06 April 2013
Greetings from the nation of Guinea, West Africa. I wish to focus in this update on some of our education/training type projects. Many of you already know of our direct medical services provided to the people of the host country – with no regard to nationality, gender, religion, age – as we bring hope and healing.

So many times when I have traveled ahead of the ship and our team has met with the Minister of Health and the President, one of their main requests is for training for their people. Mercy Ships has provided education in many different aspects for years both here in Africa and earlier including my time on the Caribbean Mercy. Our education (mentoring and courses) projects include: Mentoring: specialized surgeons, ward and operating room nurses, anesthesia providers, mental health professionals, laboratory technicians, and sterilize processing technicians

Courses: Ponseti casting, palliative care, agriculture and nutrition, leadership conferences, radiology, disease control, mental health, primary trauma care, etc. Our ability to be able to provide the mentoring and courses rest in large part on the availability of highly skills professionals coming from over 30 different nations. There is also much work done in order to coordinate these opportunities, some of which take place on the Africa Mercy and others happen ashore and in local hospitals. The amount of time invested in the participants depends on each project and needs. The outcomes vary but involve the increase in knowledge, improvement in skills and in Jesus-like attitude.

Dr. Michelle at one of the workshops

Most recently, I assisted with our Anaesthesia Conference held here in Conakry with 49 anesthesia providers and 11 midwives. The focus of the conference was on maternal health, trauma, World Health Organization Safer Surgery checklists and Lifebox (pulse oximeters). My role was coordination and logistics; it was a lot of work and began back in October. We believe that the participants learned through the lectures, workshops and interaction with the 12 facilitators who came from Europe and some of our own hospital professionals. The hope is that lives will be saved during their times in surgery from what they have learned.

Please pray * for all those involved in our education projects here in Guinea – may they take what they have learned and share with others and may the training aid in their care for the people

Serving Together, Keith

KRB Update #2185 – Noma

Keith R. Brinkman 02 March 2013

Greetings from the nation of Guinea, West Africa. Noma – as you read the header subject line, you think what is Noma and why is Keith writing about it. Noma is a disease of poverty – here is the link to Wikipedia with more details: http://en.wikipedia.org/wiki/Noma_(disease). Noma (cancrum oris) is an acute and ravaging gangrenous infection affecting the face. The victims of Noma are mainly children under the age of 6, caught in a vicious circle of extreme poverty and chronic malnutrition. We see them come to our screenings with the effects of Noma.

Koto and his uncle – while at the HOPE Center – prior to his 1st surgery





Alpha Oumar at the HOPE Center – prior to his 1st surgery

Serving Together, Keith

A message about the report on Mercy Ships on 60 Minutes and CBS Evening News – please read below from Don Stephens:

Last Sunday evening (February 17, 2013), Mercy Ships was featured in a wonderful segment produced by the CBS television news broadcast 60 Minutes. I hope you had the chance to watch! We are grateful for the opportunity to reach millions with the message of hope and healing for the world’s forgotten poor. If you didn’t have a chance to watch the program, please take a few minutes to view it online!

As a follow-up to this story, please help us continue to spread information about Mercy Ships and its mission. Here are a few ideas that take only a few minutes:

Communicate your passion for Mercy Ships by introducing us to those in your circle of influence. Tell them how you personally support Mercy Ships and ask them to get involved. There are several other things that you can do as well – each that takes as little as 60 seconds;

• Tweet or email a link (http://www.cbsnews.com/video/watch/?id=50141230n ) to the 60 Minutes segment online.

• Post a link to the segment on your Facebook page.

• Send an email – to people you think might be interested in learning more about Mercy Ships.

Transform lives by giving regularly and encouraging your friends and colleagues to do the same. You can donate online at www.mercyships.org/give.

Pray for those we serve around the world – for our staff, crew and volunteers; and for the mission of bringing hope and healing to the world’s poor.

Continue to pray that the millions of people who watched this important story – and those who will watch online – will learn about the work of Mercy Ships and decide to let their mercy make a difference, just as you have.

Thank you, again, for your commitment to Mercy Ships and to serving others.

Your Mercy Makes a Difference!

Don Stephens

President/Founder

KRB Update #2184 – Dental

Keith R. Brinkman    26 January 2013



Serving as Dr. Denny’s Translator in El Salvador



Our Guinea Smiles Dental Team with their 4,000th Patient

Greetings from the nation of Guinea, West Africa. In this issue of KRB Update, I wish to share with you about Mercy Ministries. Mercy Ministries provides off ship ministry opportunities for crew and guests working alongside existing long term national organizations, demonstrating Mercy Ships vision of “Love in Action”. Mercy Ships Vision Statement – “Mercy Ships seeks to become the face of love in action, bringing hope and healing to the poor.”

Mercy Ministries is part of Programs (Hospital, Off Ship Projects and Mercy Ministries) and I have the privilege to oversee this exciting area and so grateful for our Mercy Ministries Coordinator, Site Team Leaders, Day Workers and crew who sign up and join us. I also enjoy participating and being a part at the sites myself. Here are our partners for our Guinea 2012/2013 field service:

Mercy Ministries Partners

CASO Lazare’s Orphanage – 27 orphans from babies to early teenager – many with special needs, including those who are HIV positive – Visits twice a week

AFEG Baby Rescue Center – orphanage for abandoned infants – 12 babies – Visit once a week – time to love on little ones.

Snuggle/Hug time with little ones at the Baby Rescue Center



Students at the Deaf School as they receive a basic oral health education from our Dental Team



Greetings from the nation of Guinea, West Africa. In this issue of KRB Update, I am excited to share with you more about the Befriend-a-Patient project. Befriend-a-Patient visits provide interested crewmembers a practical and unique opportunity to demonstrate Mercy Ships’ second core value: to love and serve others. A genuine friendship from the heart communicates volumes. Friendships between crew and patients enrich the on board experience of crew and patient alike. We believe that transformation happens one person at a time. As us crew members are being transformed by the love of God we are able to share this love with patients through time spent together. Activities will depend on the patient though may include crafts, watching a DVD together in the ward, coloring, drawing, bible study, games, cards, going outside on deck 7 and taking a walk.

I have been involved with visiting the patients from the beginning of my time on the Anastasis in 2006 and over the last six years have befriended many patients. Most of my local friends in a country are former patients, day workers and partners.

Currently, I am assigned to a seven year old boy named Ibrahim, he is actually from Sierra Leone. This is his third visit to the hospital ship due to his leg bone problems. He has recently had orthopaedic surgery on both legs and so can’t really move much while in his bed except for his upper body. At a recent Sunday service in the ward, he was clapping and moving his shoulders as we had praise and worship together. Since he has been to school, he does speak some English which helps in our communications. I will post photos of Ibrahim as they are available – though for this update I have included three patients from Togo – Dodji, Florent and Cyril. Though in African culture, I never just visit one patient, but those in the beds next to him as the wards are like a small community especially with the children. All children under 15 years old need a caregiver to be with them. My visits to the wards are great highlights.

To answer a follow up question related to screening that a friend asked and others may be wondering about – “Does it get easier having to turn people away that need services?” No it does not get easier, but when I turn away people explaining in a caring way that we don’t have doctors/surgeons that can help them. I know I am being honest with them and they respect and appreciate that. Though the ones that break my heart are children and especially when someone comes too late and the surgeries are already finished but if they came earlier there may have been a chance as it is one of our specialties – those are awful hard and you feel like crying with them as the parents are usually at that stage. Even though it is hard on me, I can’t imagine the parent’s heart as for many there is no other option. I had this with an orthopaedic kid with bilateral club feet and I still grieve that we can’t help him. I think many times if it was my child, I would ask and ask again in hopes to get help.

Thank you all for your prayers, encouragement and support as I serve.

KRB Update #2181 – Screening

Keith R. Brinkman 10 September 2012

Greetings from the nation of Guinea, port and capital city of Conakry. In one day alone over 4,300 people came to the People’s Palace, site of our surgical screening. Most of the entire crew were involved in this our largest event for the field service. I had the privilege to be the main gate keeper for the patients and caregivers. I tried to greet everyone who came in and with the assistance of my dayworker inquired how many cards they need. In total 3,454 cards were given to potential patients. Though, once they shared their medical situation, only 852 continued through the process for possible surgery on the Africa Mercy and an additional 527 for possible eye surgery. It was a long day but so fulfilling, everything went peaceful and the weather cooperated as we are in the midst of rainy season here. I did not try to greet people in the local languages (as I can’t identify the differences yet of the three major tribes), but primarily used my French (and English for those who greeted me in English). After the gates were closed, I went up to the area of the surgeon screening for maxillofacial and plastics/reconstructive. I sat with one of the surgeons and a fellow crew member as they further inquired to see if we could assist with surgery.

Hundreds were scheduled for surgery and others still require testing or further screening prior to being confirmed as good candidates for surgery on board. Last week, the wards opened on Wednesday and the first surgeries on Thursday. It is great to walk the hallways and see and hear patients back in our wards. Lives being transformed. I look forward to the start of the Befriend-a-Patient project and spending time with patients like Ousamne who I met on the first screening day.

Our Guinea Smiles Dental Team also started their screenings which happen twice a week on Mondays and Thursdays all throughout the field service. I served the first couple times to assist with crowd control and to answer questions.

Our Mercy Vision Eye Team will start their screenings primarily for cataract cases for adults and children, but also for pterygium and strabismus for children. A great start to this new field service!!!

KRB Update #2180 – Guinea

Keith R. Brinkman 18 August 2012

Greetings from the Africa Mercy en route to Conakry, Guinea. All of the required ship repairs, drydocking (see the photo below), and inspections were completed in the Canary Islands (just off the coast of North Africa, but part of Spain). This is the closest location we can take the ship to accomplish these activities. I spent most of my time finishing up work on the Togo 2012 field service, preparing for the Guinea 2012-2013 field service and supporting our teams already in the nation of Guinea. I also visited and had the opportunity to share in a local church who is praying for us and be a tour guide of the ship on one Sunday – it was good to use my Español once again. Our field service will be from our arrival 22 August 2012 till 15 June 2013.

In 2008 while docked in Monrovia, Liberia, we received an invitation, obtained permissions and went over across the border from Liberia into Guinea for surgical screening. For those who remember, one of my patients, Alimou, that is when I first met him. I look forward to seeing him shortly after we arrive in country. My second time in Guinea was last year as part of the Assessment Team doing the initial relationship building, logistics, and preparations. This will be the third time Mercy Ships has visited the port of Conakry, first in 1992 and again in 1998-1999 – these first two visits were with the Anastasis.

Independent from France since 1958 – currently a Republic

President: Alpha Conde since 2010

Life Expectancy: 58 years

Population: over 10 million people with over 1.5 million living in the capital and port city of Conakry

Area: 245,857 square kilometers (size of the state of Oregon).

Income: $863 per year

Population under the age of 15 years: 43%

Religion: Muslim 85%, Christian 8% and Indigenous Beliefs 7%

Prayer Request: For those we can help to hear about and to attend our upcoming surgical screening – to be held on Monday 3rd of September. We will use the People’s Palace, a three-story building that should provide good protection from rain (as they are in the rainy season) or sun during the day. All of us crew (both medical and non-medical) will be involved in this event as well as more than 100 local day workers who are essential in the translation process. I will work as the gate keeper at the main gate to the compound. Set up and around the clock security will begin the afternoon prior. We are anticipating crowds of 3,000-5,000, and we will hold a secondary day of screening if necessary to attend to all those waiting for care. For those on Facebook I will post a reminder as the date gets closer. We have already conducted remote surgical screening in ten locations as you can see from the map that the country is large.

Serving Together, Keith

KRB Update #2178 – Training

Keith R. Brinkman
June 14, 2012

Greetings from Lomé, Togo, for one last time. One of the things I hear often when doing assessment or talking with governmental officials is that they wish to have more training for their health care professionals. One difficulty here in West Africa is that if nationals go abroad to study many times they never return home to serve. So if Mercy Ships is able to provide hands-on training and mentoring on board, the health care professionals do not leave their home country.

One success has been with our eye project. In 2010 when we were here in Togo, our ophthalmic surgeon Dr. Glenn Strauss accepted Dr. Abram Wodome for a three month fellowship in eye surgery. This year, it was Dr. Abram who trained three Togolese eye surgeons. He also received some additional training related to pediatric cases with Dr. Glenn in May.

One of our international board members, Dr. Keith Thomson, has a passion to conduct workshops/conferences in anaesthesia for the professionals of our host nations. For the last several years, I have had the responsibility to assist in facilitating the conferences on behalf of Mercy Ships. Here at the largest government and university hospital, CHU, we had 139 anaesthesists, nurse technicians, and midwives with a focus on obstetrics anaesthesia and maternal health. The Ministry of Health brought in their people from all over the nation. They also trained on the WHO Safe Surgery Checklist. Pray that what they have learned will be applied to save lives of women and children in particular.

Prayer Requests: 1) For each of the participants who received training and mentoring, to apply what they learned and share with others 2) Health for all of our patients 3) Our patients’ transition back into their communities and families 4) Our sail from Togo to the Canary Islands and the shipyard and technical work.

While visiting the largest hospital in Togo – CHU with some of our anaesthesia team members, we were asked if we wish to observe a c-section.  We agreed.  The mother came in and was so extended, they thought maybe twins, though as the deliveries happened – the doctor raised 3 fingers – triplets.  Not a very common occurance at the hospital.  This was my first c-section to observe and then to have three healthy babies – what an amazing time.  The parents – Koamivi and Amivi are doing well.  She gave birth and named their children:  Elohne. 2.8 kg.    Erine 2.7 kg.    Eric 2.7 kg.