. . is the title of a rather disappointing book. The best thing about it is the title, actually.
. . is the title of a rather disappointing book. The best thing about it is the title, actually. I was disturbed by several things, watching. First, that the blame was put solely on the girls. It was their fault that they ended up pregnant, and then dead. OK there is value in emphasizing that we are human actors with responsibility, that our actions have consequences, that we have choices. But the unilateral nature of the blame was unfair, particularly since girls this age are almost exclusively preyed upon by older men. Secondly, the young girl playing the mother who gave the abortive drugs . . . is my neighbor, whom I help with fees, whose older sister was abused by a teacher two years ago, was pregnant, had an abortion, and then went through severe depression. It is heart-breaking to watch kids act out a drama that is so close to their real life, while the audience hoots and laughs (which I know is nervous laughter, but still). Lastly, that the drama ended without hope, in tragedy.
The next day, I was looking through the records of a 2 year old boy on the ward. The teenage young woman caring for him was wearing the very same type of scarf that the girls in the play had worn. Which caught my attention, a symbol or pattern that may indicate God trying to communicate something. I thumbed back through his book and noted that he had been in our nutrition program as a motherless baby, and I had even noted how distraught his young "aunt" was when begging for help and claiming she could not breast feed him because she had her own baby at home. Without saying anything, I just started talking to the caretaker. She made no attempt to hide the fact that she was his real, biological mother. So this girl had totally lied to us two years ago, passing off her own child as her nephew (with a letter from her LC1 to prove it). Something about the scarf though reminded me: if I don't want others to blame the victim, then I shouldn't either. So we talked some more. Two years ago she had been a primary grade 6 student at Bundimulinga, our local school. The father of the baby never married her, he is a trader of some sort in Nyahuka (if we can believe her now . . . ). She dropped out of school, but still lives with her parents. Her child looks great, but here she is, unmarried, raising a child, never finished primary school. Yes, she made poor choices and later she lied to get the help she thought she needed. But she's a victim, too, of some man's desire, of poor parental supervision, of irresponsible adults, of an interrupted childhood, of grasping for a life she though would be good but turned out to be a lie.
In the garden God calls Adam, Eve, and Satan all to account. There are consequences, banishment, struggle, sorrow. But ultimately only Satan will be crushed, and the cost will be borne on the wounded heel of the awaited One, so that Eve can re-enter Paradise. What wounds are we called to bear to pull the teenage girls of Bundibugyo back to life?
Today Scott took off for Kenya via Kampala, to see the boys play in a soccer tournament this weekend, a joint early birthday present from all our parents. Which meant that someone had to fill his place as the Chief Guest at a day-long Parents' Day and Graduation Party for the Parental Care Primary school, which is directly across the road from the mission. Strangely enough, no one wanted to . . . so it fell to me. Here the kids are processing into the Community Center (their school is down the hill in the background). This primary school had the best PLE scores in the district last year, and is hopeful to repeat their performance this year. It's a brand new school, 340 students crammed into a small mud-crumbly compound. But they seem to be doing some things right. We're prayed for years about primary schools in Bundibugyo. This might be one of the answers.
It isn't every day that we have a "marching band". The first couple of hours of this event consisted of a church service, complete with songs, robes, readings, communion. At that early point in the day I felt that community glow: this is precisely Paul's vision for this community center, and Sam Gray would have been happy to see the building full of kids and parents, the Gospel being preached, a major event in which we as missionaries were cheerleading from the sidelines only. Many of the parents are people we know well. I was blessed to participate, except for my initial seating inches in front of massive blaring speakers tortured by too-close microphone holding.
But then the hours went on. And on. I had originally attempted to cut a deal with Ashley: she didn't want to speak, and I said I had no problem speaking, but I didn't want to sit there all day. So she would sit and I would waltz in at the right moment to speak . . . But the event started hours before she was out of school, and by the time she showed up I had been ushered to the front-and-center stage and referred to umpteen times as "Madame Chief Guest" so I was stuck. And as I looked out at the sea of faces above (500?) I was getting more and more nervous about speaking.
Notice the chalk board: my speech is #12 of 13 agenda items, and little half-hour extras like the traditional Bakonjo "kikubba" (chest) dance pictured here were not even considered worth writing up. Choirs, a soap-opera like drama, political representatives, multiple levels of school administration all spoke. And there was almost no English used all day, which meant I had to really work to stay alert and figure out what was going on since at many random moments people would refer to me or ask me something . . .
Let us say that by 5 pm, the event which started at 10 am was still going full blast. When I finally got the microphone, I realized it was so late and so long that no one was particularly going to catch my "sermon" points: that parental care involves provision, sacrifice, and unending commitment, which led into the parallel that God's parental care for us is the same. So instead of just talking, I told a story of a parent who was the youngest of 15, who worked hard to provide for his children and pay school fees . . who of course turned out to be my dad. I would not be here as a doctor speaking in front of 500 Africans unless he had provided and sacrificed and stayed faithful. I hope it was an encouragement to the parents, and pointed people to God.
In the end I realized that my words were minor, compared to just sitting through the day. I wanted to avoid the day-long commitment and just preach. However, what was heard was my presence. No avoiding the sacrifice needed to just listen, clap, smile, encourage, and be present.
I've noticed recently, though, that there is an alternative top-up going on. By my patients' beds I've started seeing bottles of Top Up ketchup. This is NOT HEINZ, shall we say. I'm not sure any real tomatoes are involved. It is a gelatinous goo, a cancer-causing red color, and sweet. But to the very concrete-reasoning patient population, what looks like blood should be good for making blood, so I see moms spooning it into their kids. As if they needed another reason to vomit . .

One of our favorite patients, Aligonilla, has been topped up three times in the last three days, and yet today is still at only a hemoglobin of 4.4. He was barely alive at 3, but once he's over 4 he sits and colors, smiles, talks, plays. This is the child I alluded to in the gap in blood supply this weekend, when he looked like he could have died, and if he had done so he would have been the 6th or 7th child of his father to die, and the 2nd one in three weeks. We've been struggling for his life since he was born, he's been admitted numerous times, he can't possibly live a normal lifespan, but for now he's topped up and back from the brink of death, so we're all relieved.
And all in a day's work: diagnosed a new 4 year old child with AIDS today, her mother is an articulate lady who actually has a job and connections but out of fear had refused testing in pregnancy, but when we saw the girl, moderately malnourished with a chronic draining ear and huge patches of fungal infection on her skin, we sent her for her test, which was positive. That was balanced by another 4 year old whose mother had died . . the Grandmother was sure the child had AIDS too, and an initial test had been positive, but the confirmatory tests were all negative, so we just told her to go home and live a normal life and thank God. Then there was a lady 7 months pregnant with twins who walked 8 hours from across the border in Congo for an ultrasound with Scott: he was packing up to leave mid-day when she arrived, but once he heard the whole story he regretted feeling frustrated with her lateness! So many stories, these are only a few, that we feel over-the-top.
Need a bottle of Top-Up, perhaps, for energy and faith!





Monday, the launch of a new week, feeling portentous after the rumbling introduction of Sunday's earthquake. On the cell phone with SIL (Wycliffe translation team) by 6:30 to confirm the lack of rain so that their early AIM-Air flight could land by 8 am. Several Americans and Ugandans stretched their legs and smiled tentatively as they climbed out of the the Caravan airplane, glad to be on the solid ground after the cloudy sky. We loaded up 3000 new copies of Acts in Lubwisi and with Pat transported the team to their first venue. There is a translation consultant here for two weeks to check the book of Romans: like our CSB consultants this summer, a mature Ugandan man, not a foreign missionary, who will go chapter by chapter, verse by verse, through the book with our two translators. Also along for just the day, a literacy group following up on the use of an AIDS-prevention story booklet, and another group of Ugandans who will help develop a Lwamba orthography. Yes, the Lubwisi Bible still leaves out a significant minority of Lwamba speakers, so SIL is launching plans for a second translation project! We left all this in Pat's hands and saw patients for a couple of hours . . then back to the airstrip for the arrival of another flight, this one bringing the smiling faces of Dan and Karen Thrush. Dan is a Physician Assistant Student, and his wife is a marriage-and-family-counselor, and we hope they are both potential long-term Africa missionaries in the future . . at least if a few weeks with us does not discourage them too much. We left them in Nathan's capable care, the hospital in Scott Will and Heidi's hands, and then spent much of the rest of the day at the special welcome ceremony for the new Bishop of the Rwenzori Diocese for the Church of Uganda. This occurred in a a semi-outdoor all-day church service with singing and preaching and prayers. I know some of the theology becomes distorted as we hear it from the periphery . . but from the Bishop himself we heard a humble and Biblical message. In fact the theme of weakness came through again, as he said it was not his wisdom or power that enabled him to serve, but the power of Christ in him. And he challenged the assembled hundreds of people to respond to God's grace by presenting themselves, separating from sin, leading transformed lives, that demonstrate the Gospel (Rom 12:1,2). Probably 80% of the congregation stood and came forward for the altar call, which is frequent here as people respond en masse and feel compelled to do so multiple times. From there it was back to the airstrip to pick up the pilot who had spent the rest of the day in Sudan, some interactions with team mates, and dinner. Ran into CSB teachers who had been monitoring exams . . .Monday was also the first day of O-level exams, the all-important month-long 20-some papers of testing that students must complete to graduate from hight school. And our day ended when we heard our dog making strange choking noises about 10 pm, ran outside to find her straining at her chain because she was being attacked by biting ants. THOUSANDS AND THOUSANDS of them! All over our yard. Scott got out with industrial amounts of ant-killer and did battle. The Kingdom goes forward in outreach, translation, conversions, dedication, health care, schooling . . . but the ants remind us that we're still in enemy territory.