KRB News 2011

KRB News
Keith R. Brinkman serving with Mercy Ships on the Africa Mercy
September 2011

Greetings from Africa to my family and friends in locations all around the world. Growing up on the West side of Indianapolis, Indiana, I would not have dreamed that I would be living in Africa today. I am thankful to each one of you for your impact and influence on my life.
Since my last newsletter, I spent time in Liberia, Togo, South Africa, Guinea and now in Sierra Leone. I was invited to return to Liberia as part of the evaluation team in April ’10. We met with our many partners – in the government, the church, the NGOs, former crew members, day workers and friends there. Much time was spent conducting the evaluation on the two medical clinics and the training projects – community health, agriculture, water and sanitation, mental health, HIV and church leaders. There were times at the end of the day that I felt encouraged, and then other times I felt somewhat discouraged due to the lack of change.

Following a short time back on the ship, I went to serve for nine weeks on the Advance Team in South Africa. Then from September to January the ship was in South Africa. Our primary focus was the generator replacement project, and other critical technical projects needed to be able to more fully utilize the ship for the next twenty years (in particular all the operating rooms and hospital wards). At the same time, I assisted with some of our projects; dental clinic and training with the Department of Health, mental health training with several church associations, and the Mercy Vision eye project. I am excited for this year; a new country. I am not going to live with regrets like last year – I am involved with our patients in the hospital, with the kids in the orphanage and with our local day workers. Though there are many patient stories, I have selected one; the transformed life of Tamba Komba. Born with bilateral club feet in a remote village in the district of Kono, Sierra Leone, Tamba Komba has had some major challenges in his life. He is currently 13 years old, and from March to August he was with us onboard the Africa Mercy and at the HOPE Center. He grew up in a village until the time of the death of his grandmother, and then they moved to the capitol of the district – Koidu. His mother is a Muslim and his father is a Christian and he has three brothers and two sisters. His name Tamba signifies that he is the second born son.

Tamba was born with the birth defect of two club feet – completely backwards. He learned to walk ‘small-small’, as they say here, but it was difficult. A time came when Tamba’s parents heard that a white ship was coming and maybe they would be able to assist their son with the problems with his feet. They made the day long journey to the capitol, though were disappointed when the Mercy Ships crew shared that he was too young for surgery. They would have to wait for another ten years before surgery would be possible.

He remembers that when he was about 9 years old, he felt different than the other boys, and some of the children would provoke him and he felt bad and angry. He only knew of one other smaller boy who also had the same problem of club feet.

He attended primary school after they moved to Koidu. His teachers were kind to him. His walk to school was about a kilometer. It was difficult and took a long time to get there. He learned English in school. Currently, he is in class six.

In January of this year, they were excited when they heard the announcements on the radio in their local language and came with high expectation to the government hospital for the possibility of being registered with Mercy Ships. Tamba didn’t really feel anything at this time, though that changed as he came to the ship. At first, he was scared to come, as he was not sure what would happen and was somewhat quiet. Though, after meeting the nurses and other crew members, and watching as others went for surgery and returned to the wards, his thinking changed. The Orthopaedic Team used the Ponseti casting method to assist in the initial corrections of his feet.

He enjoyed the opportunities to go up to Deck 7 and be outside and to play there – to watch movies in the hospital wards like Madagascar 2 and the song ‘I like to move it’. During his early days in the hospital wards, I met Tamba and visited him and the other orthopaedic patients almost every day.

The time came for Tamba to receive surgery to finish the correction of his club feet. He was excited but also a bit nervous. Through a sign up system, the crew can register to view surgeries in the operating rooms. I didn’t know when his surgery would be, but with a desire to be there for his surgery¸ I asked for special permission and it was granted. It was absolutely amazing to be there to pray and watch two highly experienced surgeons and OR staff do the life-changing surgery for Tamba. Each surgeon operated on a leg in order to move it into the right direction for the first time in his life. At times, I would hear noises and thought ‘oh that has to hurt’ but he was well taken care of. In all, the time in the OR was about four hours. Towards the end, it was time to plaster cast both legs. Dr. Frank asked if I would put on gloves and assist with the plastering of his right leg – see photo. He was there to make sure I followed the correct procedures. Once in the recovery room, I stayed with him and spoke to him as he was waking up. Later, he said he remembers seeing me ‘small small’.

Due to the inability in the first surgery to get the correct angle, Tamba underwent a second surgery to finish the adjustments. Tamba continued to receive outpatient care and physical therapy while he was at the HOPE Center – just a ten minute walk from the ship at Water Quay.
Tamba was excited and returned home to Koidu to wonderful celebration of his family and friends, as he is walking by himself correctly. He looks forward to returning to school. He wants to continue his education and to get a good job – maybe even one using computers. After feeling much shame, Tamba will return all OK. His only regret is that Dr. Frank shared “Tamba, you need to wait for 3 years before playing football/soccer.” His physical body is restored, emotional life strengthened, and he has new input into his spiritual life; a life transformed.

This is a story of one of thousands of patients this year, and one of dozens of patients with whom I have established relationship. I will continue to pray for and, as much as possible, stay in contact with them. As I serve as Programs Administrator here onboard now for over five years, sometimes the number of reports, projects, statistics, finances and other responsibilities can be overwhelming, I am so encouraged when I see lives transformed. I feel my time with the patients is such a vital part of my ministry, and that is why I desire to share this story with you all. I pray that as you read this letter, you know that you are also a part of Tamba’s life with your prayers, encouragement and financial support. Thank you.

Currently the Africa Mercy is in Freetown, Sierra Leone till December 8th, then to Tema, Ghana over Christmas and then to Lomé, Togo from January 5 – June 15, 2012. For August 2012 – June 2013 in Conakry, Guinea.Serving Together,

Mailing Address: Keith R Brinkman, Mercy Ships, P.O. Box 2020, Lindale, Texas, 75771 U.S.A.

Patient Visitation on board the Africa Mercy is great – the hospital is just down the hallway from the office and one deck below from my cabin. With the children, we have a great time up on deck 7 getting some fresh air and playing on the ride-on-toys (yes even for those with casts on they want to ride). Those visits are some of my great highlights. I truly miss them when they are preparing to return home.

Email Addresses: [email protected] & [email protected]
Telephone: +1-954-538-6110 Office #1103 & Cabin #4236

Ongoing Prayer Requests – Health, our Patients health and their recovery, Safety, Traveling Mercies, Wisdom, Guidance, Divine Opportunities, Understanding of the culture, Learning of the languages, the Opportunities to be His hands and feet extendedPersonal Web Site:

www.KeithBrinkman.com

KRB Update – Food for Life

KRB Update #2170 Food for Life Keith R. Brinkman Sierra Leone September 12, 2011

Greetings from Sierra Leone, West Africa.

As we did on the Caribbean Mercy, there are many projects and activities off the ship. One I would like to share with you about is the Food for Life – Agriculture Training. The goal of this project is to increase capacity of local organizations to contribute to improved nutrition and farming incomes for farmers by training in holistic agriculture concepts and organic farming methods. Four local organizations participated: Heifer Sierra Leone, Hope of Glory, City of Rest and Sierra Canadian Humanitarian & Development Organization. Sixteen participants from these groups were involved in the training over four months.

Their training started with a Bible study, then lecture and practical application. Jean Claude from Congo Brazzaville was our agriculture facilitator. He has a passion for training others. I have watched him sharing from Genesis in the Bible with the participants to going out and getting his hands dirty in the earth in practical demonstration.

Bambay Sawaneh joined the program with his wife and baby despite a physical disability he suffered during the war. Rebel soldiers chopped off both his hands. A compassionate nun arranged for him to have a surgery that split the stubs of his arms to allow him to grasp things. Without that surgery, farming would have been impossible. His dedication to farming comes from a family history in agriculture. In comparing the Food for Life methods with the traditional ones, he said, “Through this form of training, I came to learn that we have been wasting our time and wasting our energy. It’s like we’re working like an elephant and eat like ant…We destroyed everything out of ignorance.” If you would like to read more of his story, please let me know and I will send you the whole article.

On July 9th, it was graduation day to celebrate with their completion of the course. I had the privilege to be the MC for our gathering as we honor these participants in their achievement. At the same time, reminding them that they have been trained to be trainers (the Training of Trainers – TOT method). The Mercy Ships Food for Life Graduation Ceremony symbolically marked a new beginning, bright with hope for the future. In a country suffering a shortage of food and high import prices, there must be a radical change in food production. The Food for Life Program has the potential to develop the nation agriculturally as the trainees become trainers in their communities. In Victor Tamba’s words: “God gave this to me. I never dreamed of it. Now I’m an agriculturist. I know my future will be very good now. I can never, never forget it!”

Prayer Requests: **Application of the biblical principles and agriculture principles they have learned to be shared with others in this nation. ** For the follow up taking place now with the new trainers.

Serving Together,
Keith

Email: [email protected] www.KeithBrinkman.com

Mail: Keith R. Brinkman, Mercy Ships, P.O. Box 2020, Lindale, TX 75771 USA

Schedule: Sierra Leone Field Service February 27 – December 8, 2011

KRB Update #2169 Kalimu

Keith R. Brinkman Sierra Leone August 27, 2011

Greetings from Sierra Leone, West Africa. Please allow me to introduce you to a new friend (mi padi in the local language) and one of our patients – Kalimu from the area of Kenema.

Kalimu was born with a cleft lip (hole or gap) on the left hand side. Cleft lips are a congenital deformity / birth defect common all around the world. In the developed world, surgery is readily available and done around two months after birth. In Sierra Leone and most of western Africa, surgery is not readily available.

His granny heard that Mercy Ships was screening for potential patients in January at their local government hospital. She brought the boy from the village and he was screened and scheduled for surgery in August. She waited patiently and when it was close to August, she asked the boy’s parents if he could live with her for the time of Ramadan (on the Islamic calendar for the entire month of August). When the time came, Kalimu traveled with granny to Freetown (5 hours away).

I first met Kalimu at the HOPE Center where he was staying before his surgery onboard. He was quiet and kept to himself even when invited to join the others kids and me. Though by day three, he came up and stood next to me and later sat on my lap and feel asleep – so either he was tired or he trusted me. Wednesday came as the day of admission to the hospital onboard. I visited him that evening in Ward D and we played with some toys together. When I returned to my cabin that evening, I thought ‘it would be great to be able to observe his surgery as I haven’t seen a cleft surgery and I have been here more than five years’. In the morning, I contacted the operating room supervisor and she checked with the surgeon and he was fine with me observing. For over an hour, I watched intently and prayed continually as Dr. Gary performed his surgery. It was amazing to watch the physical transformation for Kalimu. I waited with him in the recovery room as he woke up. When we brought him to his bed in the ward, his granny saw him and clapped her hands and ‘shaked’ her body in joy for her grandson.

During the time onboard, I visited Kalimu daily. He enjoyed going to Deck 7 (our outside deck) and playing on the ride-on toys there, something he has never seen before. When Kalimu was sent to the HOPE Center, I visited with him and his granny with a translator as they only speak the mende language. Granny shared that he is a ‘closed’ boy – quiet and reserved. I shared that when I was his age, I was shy and only had a few friends and kept to myself a lot. I learned that Kalimu lives with his parents in a village and they felt when he was born ‘that is how Allah made him’ and would not do anything to change it. Yet his granny also a Muslim felt differently. I asked her how his parents will feel when they see Kalimu – not knowing if they would be upset, messing with Allah’s will or gladi (happy) that their boy is healed. She said they will be gladi. I would love to be there when granny takes Kalimu to the village for the first time after Ramadan. She has already enrolled him in school in town and even though they are Muslim, she has him in a Christian school due to the quality of education.

Prayer Request: Kalimu’s life, reintegration into society, his physical, spiritual and emotional health – and for all of our patients

Serving Together, Keith Email: [email protected] www.KeithBrinkman.com

Mail: Keith R. Brinkman, Mercy Ships, P.O. Box 2020, Lindale, TX 75771 USA

Schedule: Sierra Leone Field Service February 27 – December 8, 2011

Dr. Bud McKinney

I am remembering a friend of almost 20 years and a former crew member (from the Anastasis, Good Samaritan, and Caribbean Mercy) – Dr. Curtis ‘Bud’ McKinney who went to be with the Lord on Saturday, July 30th. He died peacefully in the night of congestive heart failture. His wife Jean shared that they will have a little memorial service on September 9th in Portland, Oregon. I am remembering the many outreaches, advance work in Astoria, and many wonderful experiences and adventures with him in South America and Central America.

Tamba’s exercises

Tamba Alie Junior comes from Koidu in Kono district of Sierra Leone. I have known him since he first arrived. He had burn contractures at the age of 2 because he put his hand in boiling water. The plastic surgeon did his surgeon and he is in teh recovery and exercise stage. In this photo you see the creative ways for our young patients to engage in therapy excercises. We still pray for the complete healing of his hand and the area on his leg for the skin graft.

John Kunhateh at therapy

John was one of the first patients I meet in Sierra Leone – as he grabbed my hand and took me for a walk in the hospital. He comes from Kenema and arrived on board March 14 and spent 4 months with us.
He had major orthopaedic problems with his legs – though now he standing tall and walking. He has returned home and we heard via phone that he is doing really well.

KRB Update – HOPE Center

KRB Update #2168 HOPECenter
Keith R. Brinkman Sierra Leone June 23, 2011

Greetings from Sierra Leone, West Africa. When Mercy Ships arrives in a country, potential patient screenings are organized at various locations (in the port city and upcountry) and dates throughout the country. For Sierra Leone, the upcountry screenings were done in January by a team of ten at five provincial governmental hospitals – Koidu, Kenema, Bo, Makeni and Kabala. Patients who are near the port area can easily travel to the ship; others that live farther away typically have greater travel obstacles, which hinder their ability to travel to the ship and they may be ones with greater needs. To help alleviate our crunch with ward beds and to care for those from outside the port city, Mercy Ships developed the HOPE Center concept to provide housing for patients and caregivers (usually for those patients 15 years of age or younger) in a secure location near the ship. This was started during our field service in Cotonou, Benin in ’09.

Pre-operative patients typically arrive at the HOPECenter a couple days prior to surgery. While at the Center, patients and caregiver are provided with nutritious meals, strengthening the patient for the upcoming surgery. Both have their own mattress and are protected by mosquito nets to prevent malaria. After the patient has transferred to the ship, they will have their surgery on the ship and their time of recovery in the Hospital wards. There comes the time when the intensive, around the clock care, is not always needed. It is at this time for those who live far away, they can move to the nearby HOPECenter. Importantly, the Center frees up precious bed space in the hospital ward on the ship. In the past, many individuals requiring outpatient care had to stay in the ward because it was not possible for them to travel to and from the ship and home. If a bed is being used by a patient requiring minimal care, that bed is unavailable for a new surgical candidate.

In Sierra Leone, our amazing Advance Team was able to secure a portion of the Seafarer’s Club, located next to the port, to use as the HOPECenter. Renovations were made and now the Center has a capacity of 40 patient beds and 40 caregiver beds – though we have purchased extra 20 mattresses as sometimes our numbers have been closer to 100 at the Center. Some of our crew coordinate the activities there along with a great group of local dayvolunteers. We offer Community Health teaching on Tuesdays, Wednesdays and Fridays afternoons on various subjects.

I greatly appreciate at how close the HOPE Center is located as it gives me the opportunity to take the 10 minute walk – just out the gate, up the hill a bit and then to the right into the compound. I go regularly if not daily and visit with some of the patients that I have established relationships with while they have been on the ship in the Hospital. We talk and visit together, see how they are, play games, break up little fights with the boys, sing and just deepen relationship together. If, I took the time to list the various ones and about their lives and circumstances, this update would be way too long. I have connected well with many of our patients from Koidu which is in the district of Kono and far from Freetown. While visiting those that I know, I have met others who are yet to come to the ship for their surgery. With them, I share that “I will see you when you are on board”.

Prayer Requests: ** Health (not just physical, but also emotional and spiritual health) for our patients at the HOPECenter as they recover and prepare to return to their homes. ** For the surgeons we need as we have weeks without a general surgeon – and we have many patients on waiting lists.

Serving Together, Keith Email: [email protected] www.KeithBrinkman.com

Mail: Keith R. Brinkman, Mercy Ships,

P.O. Box 2020, Lindale, TX 75771USA

Schedule: Sierra Leone Field Service February 27 – December 8, 2011

KRB Update #2167 Hosting the President & Vice President of the nation of Sierra Leone

Keith R. Brinkman
Hosting the President & Vice President
June 9, 2011

After receiving notification of their acceptance of our invitation for a visit to the Africa Mercy, my mind started to race. As for this special event, the Managing Director asked me to be the Protocol Officer. I wasn’t the first choice as others have more experience than I do in West Africa. In the past, I have been involved in various ways for these VIP events. So I recalled aspects of our past successes and lessons learned.

Though in this case my focus was more on the areas related to protocol: seating arrangement, invited guests, the receiving line, how much time they will have for the visit, connection with patients in the hospital, presentation of the gift, length of time for him to respond, tour route options, refreshment preferences, salutations/titles, assist those giving speeches with important information, etc.. We all worked well together here on board – what a team! I am very grateful for the assistance of State Chief of Protocol for His Excellency, Mr. Kpukumu. He was friendly and helpful, answering my questions, reviewing our proposed agenda and offering input and suggestions. I wasn’t sure if their protocol and security would allow both the President and the Vice President to visit at the same time, but it does and they thought that would be good for them and good for us at the same time.

We extended a special invitation to a former maxillofacial patient named Hawa from Sierra Leone to come and to hand the flowers to the President as he exited his vehicle. During the speech by our Chief Medical Officer in our International Lounge, he shared more of Hawa’s story including pre- and post-operative photos and she was invited to the front to greet the President and the Vice President.

After doing research about both men, I learned that the Vice President comes from Kono district and the President from the Makeni area. I had the thought that it would be great and more personal for them to meet patients from their home town areas. Working with the charge nurses, we approached the caregivers and patients to ensure they were ok with our plan and all were. How cool to meet the leaders of your nation! Though, some were a little shy with the large party coming in all at the same time.

When the time came for the President’s response, he came to the podium and it appears laid his written speech to the side and just spoke from his heart and what he felt coming on board and seeing the patients and all. We are very grateful as the President is the one who through the protocol invited us to his nation.
The big event took place on Friday, May 27th a couple hours later than planned, but they were at the State House conducting affairs of the government. It was a success and involved dozens of people from all departments on the ship doing their part and from the staff of the President and Vice President. Their visit coincided with our International Board of Director’s annual meeting on board, though regretfully not all of the board members arrived in time for the event, some were en route as the event took place. Though, we were able to involve the International Board Members in the receiving line, official welcomes and a time of refreshments with the President at the end. I am grateful that all went well.

Prayer Request: For the nation and the people of Sierra Leone.

Serving Together,

Keith
Email:
[email protected] www.KeithBrinkman.com

Mail: Keith R. Brinkman, Mercy Ships,

P.O. Box 2020, Lindale, TX 75771USA

Schedule: Sierra Leone Field Service February 27 – December 8, 2011