Jimmy and Chase Miller- Serving Kenya since 2011

 I have been working steadily. It is hard to know where to start.  I spent Monday, Wednesday and Friday in the operating theater and Tuesday, Thursday in clinic.  I definitely need to remain flexible as things change moment by moment here.  Wednesday was a big day in theater.  We had a large Carotid Body Tumor which is a benign mass that originates from the largest artery in the neck that runs up to the brain.  These tumors are found at high altitudes so they are not uncommon here.  What was unusual is the large size of this mass.  It ran from the lower neck up to the base of skull.   There was much preparation for this case.  The patient was at risk for stroke and multiple nerve injuries.  I consulted another visiting surgeon for his help during the case.  We prayed a lot with the patient but eventually felt resection was her best option.  Our first objective was to make sure she did not have a stroke as we were going to have to tie off the main artery supply to the tumor and the brai

 It has been a busy first week.  God has been faithful to put patients before me that I know are from Him.  There are many others as the word gets out that ENT is here.  It is hard to walk through the hospital without getting stopped numerous times to discuss a Tenwek employees ENT issues or the problems of their family or someone in their tribe.   When we arrived Sunday afternoon first stop was to the new Eye Dental building.  Here ENT has a clinic room to see patients and store equipment.  The room had been taken over by garbage and animals.  We spent several hours cleaning and putting together the room for clinic on Monday.  Praise God the electrical equipment all works including the SMR unit, chair, and microscope.   We spent Monday in clinic screening patients for surgery.  I am teaching 2 family practice residents and they are eager to learn and are hard workers.  I am praying that God will work out who is to have surgery as the problems are massive.  Many cancers advanced in sta

 We are safely in our hotel in Nairobi.  The flights were uneventful Praise God.  All our luggage made it safely.  We have learned to be as wise as serpents and when the medical bags arrive with chalk like "X's" on them we have learned to wipe them off with Clorax wipes.  We rolled right through customs carrying 5 large bags with medical equipment and water filters.  Praise God again for His faithfulness.  It is 1 AM here and we are wide awake because of the 8 hour time change.  We pray for a miraculous sleep and an eventful drive tomorrow up to Tenwek.  That will take the majority of the day as we need to pick up food supplies. Thank you to all the faithful prayer warriors out there that lifted us up.  We will have no internet again until Monday or Tuesday but will keep you updated. Blessings, Chase and Jimmy

 On our way       OCTOBER 2020 PRAYER LETTER   The Lord will fulfill His purpose for me; your love O Lord endures forever – do not abandon the works of your hands. Psalm 138: 8   We are heading back to Kenya 10/16 through 11/15.  The call of God to continue to walk in His purposes weighs heavy upon us.  He has assured us of His angelic protection during this time of pestilence and unrest. COVID has reached the rural hospital of Tenwek but the numbers are small and manageable.  The mortality is high because the missionary physicians have chosen not to use respirators on these patients.  The international travel ban has been lifted in Kenya since September but there have been few visiting short-term physicians to bring relief to the resident missionaries.  Many of the long termers have returned to the states so I can imagine it is a desolate place right now.  We are praying we can bring a refreshing wind to a dry and weary land.     We will arrive carrying more ENT instruments to continu