On my way

  I am starting the long journey to Tenwek today 2-24-24 and should arrive by Monday night 2-26.  A long journey through Europe to Nairobi and then a 5 hour drive to Tenwek on Monday.  I am confident God will care for me along the way. Philippians 2:12 "Therefore, my dear friends, as you have always obeyed-not only in my presence, but now much more in my absence-continue to work out your salvation with fear and trembling, for it is God who works in you to will and to act in order to fulfill his good purpose." I am in His hands and He will fulfill His purpose. Thank you for your prayers, Chase

3rd Week

" For our heart rejoices in Him, because we trust in His holy name." Psalm 33:21 The Lord was truly present caring for his people on this trip.  There were many barriers to care this trip but God made a way as we persisted in advocating for the people.  The Kenyan health care system is undergoing an overhaul.  They are in a time of transition presently and this is making it quite hard to get approval by NHIF (governmental insurance) for surgery.  We often needed to submit for prior approval 3-4 times per patient.  This created a lot of work for my resident and clinical officer but with persistence those that we believed God wanted us to operate on were accepted.  The line of patients waiting for ENT surgery is still long, but in a way this is God beckoning me to return. Remember the patient with the large maxillary cyst?  He remained in the hospital for over 10 days as he recovered from surgery and settled finances.  He always seemed to have a somber face.  As I spent time wi

Second Week

 Now to Him who is able to do above and beyond all that we ask or think according to the power that works in us.  To Him be glory in the church and in Christ Jesus throughout all generations, for ever and ever!  Amen. Ephesians 3:20 This week has been a week of joy as I witness God touching His people and healing them.  On Tuesday we were able to operate on the large dental cyst depicted in the last blog.  All went well and once the swelling decreases this will be life changing for him. Wednesday we operated until 10:30 pm.  We removed a recurrent cancer of the salivary gland.  This was a very difficult surgery but God graciously revealed the facial nerve and we were able to preserve his facial movement. We also took care of a patient with a large mass deep at the base of skull.  Below is a picture of what we saw when he opened his mouth.  We approached this via the neck and praise God we were able to successfully remove the mass.  He now is able to swallow well and speech is improved.

First Week

 "Peace I leave with you; my peace I give you.  I do not give to you as the world gives.  Do not let your hearts be troubled and do not be afraid" John 14:27 My first week has been full of clinic, emergency room consults and operative cases.  The first 2 days of clinic were chaotic with masses of patients coming in for surgical review.  At 7 pm our first day we realized we would not be able to get through everyone that night.  We had to send them out after waiting all day to find sleeping arrangements in the nearby town.  The next morning we started early and by noon we had seen all of Monday's patients.  We then had all of Tuesday to see that afternoon.  My head was spinning with not only all the advanced diseases but also all the system problems we have to overcome to get someone to the operating theater.  My general surgery resident is a master at working the system thank heavens.  Despite all the issues,  God's peace is with me.  His presence is tangible as I pray

We arrived safely

 Praise God we arrived safely to Tenwek Hospital last night!  The trip was uneventful except for customs.  We were pulled over and my medical bag was searched.  I was charged 50% tax but was able to barter with them to 25% total cost.  Considering that we have been traveling since 2011 and this is the first time i have been taxed, I am overall grateful that they did not confiscate any of the equipment or medications. It seems not much has changed since March, our previous trip.  The land is dry, but there is the sense of coming short rains.  The guest house is full of visiting doctors with tales of interesting cases.  I will start with clinic tomorrow.   I will be praying for wisdom in caring for patients, compassion in relating to them, and for God's healing touch. Future blogs to come, chase

Next trip to Tenwek Hospital October 13th

Blessed is he whose help is the God of Jacob, whose hope is in the Lord his God, the Maker of heaven and earth, the sea, and everything in them- the Lord, who remains faithful forever. He upholds the cause of the oppressed and gives food to the hungry. The Lord sets prisoners free, the Lord gives sight to the blind, the Lord lifts up those who are bowed down, the Lord loves the righteous...Praise the Lord Psalm 146:4-8 Oh, how faithful is our God! He raises up what is low, and brings down the proud. His ways are not our ways. We are blessed to serve the poor, the lowly, and those in need. With healing hands God ministers to His people. The ones He has chosen to know Him. My heart is grateful as I anticipate God’s healing touch on His people of Kenya. His love is beyond understanding as He calls us from a nation 7000 miles away to serve the needy in a land of poverty. Although I know I am not what they need, my confidence is in Him who will be faithful to deliver them. We leave October

Arrived home

 We arrived back home safely for Easter!  Thank you for all your prayers.  This trip was a tough one but God proved Himself faithful as always.  God answered prayers in so many ways. 1. He poured forth rain from heaven.  The drought has ended and the people are rejoicing in the plentiful rains on the country. Compare this to week one photo of the waterfall at Tenwek.  The rains have allowed the hydroelectric plant to run again.  The fields are green again! 2. He healed His people physically!  This patient has TB of the spine.  She was paralyzed from the waist down and unable to sit up in bed.  Her arms were weak.  She underwent incision and drainage of a soft tissue abscess and spine stabilization.  I helped with the access in the neck for the neurosurgery team. She is now able to sit up in a wheel chair and strength is returning to her arms.  This is beyond what we could have hoped.  God is working His miracles. 3. He is healing His people spiritually.  This patient came in through ca