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Showing posts with label AIDS. Show all posts
Showing posts with label AIDS. Show all posts

Friday, March 28, 2008

Walking in Statistics...


Not long after I got here, I wrote a post about coming face to face with statistics that I have studied for the past few years. Back then, it was a sobering realization that I'd flown out of the land of books and diagrams, and landed in life. A life that I was completely unaccustomed to, but nonetheless... Life.

Now, months have gone by since that post. I've seen a lot more of life since then. With each passing day, my heart grows more and more settled in the day to day routine of life. The glamor has worn off, and people are no longer objects to be captured within my wide-angle lens, but rather friends and acquaintances.

My bookshelf is still weighed down with the books on poverty and AIDS that I brought across the ocean with me in order to help me grasp what I would be living in... Many of those books have collected a 7 month old layer of dust.

Some of the titles include: Walking With the Poor and African Friends and Money Matters.

These are both great books. However, I quickly realized that it's a little absurd to sit in my living room, behind my fence and gate, reading Walking With the Poor, when they are literally walking right past my gate, and congregating at the window of my car when I stop at the red light to beg for my small change.

I had walked with the poor many times while laying on my couch, sipping coffee and eating Grandma's cookies. I had scenario after scenario played out in my mind of walking happily with the poor. This put me on the edge enough to feel like I was doing something worth while, but at the end of the day, I went under the covers without really getting dirty... without really feeling the heartache of "walking with the poor". The reality was, I frequently walked past the poor rather than with them.

This past week, I saw what was hidden behind the words of the many text books I skimmed through in college. I experienced the pain that is easily camouflaged by a ribbon and stickers and media campaigns and 4-letter words like "AIDS". I think as people, we find it easier to discuss things on a broad scale rather than digging deeper to find what was previously veiled to our untainted eyes.

Earlier this week, as I was sitting in the office taking care of a few things, my phone rang. As I happily answered it, I was greeted with 3 words: "Judith is dead".

Immediately, my heart sank and my skin felt lifeless and tingly all over.

Judith was the sister of a friend of mine. A few months back, I got another urgent phone call from my friend... his sister was very sick and had no way to get to the hospital. So, I dropped my plans, ordered take-out for dinner and hopped in the car. I carried this sick, yet thankful, lady and her loving mother to the hospital and made sure that they got settled in alright. That was the first time I officially met Judith, and was also the first time that I was told that she was HIV+. Around here, that's usually not the first thing that comes up in a conversation.

A few years back, she lost her husband to the disease, and was now living under the care of her mother.

Every once in a while, I was reminded of Judith while sitting in a prayer meeting when her name came up because she was sick again.

Earlier this week was one of those situations. Her brother approached me and told me that she was really sick and that he needed to bring her to the hospital. We arranged for him to take the vehicle to pick her up. When he arrived at the house, his loving sister was laying across the lap of their mother being showered with tears. They were too late.

The next day, I joined a few hundred of people that had some connection with her or their family at the funeral. It was such an interesting and eye-opening experience for me. I had an insiders view on the pain and mourning that is so conveniently nestled behind the statistics.

As I heard the wails of a mother that had just lost her daughter, the last thing I could do was label her as a statistic. This was real. This could never be put on the page of a text book and exported to the desks of thousands of students to be skimmed over while cramming for an exam.
This was life.

This week, I have been amazed at the resilience of people placed in hard circumstances. There is a perseverance that only comes on the flip side of the fire.

I feel like I'm beginning to understand what it feels like to "walk with" people rather than "walk by" them... not that I have come close to doing this naturally yet though.

It's rarely a planned walk. Walking with people is a decision though. But, after you get to walking, it just turns into life.

And the interesting part about walking with people is that you don't get to pick and choose what to participate in. You get the good, the bad and the ugly.

For my friend Kondwani... I was able to share in an amazing celebration. I was the best man in his wedding. There was nothing but happiness at that time. But, this week, I knew that it was time for some of the bad. And, although it wasn't really expected that a foreigner would attend the funeral, I knew that it was essential to mourn with those who were mourning.

I just got through reading an excellent book. Sub-Merge is about learning what it means to not just walk past the bad neighborhoods and the hurting places in the world... or even to spend your long weekends or entire summers in those places doing worthy things. Sub-Merge is about getting dirty. It's about pacing yourself with a group of people that are pushed down and neglected and calling that place home. It's about walking with... not walking by. If this kind of thing is fascinating to you (like it is to me), I strongly recommend you order this book and dive in. Warning: You will be challenged, and probably won't feel that comfortable while reading.

Wednesday, November 7, 2007

A Glimpse of Hope...


This is the infamous paper that can change your life forever. One simple word, stamped in blood red, signifies a long, rough road ahead.

For the last few weeks, I have been working at an AIDS clinic called Partners In Hope (PIH).



PIH was started by a missionary doctor from California, when he began to realize that you cannot practice medicine in any form in Malawi while turning a blind eye to the reality of HIV/AIDS.

While working there, I was exposed to things that I never would have dreamed I would see in my life. It wasn't until this experience that I began to understand the depth of the AIDS Crisis a little better.

While sitting in exam rooms with a doctor, watching patient after patient sit before me, I realized how many people are really infected with HIV. Many people, because of the scale up of Antiretroviral (ARV) Therapy, looked rather healthy. If I were to see them walking around town, I probably wouldn't guess that they were HIV+. However, I saw countless people that did not look so good.

On my first day, a man that was about 30+ years old walked in. He was wearing rather baggy clothes, but he didn't look too horrible. His CD4 count was really low... meaning, he is extremely susceptible to other infections. But, when he lifted up his pants leg, I nearly fell out of my chair. He literally had close to no muscle around the bones on his leg. They were eaten up with Kaposi Sarcoma (a skin cancer caused by AIDS). Then, he lifted up his baggy shirt. The skin on his torso was sucked back under his rib-cage as if he were in a 5 year famine. Because of the lack of resources and ability to take care of himself, it was obvious that he would not be with us much longer.

A few days later, a mother walked into the exam room, carrying her 3 year old daughter, and a slip of paper that looked identical to the one at the top of this post. The little girl was wearing a nice white dress, and she was rather oblivious to what was going on.

Immediately, I just tuned out.

I just stared at this little girl.

I had a million things running through my mind during those few minutes while she was sitting in front of me.

Did she realize that for the rest of her life, she would be on very powerful drugs just to keep from dying?

I wonder how long those drugs will give her? Will she ever become a teenager?

What's going to happen when her friends realize she is HIV+... are they going to stop playing with her?

It was rather difficult for me.

I just sat there staring at her, and began to pray to God that He would watch after her. That He would grant this innocent girl grace.



The reality is... there are thousands of people that are just like this.

They walk for miles to get to a clinic... pick up one of these numbers... and sit in line. Waiting for a drug that will supposedly extend their life.

The great thing is... within the last 2 years, ARVs have been made free for everyone who qualifies to be on them. Before this, prognosis was simply death.

But even still... something is missing. There has to be something more than a pill that we can offer to people that have just been told they have a terminal illness. I know that when I look at a young mother that is holding on to her beautiful daughter, she is not just looking for that magic pill. She desperately wants more.

That's where the Hope factor comes in to play.

I believe it is so vital here in Malawi.

One of the Malawian guys that works at PIH had this sign in his office.



It is so true... In the West, we have very strict definitions of "poverty". To us, it's just a dollar sign. People here don't really see themselves as "impoverished". To them, poverty has little to do with money. But, when you loose hope... you are truly impoverished.

It has been an amazing thing to be working in a clinic that offers more than just a cold, scientific encounter with their patients. They are looking people in the eye and smiling. Letting them know that AIDS does not have to be the end.

The staff at PIH has also blessed and challenged me in many ways.

I see among them the leaders of this country. They are bright... optimistic... and committed to serving their neighbors.

This is one of the Clinical Officers...


I spent the majority of my time hanging out with these guys though...


They train peer educators that go out to the local schools and teach kids about HIV and Christ. They are a great bunch of people!

One day... I was out with the guy to my left. I asked him why he chose to be involved in this field. He went on to tell me about his story...

His uncle died of AIDS several years back. He lived in a rural village that had no clue about the disease. So... his uncle did not receive any treatment for HIV, and it wasn't long before he was gone. He saw what it put his family through. He said that he knew right then that he wanted to educate his fellow countrymen about the disease. He also felt that as a Christian, he needed to be serving those that were suffering around him.

He has such a great heart... and was really challenging towards me!

So... I leave here with a whole new perspective on things. A new understanding of what people are actually going through when they get this slip of paper.

I pray that the things I have seen will stick with me for the rest of my life. I pray that they will motivate me to keep going when things get hard. I pray that they would leave me with no other option than to thank God for every single blessing that He showers on me.