Tuesday, April 30, 2013

Hilary Guest Post


 Good morning blog-o-sphere.  Below is a guest post from Hilary Holbrook.  Please look at my previous posts to hear more about her and her ministry in Mexico!
"This has taken a long time for me to write...not because I didn't want to, but rather because I needed to sort through everything going in my head. Everything I saw, experienced and got to be a part of for the past week and a half is more than I can put into words. But I promised Rachel I'd try! Rachel apologized quite a few times that we wouldn't be able to go to the beach and relax. My response was always the same - first of all, I live in San Diego. The entire city is on the beach. Second of all, I'm not here for vacation! I want to live your life with you. 
And that is what I did! Rachel has an office near downtown Jarabacoa that is beautiful - she shares it with a dentist who also works for Students International. She's there Monday and Friday to see patients. Tuesday through Thursday, though, are the days that Rachel lives out her calling. This is where her heart is. As I helped her load up the back of her car with boxes of medicines and bags of supplies, I watched her light up. We took off, picking up Yvenor, her Creole translator (but soooo much more than that - this guy is amazing) and set out. Tuesdays she spends the morning in Coracito. The road was terrible - much like what I've seen in Mexico - not paved and really bumpy. We pulled up to a cinder block building that literally had four walls and a roof - nothing more. I thought for sure this was not where her clinic would be. She saw my reaction and laughed, telling me to get out because we had arrived! Inside was nothing more than a table (just one) and about 4 plastic stools. There was already a line of about ten people waiting for her.We saw lots of patients that morning – many who had high blood pressure, lots of people with colds, a 2 month old, a teenager and older man who Rachel gave glasses to (we watched them light up as they saw for the first time in a long time)… 
Angosto was a very poor community that was really far from downtown, making it difficult for people there to get healthcare. If they even had a moto (which most of them didn't), it was probably about a 30 minute drive on absolutely terribly roads. Ironically, this is her nicest site - in the library of a beautiful school. Again, people were waiting and we had to turn patients away. One of the most cumbersome items we packed and unpacked over and over was her box of patient charts. It took me a couple of days to realize the significance of this box that already had well over 100 charts in it. Since Rachel started her clinics in January, she's seen all of these people. And the part that was so incredible for me to see was they’re coming back. People who haven't been to a doctor in as long as they can remember, people who have dangerously high blood pressure and haven't been able to do anything about it, children who have strep throat...these people know about doctora Rachel and she has become their primary care physician. My job for a few days was to take patient histories on her new patients. There were quite a few times when I went to start a new chart and the person said no, I already have one. I've been here before. 
I don't know if I'll be able to accurately explain this, but that is so huge. In less than 4 months, Rachel has used her God given gifts to create something incredible where there was nothing. She didn't step into this position after someone else left. She started this. All of this. She's created an environment of trust, respect, and incredible dignity for her patients. She's constantly thinking of ways to make things better and more professional in what most people would consider a very unprofessional environment (see my description of Coracito!), even going so far as to sew a curtain to hang up at each of her site in the communities. All this while she's learning a language that she's never studied before and admittedly does not come easy. The day before leaving, I was able to go to the capital with her - about 5 hours round trip - to buy medicine. A large portion of the money we had with us was from her patients. She charges 30 pesos each patient which is about 75 cents and contributes to the environment of dignity and respect that she's created. This allows people to take ownership of their health. Rachel's not handing out free meds left and right like a free for all. Patients have charts. They're instructed to come back for follow up. Rachel explains the 'why' behind everything she does instead of throwing meds at them, expecting them to take them, no questions asked. 
Rachel was so excited to buy meds because finally, finally she could buy what she wanted. She's been giving out meds that were donated to her, which she kept saying she was super grateful for, but weren't exactly what she wanted to have at her clinic. Instead of stocking things like vitamins, Tylenol, Advil, etc that people can buy inexpensively at the hospital pharmacy, she wants to have blood pressure medication. Parasite treatments. Anti fungal meds. Things that are harder and more expensive for her patients to get at the pharmacy in town, and, more importantly, things that require follow up. She wants to see her patients more than once. She wants those charts to become dog eared and full of info about each visit. She wants to see someone's blood pressure lowered week by week because the meds she's prescribed them are working. She wants to educate her patients on ways to control and manage and even prevent their illnesses. I spent a week and a half watching Rachel pour her heart into her work. Work that 4 years ago wasn’t even a thought in her head, but that now is her life. It was such a privilege and encouragement for me to walk alongside my sister, watching her live into what God has called her to as I do the same thing 3000 miles away. I am so thankful for our unique and beautiful friendship and can’t wait until we can work side by side again!" 

Thursday, April 18, 2013

The gift of a friend...

The past week and a half has been a highlight in the DR for me....my close friend Hilary who serves as a missionary in California/Ensenada, Mexico advocating for a special ed orphanage was able to share her sabbatical time in the DR and serve right beside me, for 10 whole days!  Check out the link below to see pictures and read about our awesome time together...I may have guest blogged on her site...

Hilary Holbrook's blog


Wednesday, April 3, 2013

They came! They came!


This is proof.  My parents were in Jarabacoa!  Unfortunately the weather was a little less than pleasant....all my Dad's fears of the humidity were lay to rest as it was the coldest it's been since I moved here and rained pretty consistently.  But, despite the conditions, Mom and Dad were both found wearing shorts.  I on the other hand was bundled up the entire time.  My how quickly your blood thins out....

It was a quick visit but certainly enough for them to see several things...

1) People are poor and there is great need
2) I live in a comfortable and "safe" house
3) I have a great support system
4) Dominican drivers are worse than NY drivers
5) The roads I travel are difficult in the rain
6) There is nothing to do for fun, haha, ok, almost nothing

I hope and pray that my Mom left with her mind a bit more at ease and a little less worry captivating her Spirit!

The next two months bring a season of rest from teams before the summer begins and we have 3 non-stop months of groups.

I am greatly looking forward to having this time of rejuvenation.  Often as missionaries our attention is divided between speaking and living into the lives of American students who are serving alongside us and the Dominicans we are here to serve.  I am excited to focus solely on the Dominican aspect of my ministry.

The Lord has been stirring in my heart to really change the way I've been doing several things.  Please join me in praying about meeting the needs of two separate challenges.  The first being, of course, able to provide low cost, effective, on-going health care.  The second is offering affordable medicines so patients are able to actually stay on their medications long term and uninterrupted.

I'm excited to spend this time drafting up goals for my site, brain storming and hopefully improving how we can give good medical care.

I continue to be encouraged as each week I return to a community, a patient also returns for follow up.  It is such a blessing to bring medicine to remote campos and to patients who would otherwise go untreated.

If I may also ask you to pray about a Dominican coming alongside and serving at my site.  I'm in desperate need of consistent help by someone interested in medicine, who loves the Lord and is good with people.  I'm praying about hiring a nursing or medical student to help me in the communities.  It's so exciting to see how my site has grown in only 3 months!  To think I already need full time help!

Thank you for your continued love and encouragement, please know it doesn't go without notice.