people I work with in Haiti. Once they see we have the common thread of Kreyol, we dive into conversations about our families, what work we do, what we like to eat, and so on. This has helped to bridge the divide that my skin color can often create, and I’ve been able to identify and pull on many common threads this past month, whether that be learning to sew or learning to cook traditional Haitian meals. The sweetest of times and conversations in September have come over cutting up vegetables with old friends or sitting attentively while my new friends show me how to correct incorrect stitches.

Business Leader Meetings

Our first meeting included breaking bread—or legume and sous pwa nwa—together and was a happy time for all! I got a look into the daily lives of Haitian women and learned to make another dish with the lovely Madame Pastor from Trouforban, the leaders enjoyed the food, and we got to chat about business and God’s faithfulness in our lives with full bellies and joy-filled hearts. We are still working together to think through ideas of what business markets need in each of our villages. Is it micro loans? Better business practices? Better management? Wholesale or retailer? Each village is beautifully different.

Sewing

This past month I began attending a sewing class down the road at Bettie’s with some young gals from the Kaliko area. It has been a joy to learn and laugh and be corrected by them. Sewing is teaching me lots about patience and focus while working quickly with giggling girls all around. My mother’s age old “haste makes waste” has proven true time and time again! I look forward to continuing to embroider and have the chance to invest in the little lives of some local kiddos. We have started doing brief business and English lessons to go along with the embroidery! I have also begun looking around for treadle machines and sewing ‘bosses’ to teach sewing lessons as a job creation project. “Sew” exciting!

ZiZi Ze Poulaye, Sassy Egg Chicken Coop

Our coop experienced a little trouble selling eggs in the middle of the month, so we spent some time trouble-shooting with our seller and came up with some ideas that were slow moving to sell the eggs but got the job done. On the upside, now that school is back in session, we have started selling eggs to the Trouforban kitchen to boil for the kiddos every Friday with their spaghetti! Smiles all around for good nutrition and steady egg sales!

“Make and Take” Day

Before our Alex’s House kiddos headed to school this month, a few of the house parents and I took our older gals to Gonaïves to participate in a “make and take” lesson at 2nd Story Goods—the supplier of our journals and a few other beautiful items at the souvenir store! Our gals, house mamas, and Frantz chose between learning to sew, make jewelry, paint, or craft metal art! They all created beautiful pieces and enjoyed learning new skills. This day has sparked a desire in several ladies to continue working on their trade or to start on another one day. I look forward to finding more opportunities for our AH kiddos to learn new skills and discover their gifts, as we have some wonderfully creative and talented future leaders!!

Lately Haiti is redefining a few words that I grew up numb to, such as grace, faithfulness, goodness, and mercy. September has been an extraordinary month of learning and growing for all of us here, and I look forward to see what threads will be sewn in October!