Sunday, September 03, 2017

A New Month A New School Year

Monday morning, September fourth, our kids will begin again.

All five children remaining in our charge report excellent summers filled with friends and family and sugar and activity galore. Nary a soul complained that summer 2017 was lame.

Troy and I have appropriately congratulated ourselves on a plan made and executed that resulted in such pleased children.  The only parenting mistake I have made this summer was to eat a large portion of the candy they brought home from their USA trips.

SourPatchKids, Whoppers, and TootsieRolls are all still delicious, if you're wondering.

I have since repented and then went to buy and replace each item menopause and stress forced me to consume.


This is the beginning of their seventh school year in the little Heartline Academy School House.

On Labor Day of 2011 we stood in a circle and prayed God would honor the work of the teachers and students that entered to teach and to learn.  He has proven faithful year after year. Our kids love learning.  (I mean, within normal limits and not with 100% consistency.)

Of course, parenting is a lot of questioning if you are seeing all the signs and catching all the possible meanings and communicating well --- and then going back and trying to re-connect when you misstep or eat all the candy.

Seven individual personalities  -- and each one so different. Our brains buzz with all the variables involved in meeting each of them where they are.  Because of that we still enter into each new year feeling nervous for our kids and wanting their brains to be challenged in positive ways that help them grow into loving, kind, and productive adults.  That said, our prayers continue as children numbers three through five enter into their high school years and children numbers six and seven take on the tasks of the fourth and fifth grades.

The only graduate of Heartline Academy has gone on to higher education and parenting.  The little school that could has turned out to be a great place of learning and launching and I expect that the next group of launches will bear fruit as well.

Their teacher Stefanie Raleigh landed in Haiti a week ago, she is high energy and ready to go.   We feel like we won the teaching-profession lottery with her and thank God she chose to come in spite of a ginormous cut in pay and lifestyle.  Love does very crazy things, am I right?

I have not written much in months. I have joy and pain and stories to share for sure, I'm really hoping to get some time to put it all down for the sake of sharing and remembering myself.

Here in Port au Prince, the losses around us are great.  The work of open hearted communication can be draining.  I often catch myself listening to stories and thinking, "That's probably not true", and that makes me sad.  I would rather just believe people are truthful than switch over to being a non-stop skeptic.  The truth is, this is a sad and heavy place.  That is about all I need to know.

Until energy and attitude allow for writing a more thorough update, we hope and pray that you and yours are also ready to head into something new and hopeful ... a school year or a new thing that will bring renewal to your souls.

Pax,

Tara for us all 

Saturday, August 19, 2017

Justice Delayed is Justice Denied

Wonder-Girl, Sophia

Many months ago we began to share the history of a young woman named Sarah.  At that time a decision was made to be careful to keep Sarah's identity private while sharing her story.

Sarah knows that her history and her rising are both being shared on the internet. She is aware that we do not post pictures of her face on-line, but that her 7 month old daughter, Sophia, is the most photographed and instagrammed baby in all of Haiti.

We (staff of the Maternity Center) met Sarah in the fall of 2016 when she was 13 years old and 22 weeks pregnant.  

At the time we were told that while Sarah's mother was out in the country-side tending to a garden, Sarah was left alone at home. A man came to work in the shared yard between their home and the neighbor/land owner's home.  That man raped her. We were told that he was not someone Sarah or others in the shared yard could name or identify. We were told nobody knew who or where he was.

Sarah and her Mother told us that many weeks prior to coming to our Maternity Center, they did the official work of getting an examination at a specialty-non-government hospital to prove the assault had happened and begin the paperwork for filing a report with the police. That hospital agreed to allow Sarah to choose to get her prenatal care and deliver with us.

Because Troy and I live near Sarah and her mother, we interacted or at least waved and greeted one another daily for most of the last half of her pregnancy.  

Some trust was built between us all before the baby arrived.

In mid January, Sarah's Mom knocked on our gate one morning to say that Sarah was in labor.  Later that day beautiful Sophia was born at the Heartline Maternity Center.

The trauma and pain caused by a sexual assault is a huge thing to work through.

Giving birth to a baby that is a result of that assault is an entirely new trauma, especially for a thirteen year old.

It took a lot of time and grace and miraculous love for Sarah to decide to let down her guard enough to bond with and breastfeed Sophia.  She did that.  She became THE 2017 hopeful story for us all.

Had she not been able to do it, not a single one of us would have judged or been disappointed.  More than anything, her ability to serve and feed her newborn daughter blew our entire staff away. It still does seven and a half months later.

Since January things about the assault and the circumstances surrounding it have become more and less clear  --  at the same time -- more and less clear.


A metaphor for Haiti. Things are always more and less clear. 

Stories evolve and as more of it is being revealed we feel a sense of duty to help Sarah navigate a culture that is not predisposed to protect her or Sophia.



*   *   *



In March we celebrated Sarah's fourteenth birthday. We sang and took photos and tried to make it special. Sarah's Mom was invited to the party, but did not come. Around that time there were some things said and done in an effort to try and get Troy and I to move Sarah into our house. I won't go into the whole detailed story, but Sarah's Mom decided to make up a detailed story about losing their home in order to try and pressure us into inviting them to live with us.

We initially believed they were homeless. Within a few weeks several lies came to light and we sat down and talked about it.  They still live in the same house as always, and they never lost their home. 

On the surface it might seem like a great idea to just move her in, "Yes! Move S & S into your house! Do that!"  I probably cannot cover the nuances of the situation and the culture in one post, but the bottom line was that we knew that there were several lies being told and that the goal was to transfer responsibility for Sarah and Sophia over to us.  We know taking responsibility for children is no small thing, it is certainly not a short game either.  We have learned some hard lessons in our years here and decisions like that are not made under pressure.

(I wrote several more paragraphs about that ^ and decided to take them out of this post.)

In June Sarah's mom left to go south for the summer to work in their garden.  Sarah stayed with an aunt downtown for a time.  For whatever reason, that did not work out long term and Sarah is now back in our neighborhood and hanging out each day at the Maternity Center or our house. She has been helpful at the MC and jumps in to do the things she has learned how to help with over the months. During the day she plays with and feeds Sophie, watches TV, reads or rests. At night she sleeps in her own house down the street.

Sarah's Mom is supposed to return to Port au Prince this week.  In her Mom's absence we have started the process of getting Sarah registered to return to school this fall.  Sadly, when a young woman is a mother (whether raped or in a consensual relationships with a boyfriend) she must hide that fact from the school. 

There will not be anyone at school that will know Sarah is carrying the heavy responsibility of Sophia too.

Heartline Midwives worked with another young assault victim that had a baby boy with us in 2012.  That young woman also returned to school when her child was a year old and recently graduated at the top of her class in June 2017.  Nobody in her school, not teachers, faculty, or students, know she has a five year old. This is "system Ayiti". Somehow the onus of secrecy and shame is on the person that has been assaulted. It is justice denied.

This month we learned that the man that violated Sarah is in fact known. He has a name and they know it. We also know he lives about 8 miles from us. Not only that, we learned that he is requesting to see Sophia.  He is an adult, not a teenager.

This man's mother wants to take Sophia and has told Sarah as much.  She says she can raise Sophia for Sarah.

The people that own the land Sarah's little house sits on and share the same yard are telling Sarah that she should let Sophia know her dad.  (It seems that he is an acquaintance of theirs and they always knew who was responsible for Sarah's assault.) They recently told Sarah that Sophia is going to want to know who her father is and she should consider that. 

A couple of weeks ago Sarah asked KJ (a Midwife at the MC) if she has to let the rapist see Sophia and shared what the neighbors are saying.  Sarah said she fears what people will tell Sophia when she is older and can understand.  She said everyone in our neighborhood knows about the assault and knows Sophia is the product of that attack. She wonders how she can deal with the heaviness of that when other people might not honor her and allow that to be something that **she** tells Sophie some day.

There is no happy "we solved this" ending for Sarah and Sophia.  Right now we await confirmation that Sarah can return to school.  Sarah is resisting the pressure of the neighbors and refusing to agree that the family of the rapist has a right to know Sophia.

Three donors have come forward to cover the cost of Sophia's daycare and the cost of school.  We are waiting to hear from the school, Sarah took tests two days this week in order to get correct placement into the right classes.

The story continues to be come more and less clear.  We are all taking it one day and one change at a time.

We know one thing:  

We want better for Sarah and everyone like her.



Friday, August 18, 2017

Unpredictable Sightings

The other day my friend KJ texted me to tell me that she had just seen one of the security guard's balls.

Because everything is random and weird here I wasn't totally shocked.

I just said, "Huh, lucky? you! What was the occasion?"

Turns out he had quite some swelling post hernia surgery and he thought she might be the one to comment on the swelling.

She informed him pregnant women were her specialty, not so much swollen balls.

A few days later I got a text from Troy.
He said, "Well, this is how my morning is going, I just saw ______'s (name of owner withheld) balls.

Sometimes life is like this. 

Thursday, August 17, 2017

Our Team - Changes & Updates

Operating a Birth Center slash Maternal Health Program cross culturally is an every-single-dang-day adventure.

"Adventure" is similar to "interesting" -- these words are powerful blanket words that mean many things - alllll the things even - you say them when you are being careful and a bit diplomatic. 

Communication cross culturally is SOMETHING ... Yet another powerful blanket word.

At least weekly someone (client or co-worker) will tell me something and inside my head I will be saying to my head, "What is the point what is the point what is the point please what is the ever-livin' point?"  

About ten minutes in, the point will come out sideways.  
It's like that here.  
The points are made indirectly.  
Practice your deep breathing and wait on it.  
Eventually it (the point) will appear in a cloud of glory. 

As the guests in this culture, the onus is on the foreigners to learn language and culture and work within the constraints of cultural norms whenever and however it might be possible.

Screaming at the top of our lungs in frustration needs to happen privately, into our own giant pillows.  

In order to create team unity, and foster mutual respect, we all need to keep it together no matter how much the situations around us might make us insane or sad or just totally broken and hurt.

The Maternity Center (and ME especially) are grateful to God for the group of nurses and midwives that have gathered and come here to serve Haitian mommas and babes. 

Our staff has expanded quite a bit in the last two years. 

We now have 24/7/365 coverage at the Maternity Center. 

The number of women we serve expanded after Together Rising gave us a large grant to build a second floor and add more women to the program.

We are in a bit of another transition this fall. 

We are asking for your prayers. Please pray that we continue to work well as a group/team. 

Our staff is family. That has become important to the flow of things here. Trusting the people you work with is so important when dealing with life and death and intensely emotional situations. 

GREAT communication among staff is equally critical.  We continually ask God to help us communicate well at all times.



OUR STAFF :


Meet Beth McHoul, founder and visionary of the Maternity Center as well as our Director of Education. 

Beth is currently in a life-transition - as she and her husband John set-up their home in Florida due to his changing health needs.

Going forward Beth will continue to serve at the H.M.C as a Midwife on a more part-time basis, covering the MC whenever she can be in Haiti. Her fingerprints and influence are all over our work and our Maternity Center. Her physical absence is something we are grieving right now. Prayers for Beth -and us- as we make these adjustments are appreciated. 

Beth is available to speak and share more about the work we do by phone, or in person, if logistics allow. If you have an interest in that, please contact Elizabeth Thompson, our Development Coordinator to request a meeting with Beth. Elizabeth can be reached at Elizabeth@heartlineministries.org 



Nirva J. is a nurse of many years, with more than a decade of Labor and Delivery experience. She has been with HMC five years and oversees the Saturday teen-girl program called "Youth in Action". Nirva is a hard-working single Mom of two and a valued senior member of the MC staff.




Beth Johnson - AKA - "KJ" - is a Midwife and serves as our Clinical Director.  KJ brings many years of experience in the Philippines, Texas, and Haiti to our team. She has been with the HMC for four years.  KJ makes things beautiful wherever she goes. She works closely with Dr. Jen in writing and updating our protocols and keeps us all up to speed.




Islande V. is a nurse with a tender bedside manner. She joined HMC in February of 2016 and is the nurse you'll most likely find at the MC if you drop in on a weekday. Islande is a detail oriented person and handles many administrative tasks at the MC.








Mica B. was a former client of the HMC and is now a trusted and valuable member of our staff. She graduated from Midwives for Haiti's school/program last September and has been on our staff full time for almost one year. Mica was a nurse before she had her baby with us. Now that she has the Midwifery skills she is the perfect addition to our staff. 






Guerline L. joined our staff earlier this year, in February of 2017. She is also a graduate of Midwives for Haiti (she and Mica graduated together) and is yet another very tender and calm addition to our team. Guerline and her husband just welcomed their first child, baby Carla, to the world in late July. Guerline will return to work part-time in October and full-time in November after her Maternity leave is finished.


Stephanie D. recently finished nursing school and is hoping to pursue midwifery school in the future. She awaits her chance to officially sit for her nursing exam. Steph is waiting on a system that lacks organization and they need to OFFER the test so she can take it. Please pray she can get that done this year. She is the smiliest person on staff. Steph joined us in Feburary 2017 as well.


Today we welcomed a new Midwife to our staff for her first day with us. 

Jessica Williamson is an RN/CNM from Louisiana. She speaks southern and Kreyol and is excited to be back in Haiti, having lived here in the past. Jessica will check us out and vice versa for the next few months. We all assume that the trial period will prove we want to work together forever. 

Please pray for Jessica and her daughter Phoebe-Kate as they are settling into full-time life in Haiti (yet again). We are thrilled to welcome Jessica and believe she will be an awesome addition to our expat staff and our family.


Michaelle B, the clinic part-time administrative assistant, works Thursdays and Fridays to help keep some semblance of order on our two most chaotic program days.  She recently graduated from seminary and hopes to use some of her training to offer the women that are in our programs emotional and spiritual support. 







L to R - Clermitha, Gran R,  and Rosena


We are also **incredibly blessed** to have a housekeeping and cooking staff of three strong women with moxie all the way UP TO HERE.  

Rosena, Gran R. and Clermitha keep the place running smoothly by dealing with non stop questions at the front gate,  never ending linens that need laundering, as well as cooking for program days and the women recovering in post-partum. They also support the nursing/midwife staff in many other tangible ways each day.  

All three of these ladies are Moms, two of them are Grandmothers.  
They have LIVED LIFE and they KNOW THINGS. 

All in all our staff of twelve strong women includes five single moms and four grandmothers. That is just basically to say, nobody should mess with us. 

And me.  I'm here too.  
Hi - I'm Tara. I have been a Midwife officially for three years, I have worked at the H.M.C. in some capcity since mid-2008. I am honored and humbled and poop-my-pants-nervous to have taken on the role of Director about one year ago.

Please pray for us.  

We believe that the Moms and Babies served by HMC are being covered in prayer. We also believe it is KEY, I mean like GIANT ENORMOUSLY IMPORTANT KEY, to our and their success and great outcomes.

Thank you so much for reading. For praying. For giving. For investing. 

With love,

HMC Staff

Tuesday, August 08, 2017

Going Home

*Written by Tara Livesay, CPM, Heartline Maternity Center Director 
One of the most beautiful moments in the process of getting to know these strong ladies is the joy of being allowed an opportunity to take them home. It is my favorite assignment.
After spending months getting to know the women at the Maternity Center, it is a blessing to enter into their space and sit with them in their homes.  Sometimes we are rushed and we simply say a quick prayer and get back on the road. Other times we sit for a long while and get to meet the whole family.   
When we take the new momma home, we have overcome the inherent risk of pregnancy in Haiti, the large risks of giving birth, and we are past the initial days of learning breastfeeding. It is a joyous occasion, one worth celebration.
It used to be intimidating to me to wind deep into neighborhoods uncertain if I’d ever find my way out.  I remember averting the job of discharging and transporting in the beginning, leaving it to others whenever possible. Avoiding visiting their homes saved my heart from pain, their suffering and living situations are difficult to see. Truth be told, it’s much easier not to see it up close. 
Something changed once I recognized that sorrow and joy and pain and triumph all constantly dance together. They are a paradox far too intertwined to experience one without the other.  
While it might bring a measure of heaviness, I now know what an honor it is to be on their turf, to see and experience life sitting in their chairs, in their homes.
It can be culturally and socially awkward, but as we sit there all fidgety and unsure and we are willing to be a bit uncomfortable together and allow that awkwardness, it almost always builds relationship and trust.
I won’t ever fully comprehend the lives of these precious families – but they allow me to peek in, they allow me to see the paradox dancing, and that in and of itself is a gift.
Part of what we hope to do during our time with the women that pass through the Heartline Maternity Center programs is to offer them an unusual comfort and kindness. Bringing them home, instead of having them take crowded public transportation is one way we can love and comfort them.
The word comfort is from two Latin words that mean “with” and “strong.”  God is with these women and He makes them strong.  He is with us and He makes us strong.

Amy Carmichael said, “Comfort is not a soft, weakening commiseration; it is true, strengthening love.”  I hope that sort of comfort is what Haitian women are experiencing as they are brought home after giving birth.

Thank you for reaching out with love to comfort and strengthen families in Haiti. We are forever grateful for your support and partnership.
Tara
To learn more or consider a donation: http://heartlineministries.org

Tuesday, June 27, 2017

Mid June Info Dump - Struggle Bus Edition

I wait too long.
Just long enough to feel more than Coo-coo and for there to be too much to process.
I tell Troy, "I'm crazy. I need to write this stuff out."
He says, "Please.Then. GO."

<MY GOODNESS, WOMAN. Have you learned nothing?!?>

I go to my laptop. I open it. This time I turn on a Selah / Christy Nockles song and toss it back to 2006, before life got so real.

I find no hope within to call my ownFor I am frail of heart, my strength is goneBut deep within my soul is rising up a songHere in the comfort of the faithful one


Certain lyrics are so raw, they force me to sob for two hours. After the sobbing I have fat eyes, am tired, and terribly ugly. I no longer feel the need to write.

This cycle repeats itself in varying forms with varying lyrics until I arrive at the day that some of the crazy hard stuff seems kinda funny and some of the stuff that made me angry becomes hilariously absurd.  That is when I write.



Painting Kids -
Summer is designed to kill all the Mothers (and some Fathers) with anxiety. What is the anxiety, you ask?  Well, the anxiety is about bored, unstimulated, and under-attended kids roaming around thinking about how to be on the Internet and play video games more than they are allowed.

Every summer, the months of June, July and August attempt to wreck my life. The lament over the situation is dramatic, although it mainly remains internal lament.  The messages being spoken from inside the crazy house (my head) are never positive. The tape replays. Certainly summer will win and we will all die of the sweaty-hotness and the lack of healthy distractions from said heat.  

Assignment number one of summer? Get the kids to paint cement walls that surround our home. Keep them occupied and away from Internet and evil.  Is this paint necessary?  No. Not at all.  Is this paint going to be an improvement to the feng-shui of the 10 foot cement walls with barbed wire on top?  No.Cement walls are ugly no matter what color, grey or white or candy-striped.  Painting walls will occupy several hours of time.

Someone suggested we change the color of the walls every two or three days.  We are taking that under dead-serious advisement.  If paint were cheaper this would be a done deal. It is basically what a lot of short term mission groups do anyway, paint the thing that was just painted.


Summer Travel for Kids-

The good news?  Travel begins on July 9 for the 15 and a half year old kids, Isaac and Hope.  Hope will go to Cape Girardeau, MO to be with the Ferguson family.  This is the family that gave us Walnut, our GoldenDoodle.  We met them in 2010 and have laughed a lot and been so well loved as we have grown closer. Hope will be going to art camp and classes and doing some singing and acting and dancing too. She will see what a family besides ours is like. Hopefully she still wants to come back to our family in mid August.  By hopefully, I mean, there is no chance at all that she will.

Truthfully,  I want to be Hope. I think her summer plans are the most exciting of anyone.

Isaac is also leaving July 9.

He and Hope have one flight together, the one out of Port au Prince. His seat was a wonky pricing situation and it was cheaper to put him in business class.  This means Hope will slum it like the commoners and Isaac will be sipping a Mimosa up front.

They part ways in Miami and Isaac is going to take Driver's Training in El Paso, TX.  I wish I could spy on the process of their transfer from flight number one to flight number two. That is going to be some great comedy.  You might believe that Driver's Ed in El Paso would be learning to ride a horse or a wild bull or something super Western like that.  Not true. We found out that there are cars in El Paso and he will learn to drive one from Michael (his responsible brother-in-law). Please don't bring up why we think Michael should teach and not Paige. I cannot tell why.  But it is because Paige is a wild distracted driver.

The classroom part of the education will be a few hours each day for a month.  If I know Isaac he will have every dang rule of Texas roads totally memorized and be able to repeat them in alphabetical order if you so desire that.  He will get to be with Paige and Michael and his two nephews for six weeks +.  He is awesome with those little boys and is looking forward to being with the Gonzales family. At the end of Isaac's time in TX, Britt and Gideon will go west to visit too.

On July 22 Noah goes to our friends Scott and April Salvant. This was a life goal of his because he desperately loves his friends, Jeff and Dave Salvant and he just about broke when they had to leave Haiti to help their Momma fight Cancer. He will spend two weeks in Virgina and then he and the teenage Salvant boys will get on a Southwest flight and fly to Dallas together.  Three teenage knot-heads free in the sky. I shudder. Noah told me his goal is to get dragged off the plane (like that guy we saw recently, he said) and have a video of it go viral.  I wish I thought that was a joke. Watch for that on August 4.  Once to Dallas he says goodbye to his buddies and spends a day with Britt and Chris and Gideon before going way further west to see the El Paso contingent.

Noah and Isaac will fly home together in late August. That will be another day to watch for viral videos.  It will be Noah stirring some pot, and Isaac will be begging him to behave and biting his nails off in the background.

On July 22 Lydie and Phoebe get two weeks in Florida with Grandma and Grandpa Livesay.  They are saying that Grandma and Grandpa Livesay give them ALL THE POP and ALL THE WATERMELON AND STRAWBERRIES and outside of those facts nothing else matters.  Pop and fruit equals LIFE MADE. Those two little fools are besties and I am guessing Troy's parents are going to laugh a lot for two weeks.

All of the above means that Troy and Tara have two weeks with zero children in Haiti.  The last time that happened was due to a dramatic-evacuation of our children after an earthquake in 2010.  This should be far more pleasant and hopefully a lot sexier.  What do people do when they come home to a house without thirty-thousand requests for any number of things?  I know this: Troy hopes they have "advanced romance" with that free time.  I hope they sleep and sleep and sleep.  Maybe we can find a way to compromise. Time will tell. Two weeks without kids.  We have been married 19 years and this has never happened without some terrible circumstance. Troy married himself into fatherhood. It will be wild to see what no kids is like.  My friends predict we will sit around talking to our kids on FaceTime.  I vow to do exactly that.


Sleeping Outside-
Eight years ago on a particularly hot as balls night, I asked Troy to please sleep outside with me. He said, "No not gonna."  I asked another 56 times in the following seven summers.  He always pulled his nose up and said, "No go."

One day in late May of 2017 he said, "Okay, I will".  We have been sleeping outside every single night since then.  It is easily 10 to 15 degrees cooler.  The normal fipping of sweaty pillowcase is no longer required.  The stars and the moon are overhead and the palm trees blow in the breeze near our bed. The only downside is the blood loss from mosquitoes, but we will ward off the anemia with vitamins and iron. In the morning it sometimes looks like someone murdered us by tiny stabs with little pin prick blood spots making our solid sheets appear to have a pattern.  After 8 years of asking, we now sleep outside.  If I hate it, I cannot admit it.  So I am not.

one of these two people won a decade long battle  - the other is the loser - or maybe both are losers


Sarah and Sophie-
Carline - Sophie's nanny next fall 
The summer is going to mean less Sophia and Sarah, but they should be back in our neighborhood by late August.  (You may recall some dishonesty with Sarah's mom and some confusion.  We are always confused, so that has not changed but the situation is a little less tenuous right now.)

 Sarah is going to be living with an aunt in Carrefour, about 90+ minutes away with traffic.   (So like 7 miles.) Her Mom will be way down south in an area where they have a garden.  The current intel we have is that everyone is back in Port au Prince by the time school starts up again.  Sophia will be cared for while Sarah goes to school starting again in the fall.  The nanny we hired is adorable (see her with her precious baby girl on her graduation day from the program).  Carline will come Monday to Friday to be with Sophie during school hours.  A job for Carline and a trustworthy daycare person for Sarah.  Hoping and praying this can be win/win.  Expecting any number of things to jack with us on the way to that goal.


Traffic -
I have been trying to make my kids leave the house to make them have a life. We went to buy paint one day. My kids claim that I outwardly show more aggression and anger about traffic things than their Dad. They say he holds it in better. As if.
That statement?  It's whatever.

Sustainable -
The way humanitarian type people in developing countries use this word is so much liar liar pants on fire.  I roll my eyes every time I hear it.  Not that many things are sustainable in practice.  According to websites and tag lines, all of it is sustainable. I always want to scream-quote Inigo Montoya:  "You keep using that word. I do not think it means what you think it means."   (Also as an aside, Mandy Patinkin is my older man crush. Don't tell Troy.)

Midwifery is hard - Haiti is harder
We  (The MC staff) have had a rough go lately too.   I posted six photos on IG about Rebecca, a really amazing client of the Maternity Center. Check that out and feel the feelings with us.

Perimenopause
My hormones are so jacked beyond belief. I'm wishing I knew how to tell you ALL about it in a way that would cause you to know I am dead serious and also about to go crazy and also totally fine - depending which minute you check in on me.

I forget what I am doing while I am doing it. I have a piece of bread with peanut butter in my hand with a bite out of it.  How did that get in my hand?  No recollection.  I already struggled in the kitchen, you can imagine how this helps not at all with those struggles.

Want to know? Throw an egg in a frying pan on medium flame and walk away to grab butter and forget because you see that the laundry fell off the line.  Then, remember the egg but forget you turned on the hose.  No worries, when your flipping kitchen is both on fire AND flooding, you'll scream, "WHO TURNED ON THE HOSE!?!?!"

My hormones are SO tanked, there is a strong possibility I can grow a beard better than Troy now. I'm not kidding.  That says very little for either of us.

Email and Technology Woes-
I talked to a nice young man on the phone.  (I know he was young because once my memory returned I stalk-found him, I saw he was born in 1990, which makes him 27.). We talked because he called me to ask adoption and Haiti questions.  I was honest and told him I suck at sending long detailed emails because I get too many requests and my response is to totally shut down and reply to nothing.  I tried to keep up and failed and the lesson was, never try.

So I said, "Call me."  He did, which I admit I never expect will happen.  I am sure he googled me and saw that I am an older person. However, he probably did not know about the perimenopause because that is not coming up in searches quite yet.

At the end of our call I said I would email him several links to more information and helpful websites and books.  I hung up the phone and went to my computer to do the promised things before I forgot, which allows me exactly 16 seconds to get it done. I realized I had no idea what his name was at that moment.  I asked Troy, "How do you search for the email address of a person whose name you do not  know?"

This sort of thing is happening all the time right now.  Refer to previous paragraph.


Five Clowns Dinner, just hours ago -
Our kids know things are hard.  They know we are stressed and transitioning and challenged and now they understand the word menopause too.  They are sweet to us at every turn. Last night they were helped by Midwife, Beth Johnson to create a romantic meal for us.  I was first call so the meal came to the Maternity Center.

new five clowns star restaurant in Tabarre, Haiti 



You know what? I love that Troy is "more and more into me".



Now, if only I could remember, WHO WAS IT that was more and more into me again?




That's that for this June struggle bus edition.  

Wednesday, June 21, 2017

Second Week at Vet Training - By Isaac Livesay

Last week I was in Deschapelles, Haiti again and it was great the second time around.  I learned a lot again, and also got to meet some new students that joined the class.



Kelly teaching us all 



Last week we talked about diseases and epidemics in Haiti. It was really interesting. We talked a lot about how those diseases can spread and how to help the animals that get sick. Here are some of the diseases we covered: anthrax, anaplasmosis, babesiosis, and rabies.

In class we even discussed about two strange but enthralling diseases in Haiti that affect horses specifically.  Lagoum, which is a virus that spreads from horse to horse and kills. The other disease is Lampa. It is an inflammation of the soft pallet (the roof of the mouth) - this disease in particular is usually caused by a cut or a burn in the mouth. It is most common during the dry season.

With diseases, you have got to have the symptoms, so we also talked about the multitude of symptoms to go along with the diseases we discussed. For example a dog with rabies is most commonly known for having a foaming mouth.

I got to Dechapelles on Sunday evening and started class Monday morning. On Tuesday we had two guest teachers. Kelly Crowdis was the main professor for the week, she is a great teacher.  With our guest teachers we talked about rabies and infectious epidemics. They talked about how imperative it is that we vaccinate as many dogs as we can to prevent rabies.  It is in your best interest to not ever be bitten by a dog. You probably knew that.  Here is a fun fact, if you do get bit - you should immediately wash the wound with running fresh water and soap for ten minutes straight. That will decrease your chances of getting rabies by 50%. Isn't that crazy?
I asked my Mom if it was okay to put a cow butt on the internet.
She said it was.

With epidemics we first talked about their characteristics, the quickness of the spread, the space or geographical area the epidemic occurs, and the duration of the epidemic. All this is crucial information because we would need to send all of this information to the government. They hopefully provide the country with useful prevention information and give warnings when possible.

Wednesday and Thursday we did a lot of hands-on work. We got to practice physical exams, giving shots, hydrating animals by passing tubes down their noses and throats, and we did a few fecal exams (that's looking for microorganisms in poop). I think that it is interesting looking at poop, but only if you find stuff in the poop.  We put the poop in a beaker thing and add solutions to it.  Then you put it on a slide before it goes on the microscope.

The most enticing hands on thing we did was to dissect a goat. It was SUPER cool. We got to see how everything would work in the body if that animal were alive. With gloves I got to touch and hold a lot of the goat's organs. I even got to hold shut an artery that was cut open. There were a lot of slimy and mushy parts. Many things looked the way I expected them to look. The thing that I was shocked by was the stomach. A goat is a ruminant, which means it has FOUR stomachs.  Can you image having FOUR stomach aches at once? The rumen, the reticulum, the omasum, and the abomasum are the four parts. It amazed me how large these four parts were.  After the dissection we each got a section of the goat to practice doing suturing.

I got the back of the goat.  We practiced suturing torn muscles. It smelled very bad. Before we started suturing we used scalpels to cut the fur off around the wound we practice stitching. It was a lot of fun.
suturing goat muscle

One day we went on a field trip to Ti Rivere. Oh my gosh! It was so amazing. The fields of emerald green grass and the land teeming with banana trees was beautiful. It got even more beautiful as we approached our final destination. At the top of the mountain there was an old fort that the Haitians used to fight off the French. From the fort we got a panoramic view of the fields and green trees and the river. In the background we could see the abundance of mighty rolling mountains and hills. Honestly, it was one most beautiful things I have ever seen in my country.  It looked like a place that National Geographic would put in their magazine. I was in awe. I hope to return to Ti Rivere on one of my future trips north.

Overall I think I enjoyed my second week in Dechapelles even more that the first. I was more comfortable with the environment and the people I was working with. There was more action and less sitting. Seeing that beautiful part of Haiti was a gift to me.

Sadly, I won't be able to be at Vet camp in July or August because I will be in El Paso, Texas seeing my big sister and nephews and taking Driver's Education for a month - which is also a good thing. I wish I could be two places at once.  I look forward to the September class and I will write again after that week.  I am excited for the summer I have planned and anxious to meet our new teacher later this month.  I get to meet my new teacher June 29th and I get to go to America July 9th.

Isaac



Sunday, June 04, 2017

Absurity Abounds (AA)

If there is any place on earth more absurd than Port au Prince, I beg of you, please do not invite me there, thank you.

Below you will read a stream of random thoughts and paragraphs about totally unrelated absurdities.  

But first, you will find a few photos of my gorgeous collection of non functional appliances.  This is not the entire collection, I don't want to overwhelm you or make you feel less-than, therefore I left out two of my most beautiful pieces of non-working metal. (Washing Machine and Dryer) 

new warm storage area with lighting
stove top still mainly works - oven came here from America and worked six days
top/freezer works if 82 degrees or cooler outside temps
Oven will still light if you slam violently on the bottom rack after lighting.
Stove-top  died years ago.
 ***


A super strong and smart and sweet young lady that we have known since her 2012 sexual assault and subsequent pregnancy (and delivery at Heartline M.C.) came by our house to visit yesterday.  She is wicked smart and doing great in school (thanks to donors and a sponsor that support her).  Due to her academic success she was chosen to go to Spain last month with a group of six students. She wanted to show me her passport and photos from the trip. This is the narration of her photos translated to English: That's the bus, that's me in the bus, that is me in the bathroom on the bus, that is me at the back of the bus, that is me at the hotel in the D.R., that is me in the bathroom of the place we had breakfast, that is us at the airport, that is me getting on the airplane, that is me in my seat on the airplane, that is the bathroom on the airplane, that is my friend and I in the mirror of the airplane bathroom, that is us in sweatshirts in the airplane because it is cold, that is the van we used in Spain, that is the bathroom on the way to our hotel in Madrid, that is a soccer player jersey, that is me with a soccer player jersey, that is me with the famous soccer player cardboard cutout, do you know him? That is the soccer stadium, that is the woman that was responsible for us in the soccer stadium, that is 77 selfies in the soccer stadium, that is a piece of pizza, that is a bowl of rice, that is me with a bowl of rice, that is me with pizza, that is a kid that liked us so we did a selfie with him, that is a drunk man we met and asked for a selfie with him, that is a bathroom mirror photo, that is another one, that is another one, another, another, another.   I determined that bathrooms and selfies are what is most important when a girl from Port au Prince gets to go to Spain.  I don't know at all what Spain looks like, because there were not any photos of outdoor Spain.  Next Sunday Troy and I will go see her graduate at the top of her class. Nobody knows she has a son that will turn five this July.  We will cheer and cry and get several hundred selfies in the bathroom if there is one.
***
Sarah is a 14 year old that is doing a great job with her little baby.  If you read this blog or follow on Instagram you have seen her gorgeous plump baby, Sophia several dozen times.  Sarah asked us to come talk to her Mom.  Sarah is having several disagreements and wanted us to try and help by explaining what we teach in our classes.  Sarah's Mom told us last Saturday night that she thinks Sarah and Sophia are "too attached". Those are the words used.  TOO ATTACHED. THIS FIVE MONTH OLD IS WELL ATTACHED AND IT IS NOT GOOD.  She went on to say that Sarah picking Sophie up when she cries is spoiling Sophie and that Sarah is messing everything up by having an attachment to her child.  Then she told us that she hits the baby on occasion. When we told her hitting babies is a reason to head to jail in the USA, she simply said, "I couldn't live there then." I had to talk to my own head non-stop while we sat there talking to Sarah's Mom.  I had to say, "Don't punch her. Don't kick her. Don't call her stupid. Don't insult her."  It was the most frustrating 30 minutes of the last week. I went home and lit the oven over and over so I could slam something.  Here we have a kid that is truly embracing and winning at motherhood at a very young age. She has a healthy, fat, secure. well-loved little baby girl and she has a Mother that is very critical of her and is constantly verbally demeaning her. I don't think the talk accomplished anything at all, except maybe to crush our spirits a bit more.  Sarah wants to live with any of us on staff at the M.C. but I cannot even begin to tell you how complicated and difficult all of that could be.  Right now, I only know to say, "Please pray" -  because I cannot find the hope to do it in this situation.  It is the bright spot of 2017 and someone wants to wreck it.
***
A mom sat down in our office the other day with her 13 year old.  The daughter got pregnant right before she turned 13. Her boyfriend is 20.  That's not a problem for anyone, that age difference is not culturally frowned upon.  Being pregnant at 13 **is** a problem though.  The Mom said, "I was making a remedy for her to drink to "take out the baby", but someone told me I should not do that without coming here to this clinic first."  We sat and talked for a long time. We had Sarah come in with Sophie and share a bit of her story. We agreed with the Mom that teen pregnancy is really hard and "not good" (mom needed to say over and over "This is not good for me").  We saw on ultrasound that the baby is a girl and is due in October.  We asked Mom if the remedy is still going to be used, she said, "No, it is too late for that now."  We told them goodbye and that we would see them next Thursday and then we sat and stared at a wall for bit.  
***

In far less consequential absurd news ...

The man we paid to fix our broken washing machine tells us on the phone every single day "I am coming now".  He thinks we don't notice that he never ever comes. Not now. Not later. The next day, we call him again, he says, "I'm coming now."  Troy says, "You are not though.  See, see how you are not here ever ever and still?"  

So the washing machine is on day 9 broken and Beth McHoul let us use her machine and Geronne did a bazillion loads wash by hand and everyone wants to hurt that guy that never comes so hard. 

The refrigerator and freezer stopped working AGAIN on Monday. Troy says it is because I bought them in the USA and you cannot buy appliances that know of the good life.  They sat in an air-conditioned room and they know about that way of life and what did I think would happen if I put that appliance on a container and shipped it to Haiti?  Did I think that refrigerator/freezer would just accept these temperatures and keep behaving and operating? You get what you get when you do stupid things like that.  

It is far too pretty to get rid of so we're going to store dry foods and dishes in it.  

In our house is a stove with six burners.  Three of the burners work.  Below the burners is an oven that worked for several whole days after we bought it.  Some component fried out and the oven portion gave out two years ago. This is not a problem because the stove/oven we had before that has no working burners with a working oven. Lighting it is noisy because there is a routine and it is noisy, but still, it lights.  So, if you wanna make a pizza in the oven, you go outside to the oven.  If you wanna fry and egg, you go to the stove in the kitchen. If you want to refrigerate your butter, too bad. Not happening, see previous paragraph.

The dryer is broken too. Nobody in Haiti has a dryer except the Livesays. The Livesays don't have one now either, so no need to hate.

The toaster makes such good toast.  
That toaster never stops doing its thing.  


The owner of our house is making security improvements due to the May break-in.  He is really a great guy. We like him so much. He has more money than God because he is a super smart business man and he has several homes with renters in them. He made the wall higher in one place and is adding double bars to the window they came in and is adding more barbed wire to the front wall.  I wish he would just give us the money he is spending because once the robbers come it is gonna be a really long time before it happens again. I'd rather use the money to buy a few more broken appliances for my collection. 

***

Twelve years ago this very month, we sat down with many of the important people in our lives and said, "We think maybe we should move to Haiti."  I think about those young people that sat down and said that, and I wonder if I would even recognize them if they were here with me today.  

Absurdity changes people. 

***

Thursday, June 01, 2017

By Isaac - Vet School in Haiti

Practicing suturing 
Hello everyone!

A couple of weeks ago (May 16-20) (5 sleeps) I had the exhilarating experience of a lifetime. I got to go to a veterinarian class in Deschapelles, Haiti.

The purpose of attending AG Horizons (The School Name)was to get educated about animals in order to be helpful in situations when animals are sick and to help educate the community around me.  Many people here in Haiti don't understand illness and infections due to a lack of education and opportunity for education.  Often people that live in the countryside own an animal. If a man has an anemic cow, he cannot necessarily identify why his cow is sick and he can lose his cow due to that lack of knowledge.  Losing an animal causes a family financial strain and hardship. So as we are being educated we are reminded on how we can help teach people how to better care for their animals and or help them with the animal.

The whole reason as to why I got to AG Horizons Vet school is really amazing. When my Mom and Lydia and I were cutting my dog's fur (Walnut) there was a scissor accident involving his ear. It was sad and Lydia cried and worried a lot about it. Later that day Kelly, our Veterinarian friend, came and examined his cut. While she was at our house I told Kelly that I want to help animals when I am older. My Mom was also telling Kelly about my plans for after high-school.  This led to Kelly telling us about AG Horizons and inviting me to come join the class. She gave me a week to decide if I wanted to try it out.  My friends and family encouraged me to go and try it, so I did.

I will never regret going! My classmates and I were educated by two vets named Janice and LeeAnne. They were REALLY COOL people.

It was a fenced in property with a few buildings. I got to stay in the main guesthouse. It was green, two stories, and quite large. There were a few rooms where students could stay. I stayed down stairs in a dorm room that had about seven other guys staying there too. The dorm was pretty big and had several bunk beds. Most people had their own bunk and did not have to use the top one.  There were 18 students total. There were two girls and sixteen boys.  The students backgrounds varied. There were students that were illierate and students that had gone to college and could read and write in French and Kreyol. There were Pastors and Farmers and younger people too. I was the youngest one in the class.

At the school I learned a lot of intriguing things. We learned about inflamation and shock. We talked about different types of shock and how it can affect the body. We discussed a lot about internal and external parasites. We learned how to identify microscopic organisms under a microscope. They even taught us how to dose medicines for an animal depending upon their weight and the concentration of the medicine.  (So, this is when I learned that math can acutally REALLY BE USED in REAL LIFE.).  We learned how to tie surgical knots (praticed on towels - see photo.  Because blood is very important we talked a lot about what makes up our blood too. We learned SO MUCH and went into a lot of detail on these topics.

Class was from 9:30 to 4 each day and I most enjoyed the down time afterschool when I could study everything I had learned that day and have a chance to read, color, and listen to my music.  I had a few friends I talked to, we all used a mixture of English and Kreyol. I was the only student with English as my first/strongest language.  It was good practice for me and I had to use my Kreyol a lot and that was great for me.

At the end of the week we had an exam.  In fact, the night before the exam, a few of the students and I stayed up very late studying together with Janice the Vet Professor.  For a long time we worked out equations on the chalkboard.  When the test came the next day, I got 115 out of 120 points. I was SO ECSTATIC.  All the students congraulated me on my good grade.

I will never forget this far-out experience I had. It was good for me to step out of my comfort zone and do something by myself (without any of my family with me).  There are 10 more weeks total.  I go again in mid June and will go once per month for many more months.  I have a lot to learn.  I plan on using the skills and knowledge I am obtaining to help animals in Haiti.  Eventually, when I get older and get to a certain point in my education, I will begin working on animals under the supervison of a Veterinarian.  That has me VERY psyched.  Whenever it comes time for me to leave Haiti, I want to attend Vet school where I can further my education.  In America, I think I would rather work with dogs and cats. Here in Haiti I will be working with pigs, sheep, horses, cows, goats, donkey, and some dogs.

That is all for now, friends.  I will update you after the June class.   Thanks for reading.

Friday, May 26, 2017

Geeking Out with the Statistics Geeks



I am fairly sure 54% of all statistics are made up 75% of the time.  
Even so, I bring you a few recent Heartline Maternity Center stats. These stats are not made up, but I don't expect you to blindly take my word for it.  Photos hopefully help provide proof.  Here are some free of charge statistics.

As of the beginning of this week we had 72 pregnant women in our Prenatal program.  Since Monday five have delivered.   

Sophia started the week off with a baby girl on Monday.
On Tuesday we had our Post-Partum Moms and Babies class.
On Wednesday something changed in the atmosphere and the uteruses started warming up.
On Thursday morning we had one early morning transport. Then we had PreNatal Class and Prenatal Consults.


In the last 24 hours - 4 baby boys were born in this program.  

Of the last four births, C/S rate was 25%. 
(One C/S after a transport due to position of baby and three deliveries at Hearline M.C.)

Of the four baby boys, three of them were the first baby born to their Mommas.  One was the 8th child to a 40 year old Mom. 

One of the four Mothers came at 37 weeks with severe pre-eclampsia with all the necessary management required.  She'll be monitored non-stop for 24 hours or more.  She arrived yesterday with a slightly elevated BP, before long she was very very sick and an induction began. She was the second delivery of the four babies.

Timeline Thursday early Morning to Friday early Morning:
Marie Elda -Transport at 4am - C/S at 12:30pm
Junette - Induction at 4pm - Baby at 11:30pm
Nerlande - Baby at 5am Friday
Sarah S - Baby at 5:25am Friday

This is the first time we have ever had four babies in the same 24 hour period.  Three was the previous record. 

Names of babies in order of birth: Angelina, still unnamed, David, still unnamed, Kervenson

Total number of babies that have died this month or year - 0
Total number of moms that have died this month or year - 0 

Grateful for the prayers and support you all give --- and thanking God for these stats and His protection over this place and these women.