We have never run out!
Although sometimes it seems that everyone here in our villages is HIV positive, it's not always the case of course. But the truth is that the vast majority of the very sick who my students and I visit do indeed have AIDS. And so it almost catches us off guard if someone who is very sick turns out to not be HIV positive! My friend Mzee Filipatale is one of those folks. Two years ago, he showed up at my door to show me a bullet-size hole in his shin. He had used all of his money over the course of a half a year, selling just about everything he had, trying to get this wound to heal. And finally he came to our house saying that he didn't know what to do anymore. And so for the last nearly 24 months, we have sent him to various hospitals in search of someone who could cure him, always without success. For months now we have been going, or we have been sending someone to go to his house every day to change his dressings. Dear, sweet, very old man. In December while I was in America he had a skin graft done by a European doctor who used Godfrey's living room as a makeshift hospital. And then Godfrey and his wife had Mzee Filipatale stay in their home for three days as he recovered. When I got that news in America I couldn't wait to get back to see my friend and his skin graft! I was full of hope that by the time I got home from America that it would all be healed. My joy just turned to utter grief when I was told that the skin patch had fallen off a few days after it had been set. When I went that day to his house, the wound had doubled in width and doubled in depth. As I unwound his bandage, the smell of decaying, putrid flesh slammed me in the stomach. After three months in the States, the realities of life here had caught me off guard. But since that day we have been back to tending his wounds, and the wounds of our other friends. We still don’t have an answer for Mzee Filipatale and perhaps we never will. But I'm not responsible for finding an answer to his suffering, but I am responsible for showing him love and concern and for caring for him -- and that is what I want him his family and his neighbors and my students to see.
Hideous wounds are even more commonly found in my HIV+ friends. The key to living a good life with AIDS is getting tested early, following the rules, and taking the medicine faithfully. If people mess up at any point, the consequences are grave. One of the nastiest of consequences is Kaposi Sarcoma, a skin cancer that affects so many of our friends here. The black spots on the skin initially look benign. Eventually those spots take on different forms: some of them just look like large black spots, other spots turn into holes, other manifestations are the grotesque swelling of hands or feet that eventually fester and open up into crater type wounds. Slowly but surely Kaposi Sarcoma takes over the person’s body. But if we catch it early enough, even this horrible cancer is so very treatable, and that's why I impress upon my students that it's so important to be out visiting people in their homes and to be on the watch for it. The people in these villages don't know what it is, and even if they did know, they wouldn't know where to go until it would be too late. One of our friends who is so blessed is 25 year old Skola. Her mother accompanied her here to my house the moment she learned that her daughter had AIDS and Kaposi Sarcoma. We were so thankful that we were able to get her documents signed quickly with a medical referral so she could get into the cancer treatment program at the Muhimbili Cancer Center in Dar es Salaam. We helped her make three or four trips all the way to Dar, and now the black spots have healed and she has her old bouncy personality back. She is even learning how to sew! But others of my friends aren't so fortunate. Jeska is one of those. She is only 19 years old. Last year, her hand was swollen as though someone had pumped up her hand with air to four times the normal size leaving her incapacitated. Now it is moving into her feet, swelling them up and splitting them open, leaving huge infected wounds. And with all of this, fungus takes over between the swollen infected toes. Even her legs are starting to get holes. We are so blessed though that Dr. Leena comes every few weeks, leaving all of her work at the hospital, to come spend a few days traveling around with me to visit those people who would never get to a hospital. How wonderful to have a dear doctor, a real missionary, who will give of herself to travel around with me and make so many "house calls", to advise us on how to better care for our friends who have no where to go and who would be totally without help. Jeska is on the ARVs, but although I want to hope that it is not so, often I fear that she got on the drugs way too late. AIDS doesn't actually kill a person -- but it opens the door to so many infections and cancers that left unchecked the body is simply overwhelmed and overpowered. Young, lovely Jeska -- my friend -- a dear, young woman, who never learned to read or write, who doesn't know what a virus is, she probably has only has a few months left. What she knows though is that we will not leave her. We'll do everything to keep her as comfortable as possible.
I wish I could tell all of you who help us with your prayers and who give so generously month after month that every story here "had a happy ending", that all of my friends lived, that we had figured out a way to keep every last one of the babies from getting HIV, that we got to everyone in time, that everyone healed up and got stronger, that all of my friends found peace with God, that no one was hungry anymore, that everyone's wounds were healed. It isn't that way. But still I thank you for helping make it possible for us to comfort those who are dying, to ease their pain, to show them love right up to the end and to help them, even to be able to do the little things like keep them warm in this bitter cold here. I thank you too for the medicines that enable us to help so many. I thank you that we have our busses and that those who would never dream of having enough money to ride on a bus can ride freely to that hospital where they get he medicines that enable many of them to live. Do you know how wonderful it is to have baby formula so that there is hope that we can keep some of the babies from getting HIV from their mothers? How different things are from a few years ago when the situation seemed to everyone to be so lacking in hope. What God has done through all of this is to create a true feeling of hope. And more and more people are coming to see that it has to be God who has done this. And what I know is that it is God who has done this through you, my friends and my family. Those of you who prayed that God would send us a doctor -- well God sent Dr. Leena who is far beyond any normal doctor. Those of you who prayed that we'd be able to somehow get my friends to the hospital -- well God sent us not just one bus, but two busses. Those of you who prayed that God would give strength when we are weary -- well God has turned us into a team of people here, my dear Sarah, wonderful Veronica, my many students -- so that as huge as the burden grows, He makes the burden light by giving us many hands and hearts and feet to help bear it together. And to those of you who give of your treasure, my cabinet overflows with medicines, we have blankets, mattresses, there is always diesel fuel for the busses, New Testaments to share, food for the desperately hungry. Since we have begun, we have never run out. Can you believe that? We have never run out! How wonderful. May God bless all of you for all of this. I do thank you.
In His service,
Susan


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