tag:blogger.com,1999:blog-288167182024-03-07T11:48:50.826+03:00Moments with MichelleMichelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.comBlogger274125tag:blogger.com,1999:blog-28816718.post-46365523253167037142019-03-08T13:35:00.000+03:002019-03-08T13:35:24.982+03:00Proud Mama!!<div class="separator" style="clear: both; text-align: center;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3g1FmzJCbdr3h8elYmQpEgnt1CCGhVdM2CZxhOyw8JkI9pGZIBkoJ4BRh3GysaWHlJDPLK1o8FIh59-sn37XOMlRNng_j1uo9SvvhapdIdmbZtlyeTT8FeJ0WZRDNrJAkO7YWCg/s1600/IMG_5250.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3g1FmzJCbdr3h8elYmQpEgnt1CCGhVdM2CZxhOyw8JkI9pGZIBkoJ4BRh3GysaWHlJDPLK1o8FIh59-sn37XOMlRNng_j1uo9SvvhapdIdmbZtlyeTT8FeJ0WZRDNrJAkO7YWCg/s200/IMG_5250.JPG" width="150" /></a>Before we were married, my husband asked me how I would feel about bringing children who were not our biological kids into our family. He told me that it was something on his heart. Fast forward a few years. William shared with me that there was a young man from our community who had just finished 8th grade. He had finished strong, in spite of enormous odds against him. This young man had great potential, but almost no resources to put that potential to work. He is the oldest son of a single-mother who battles severe mental illness. He needed help to get to high school.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLQthGEKzcO6WA6tpNP3V0vmgObo3J828pjFV-Cmflf34g4DAP3AfV4x3KXk_Vaj2vbLiGECLXQljbrHEuM0fX-b3hfMHrr22cxN9Z_l-HJEQYrATEN753R-EzoZsYtLZzr3UGmw/s1600/Jonah+with+Ryan+2013.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="480" data-original-width="640" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLQthGEKzcO6WA6tpNP3V0vmgObo3J828pjFV-Cmflf34g4DAP3AfV4x3KXk_Vaj2vbLiGECLXQljbrHEuM0fX-b3hfMHrr22cxN9Z_l-HJEQYrATEN753R-EzoZsYtLZzr3UGmw/s200/Jonah+with+Ryan+2013.jpg" width="200" /></a>And that day began our journey with Jonah. It's been more than nine-years since we started walking together. Jonah may not be the son of my blood, but he is certainly the son of my heart. Recently my biological son Ryan and I were chatting before he went to sleep. He was asking some questions about his birth. And then he asked "Mommy, did you give birth to Jonah? Because he's my brother." My heart melted. I explained that while I hadn't given birth to Jonah, he is absolutely Ryan's brother and a part of our family. God brought him to us. Jonah has been in Ryan's life since day one.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfz9YJBlBN5XyRNVHXkTzgDw9Es35nBiOXC-DXbNq_PnUhXNQ2n4qD4bjm1SR7DUpokbqU5spZvIXXycO0VXjzMe4DhYIBGss5ygo9Ofamgss1TpECOZfTg3nBKJkLBKWuN8MgWw/s1600/untitled-420.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1068" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfz9YJBlBN5XyRNVHXkTzgDw9Es35nBiOXC-DXbNq_PnUhXNQ2n4qD4bjm1SR7DUpokbqU5spZvIXXycO0VXjzMe4DhYIBGss5ygo9Ofamgss1TpECOZfTg3nBKJkLBKWuN8MgWw/s200/untitled-420.jpg" width="133" /></a>Over the years I've watched Jonah work hard to help make sure his younger siblings were safe and getting access to education. He takes his role as a big brother very seriously. He also has embraced Ryan has his younger brother. Beaded name bracelets are all the rage right now in our area. Someone had gifted me one last year. We recently had some made for one of our visiting teams. Unbeknownst to us, Jonah had one special ordered for Ryan, in just his size. He's has also helped Ryan transition from riding his two-wheeler bike on nice CA pavement, to riding here on the rough village roads. Their bond blesses my spirit.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGLLDCZBF1iOFV37ziIlcGty0FOhRH0U_1FrjQDCySYAixAKOMA4QyRt7L0eqa3Am0PCfvCLjwJn9GQoJaNG8B8_ka40c6HtN2JMyiHfUsU2HvHQmDI3AHHzQNWGz3xSc11IAYJA/s1600/untitled-429.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1600" data-original-width="1265" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGLLDCZBF1iOFV37ziIlcGty0FOhRH0U_1FrjQDCySYAixAKOMA4QyRt7L0eqa3Am0PCfvCLjwJn9GQoJaNG8B8_ka40c6HtN2JMyiHfUsU2HvHQmDI3AHHzQNWGz3xSc11IAYJA/s200/untitled-429.jpg" width="158" /></a>There have been a few other youths and children who the Lord has brought into our home for seasons. And I don't doubt that there will be more to come in the future. I feel thankful that the Lord has given us more than just a season with Jonah. It's been an honor to walk with him for almost a decade now.<br />
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Today is a really big day for Jonah. He is graduating with a bachelor's degree in public health. My mama heart is bursting with pride. Congratulations Jonah! William, Ryan and I could not be more proud!<br />
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Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-47178581642773902022015-01-16T22:36:00.001+03:002015-01-16T22:36:11.058+03:00Mzungu MusingsWell it's been pretty much ages since I've been over here on the personal blog. These days I do most of my writing on the official <a href="http://www.hopemattersintl.org/blog" target="_blank">Hope Matters blog</a>. But after an incredibly full and somewhat difficult day today I was putting some thoughts down as I processed my day. I thought I would go ahead and share them here.<br />
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Traffic was nasty heading back out of town. But I decided to crank up the music in the Toyota Land Cruiser and drive like a Kenyan. I’ve discovered that the more years one is here, the more erratic the driving becomes. Meaning, you drive like a local. I have a few other mzungu (white) friends who definitely drive 100% like Kenyans. I’m afraid that if you give me another year I might be there myself. I’m getting much closer these days and definitely have my moments.<br />
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As the traffic finally started breaking up a bit, I had the music cranked up, and was singing and moving along. This crazy, mzungu, lady, driver just owning the lousy diversion, dirt, roads. And as I realized I was owning the roads I just took it in. Here I am in Africa. In AFRICA. Yes I’m in m eighth year of living here full time now, but sometimes it just hits me afresh. I really live in Africa. I drive in Africa. I shop for my groceries here. I do my business here. I live my life here. I’m not just here on a sight-seeing trip. I’m not here to hand out some medicines and bandaids or hold a come-to-Jesus meeting and then go back home to a normal life in America. I. live. here.<br />
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I’m living my dream. In AFRICA! And I get to drive a 20-year-old beast of a vehicle over horrible roads, into the most gorgeous sunsets. I get to walk through dark, dark, dark twists and turns in life. I get to step into pain and suffering on a very regular basis. It is my privilege. It is my call. It is my obligation. It is why I breathe. Why I was created. To live and work and serve in Africa. And that’s why I do it. Because it’s what I was made for.<br />
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I’m not here to meet a quota. I’m not here to make someone else happy or proud of me. I’m not here to become famous. I’m certainly not here to become rich. I’m here to serve my Jesus. I’m here to live my very life’s purpose. I’m here to perhaps, just maybe, make a positive difference in someone’s life. I’m here to take up the responsibility to be Jesus with skin on. I fail yes. I fall down sometimes. More times than I would like actually. But I get back up. No, HE lifts me back up. He carries me when I am weak. And he has given me the incredible privilege of giving myself away to the people of this amazing and wonderful country of Kenya. May I never forget that truth....Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-21993770357971437542013-10-07T11:10:00.000+03:002013-10-07T11:10:59.529+03:00Exciting Changes<br />
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I can't believe I haven't posted here since January! We've had some big and exciting changes in our life. The biggest and most exciting one being the launch of <a href="http://www.hopemattersintl.org/" target="_blank">Hope Matters International</a>. My husband and I have founded a new non-profit ministry to advance medical and community development work in Africa. We are heading to the USA to launch the organization at Life Bible Fellowship Church in Upland CA on October 26th. We'd love to have you there. <br />
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Check out our<a href="https://www.facebook.com/HopeMattersIntl" target="_blank"> FB page</a> for more info on the new organization or contact us at office@hopemattersintl.org <br />
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Most of my posting these days is on our <a href="http://www.hopemattersintl.org/blog/" target="_blank">Hope Matters Blog</a>. I'll probably still check in here once in a while, but the majority of my ministry stories will be on the official ministry site. Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-20156729858025708632013-01-07T07:10:00.000+03:002013-01-07T07:10:15.801+03:00The Pain and The Privilege of My Calling<!--[if gte mso 9]><xml>
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I’m coming off of about five hours of restless sleep this
morning. A baby kept me up last night. But it wasn’t my baby. No. It was a baby
who had died in his mommy’s womb before I met either of them. I often find that
this blog becomes a place of therapy for my soul; somewhere where I can pour
out my heart during intense times like this. Therefore this will likely be a
longer post. So if you don’t feel like reading through to the end, no worries.
This morning I am writing for myself.</div>
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<br /></div>
<div class="MsoNormal">
Last night we were hosting a back-to-school party at my
house for the youth in our life. We also had a few American volunteers over for
supper just before the party. As I was feeding my son and the visitors were
fixing their plates, someone came running to my back door saying that there was
an emergency at the clinic and the nurse on call was asking me to come. I know
that this particular nurse is super-capable and if she was calling for my help
it was probably bad. </div>
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<br /></div>
<div class="MsoNormal">
She actually had three patients come in, in a very short
time. She was the only nurse on duty as it was after-hours. Two of the cases
she had under control, but one needed me to use my ultrasound skills. It was a
young, expectant couple who are not from our community. Just the two of them,
no support team of in-laws, friends etc. that you usually see during the birth
of a baby in our small community. The nurse explained to me that the mom was in
active labor, had been having pains for two days, and had not felt the baby
move since early morning. She couldn’t find a heartbeat with a Doppler so she
had already set up the ultrasound for me to use.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I am most certainly not a perinatologist, neither am I even
an OB/GYN doctor. I’m simply a nurse practitioner who has sought out some extra
training for times like this. And it did not take a specialist to see that this
full-term baby was not moving in the womb. I located the heart and did not see
any movement. I saw something that my non-specialist eyes felt was unusual. It
looked like there was a very wide aorta (blood vessel going away from the
heart, but I really wasn’t certain. Besides, the point was that the baby
appeared to have already died in the womb.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This couple was completely new to our clinic and had
received all of their prenatal care elsewhere. I stepped outside with the
clinic nurse, visiting nurse from America, and father of the baby. In times
like these you have to be so culturally sensitive even as you make medical judgments.
I shared with the father that I had some serious concerns about the baby; that
we would do everything we could but that I could not guarantee a positive
outcome. I asked him if he thought it was better for me to share this
information with the wife or to wait. We are in a rural location where getting
someone transferred for a c-section is a pretty big ordeal. I needed to know
that this mom could hold it together to deliver this baby so that her life was
not endangered. He told me that she is a very emotional woman and he felt it
would be better to wait and see the outcome before telling her our concerns. These
situations are always such a hard call. Whether or not I made the right
decision I do not know. But we did not tell the mom.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I recently read about a case in another place in Africa
where a woman was referred to a large medical center to deliver because the
smaller center had referred her for a fetal demise (same sort of case). In that
situation the baby was blue at birth and did not move so they put it to the
side and focused on mom. A few minutes later they went to move the baby’s body
and found it alive and moving. So I had resolved in my heart to hold on to hope
and do my best for this family.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It was not a particularly difficult delivery; her first
time, so of course not easy, but not particularly difficult from a medical
standpoint. The nurse and I decided that she would manage mom and I would
handle the baby. As the baby came through the birth canal I began to suction
and do all the things that I normally would during a delivery. But it looked
bad. I’ve done resuscitation on many babies, but this one was definitely beyond
resuscitation. I walked the baby away from the mom to another exam table. I
listened. No heartbeat. I attempted resuscitation for a few minutes all the
while knowing that the baby was already gone. I put my hands on the exam table
and leaned over this precious baby boy and asked God “What now?” I needed to know
that the mom was physically stable before going to see her with bad news. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The placenta came rather quickly and I knew it was time. I
knew that she already had to know something was wrong. I looked up to my
colleague and the visiting nurse and told them that I was going to talk to the
father and was coming. I shared the news with him. That I had tried, but that
the little boy was already with Jesus when he came out of his mommy. We went
back into the delivery room together and he wanted to hold the baby but was
afraid to at the same time. I helped him. We talked for a minute and then I
went to see the mom. She still needed post-partum care but I knew this
conversation could not wait any longer. I shared with her that her baby was not
breathing when he was born. That his heart was not beating. That I tried but I
could not get the baby to breathe or have a heartbeat. That her child was a boy
and that he had died. </div>
<div class="MsoNormal">
Oh the anguish. She whispered “My Baby..” in Swahili and
then began to thrash and scream. She shouted all of the normal questions that
really have no answers. “Why my baby? Why me? I was not prepared for this! I
want to die too..” I wrapped my arms around her and cried with her. In a moment
like that, there really is nothing more that one can do. My heart broke with
this family. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In my life I have had many pains. One of those pains
included losing an unborn child myself.<span style="mso-spacerun: yes;">
</span>I did not carry this child to term as this mommy did. I have no idea if
mine was a boy or a girl. But I do know the horror of having a doctor look you
in the eye and tell you that what you believed and all you had hoped for would
not be. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The passage in Second Corinthians, chapter 2 verses 3 to 4
comes to mind at a time like this. <i style="mso-bidi-font-style: normal;">“All
praise to the God and Father of our Lord Jesus Christ. He is the source of
every mercy and the God who comforts us. He comforts us in all our troubles so
that we can comfort others. When others are troubled, we will be able to give
them the same comfort God has given us.” (NLT) </i>I’ve always had mixed
feelings about this passage.<span style="mso-spacerun: yes;"> </span>I ask
myself why it is that any of us should need comfort in the first place? Why
this horrible, inexplicable, pain and suffering that some are asked to
endure?<span style="mso-spacerun: yes;"> </span>But in a moment like that moment
last night, I find great comfort in the fact that I can truly look these
parents in the eye and tell them “I know your pain. I know that it feels like
you will just die from it. I have been there. I’m so sorry.” </div>
<div class="MsoNormal">
The job of washing a little body whose soul has left is such
a terrible, painful thing. But I did it.<span style="mso-spacerun: yes;">
</span>I helped the mother hold her son as she told him goodbye while at the
same time hardly believing it could be possible. Her head to his forehead and
the tears falling unchecked. I prayed with the family. I asked that God would
be the God of all comfort and peace. That they would know His presence and have
the assurance that their baby is in the presence of God himself. I looked both
parents in the eye and said very clearly THIS IS NOT YOUR FAULT! I asked them
to comfort and hold each other as they walk through this unspeakable pain.</div>
<div class="MsoNormal">
As I left them, extremely early this morning, they were
discussing where they would bury their son. In this area you bury your loved
ones in your backyard. They had recently moved to the area and are renting a
small house about twenty minutes away.<span style="mso-spacerun: yes;">
</span>They don’t have their own property where they can lay their son to rest. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My short night was restless as I tossed and turned in my
bed. But when I came fully awake I was overwhelmed with thankfulness that I could
be there to weep with this family. That I have the honor and the privilege of
stepping into peoples lives during their most horrific and vulnerable times.
That God can use me as His instrument of peace during times of storms and
crises. </div>
<div class="MsoNormal">
<br /></div>
Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-30592569382726540692012-10-13T07:09:00.000+03:002012-10-13T07:09:17.811+03:00A Special Opportunity<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmCP3sOQ7I5io5C1_co2iSde-ZCU6q7T7rYK1LzIVfHvtOQRGHfaWlfWdZz5u1GlaOs4AxNGlsIOG-4IRu4CZ7e-upGuRu0ga5rNBNlAX0INSEyszc0Nn0ggQwJC3qwEj6hsJnPQ/s1600/IMG_0855.jpgb.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmCP3sOQ7I5io5C1_co2iSde-ZCU6q7T7rYK1LzIVfHvtOQRGHfaWlfWdZz5u1GlaOs4AxNGlsIOG-4IRu4CZ7e-upGuRu0ga5rNBNlAX0INSEyszc0Nn0ggQwJC3qwEj6hsJnPQ/s320/IMG_0855.jpgb.jpg" width="240" /></a></div>
<br />
As I continue to serve here in Kenya with Empowering Lives
International, it has been exciting to see God work to change and heal
both lives and hearts. Every now and then I meet a special individual
or community that has an urgent situation that brings me to my knees and
I feel compelled to reach out and share the story. This is now of those
times and I wanted to share with you about a special opportunity. I'd
like you to meet Karen, an eight-year-old Kenyan girl who loves going to
school and playing soccer with her friends. (Picture attached)
Unfortunately Karen can no longer play soccer and has a difficult time
getting to school and back. You see, Karen has a hole in her heart.
And it’s a pretty big hole. Without open-heart surgery she won’t make
it to adulthood let-alone finish school, or ever be able to play soccer
with her friends again. For the last month I've been praying for Karen
and trying to seek out opportunities to get her surgery.<br />
<br />
I recently learned that there is a special team of heart surgeons
coming to a mission hospital in Kenya to do just these sort of
surgeries. I've managed to get Karen's name on the list for an
evaluation which will happen just about two weeks from now. The team
will be returning to Kenya several times next year. So they will
evaluate all of the children needing heart surgery on this visit. Then
they will perform surgery for the kids who are deemed to be most
critical. They will return next year to perform surgery on the
remaining children. We aren't sure yet which group Karen will fall
into. But we do know that we need to raise approximately $3,500 to
cover transport, housing, and surgical, and hospitalization expenses.
This is an incredible opportunity as I had previously been quoted
$50,000 for the surgery.<br />
<br />
I would like to ask that you be praying for Karen and her family
during this time. Pray that the funds will be provided in enough time to
get her seen by this team of doctors. Pray for Karen to stay strong
until she can get her surgery. Pray for a total healing of her body.<br />
<br />
If you would like to partner in helping Karen to get her surgery
please click <a href="https://app.etapestry.com/hosted/EmpoweringLivesInternational/OnlineDonation.html" target="_blank">here </a>Once you get to the page you will click on "Ministries/Programs" and
choose “Kenya Health” from the drop down menu and then write in "Karen's
Medical Fund" in the comment section. All donations are tax-deductible.
Your contribution will go towards helping to save Karen's life and
giving her, her childhood back.<br />
<br />
Thanks for standing with Karen during this challenging time!<br />
<br />Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-34750101120368454382012-09-23T11:57:00.000+03:002012-09-23T11:57:24.710+03:00A God Moment<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQCUtTYQSkuJqA6CDIhTRfxa8wittOYuZw6yTdGtpf8gPu_fqTEIU6zAjOzt_8zOTuivNVFh8sxy3D3RvWB1F_3ryFTeegM-h02MklwhKnUA3y_4Rt8DJZ9KaM9k9E4Y13JXrcwg/s1600/2719.JPGb.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQCUtTYQSkuJqA6CDIhTRfxa8wittOYuZw6yTdGtpf8gPu_fqTEIU6zAjOzt_8zOTuivNVFh8sxy3D3RvWB1F_3ryFTeegM-h02MklwhKnUA3y_4Rt8DJZ9KaM9k9E4Y13JXrcwg/s320/2719.JPGb.JPG" width="240" /></a></div>
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</a></div>
<div class="MsoNoSpacing">
This post is a little on the longer side, but I just
couldn’t figure out how to cut it down. It was a powerful experience that I
believe is worthy of the details. <span style="mso-spacerun: yes;"> </span>We recently
had a visiting team of nurses and nursing students from UCLA volunteering with
us. The team members were anxious to help deliver a baby and were thrilled when
late one afternoon a mother came in, in active labor. I wasn’t on call that
night and William wasn't expected to arrive until supper. I needed to get home to
relieve my babysitter</div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
Right as William was pulling in I got a text from the
clinic saying that the patient was pushing. So I headed over to join in. Something
just didn’t feel right about the situation. As the patient progressed I decided
to do an exam. During the exam I had a hard time knowing just what I was
feeling. Was it a baby’s face? Then I felt little digits. I looked at everyone
in the room and said “I think I just shook hands with the baby!” Any time it’s
not the head coming first, things get a little complicated. So I called in our
most experienced midwifery nurse from home to please join our delivery team. I
asked if an ultrasound had been performed. The on-call nurse that night happens
to be new to the clinic and hadn’t been trained on the machine yet. (As a side
note, the mom was 8cm when she arrived so realistically there wouldn’t really have
been time to refer her to the hospital anyway.) We pulled out the machine and
could not find the head. Doing an ultrasound on a woman in active labor who is
pushing is NOT easy. We were not sure if the head was already in the birth canal
or up under the ribs somewhere. </div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
So our experienced nurse, Triza, did a manual exam. She
looked up and our eyes locked. “Michelle, that was not a hand you shook. It was
a foot…” In that moment I believe the same memory washed over both of us. Two
summers ago we worked together on what is my most horrific medical experience
to date. It was a breech delivery where we lost the baby and almost lost the
mom. You can read about it <a href="http://www.blogger.com/%20http://momentswithmichelle.blogspot.com/2010/06/rough-day.html" target="_blank">here</a>. </div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
From that point things got pretty wild. I knew that there
was a HUGE chance that we were going to need to do resuscitation on the baby
when we finally got him or her out. So we put the visiting team into action
setting up all of the equipment we might possibly need. Triza and I began
talking through that case from two years ago. What could/should we have done
differently? What can we do now? We came up with a game plan. It was a HUGE
blessing having so many skilled hands in the room. The patient was a young mom
who was not cooperative at all. She began kicking and thrashing quite a bit as things
progressed. One of the student nurses actually wound up at the head of the bed
just trying to prevent her from kicking us in the face. </div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
I sent a few nurses to my office to search my textbooks
for any instructions on a footling breech delivery. Every book they looked in advised
an immediate C-section. I’ll spare you the details, but thanks to God’s grace and
past experience we were able to get the baby out much faster than I was
expecting. At one point things were looking a little grim and I asked the visiting
team that if anyone felt that they couldn’t handle what was to come they should
please leave now. Everyone stood strong!</div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
As I was guiding the baby’s body out, I could feel a slow
but strong heartbeat. I knew there was hope! The baby was born blue,
motionless, no crying, and no breathing. But her heart was beating, just too
slowly. We immediately began team CPR. Part of the resuscitation process
involves keeping the baby warm and pumping oxygen directly into the lungs with
something called an ambu bag. <span style="mso-spacerun: yes;"> </span>Because of
the third world electrical wiring we can’t run both the oxygen condenser and
heater at the same time. So we had this system going. I would yell out OXYGEN
and the nurse in charge of that machine would switch it on, while the nurse at
the warmer switched it off, then shortly after we would switch again. I was alternating
between doing the respiratory resuscitation and using a special devise to
suction out the babies airway while another nurse did the chest compressions. It
was a beautiful dynamic. Within a few minutes the heartbeat picked up and the
baby began to breathe independently.</div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
Once it was clear that the baby was in the clear, we
continued to provide support with blow-by oxygen and heat. It is extremely rare
(as in I’ve never had it happen before!) to get an action photo while a situation
like this is going on. But once we knew the baby was in the clear one of the
American nurses got some pictures. </div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXwY0KrYWjC22wIjhBQaslK5Y23b5hJ_kO7PplynPmPClpl7kjy2OZ8y3hQoQimEPd14CVACC3SokTsG2ZERxfFQjLS8ps5-986SMV8aoFGYaRZmHrmDrgoO8dgI5RYkSOSDYXEw/s1600/2708.JPGb.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXwY0KrYWjC22wIjhBQaslK5Y23b5hJ_kO7PplynPmPClpl7kjy2OZ8y3hQoQimEPd14CVACC3SokTsG2ZERxfFQjLS8ps5-986SMV8aoFGYaRZmHrmDrgoO8dgI5RYkSOSDYXEw/s320/2708.JPGb.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Suctioning the Baby's Lungs</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPCFNiMq0pU2XaA8VHHR1lVIv-8D5S_PuPtAMW9h5ePuQOWCjuHOAU85gONEx_eU3lZ5Hrn2LGVz0O3DTVYsH-cI6Ft0fwD5d1qjWlgP99w8zgKE_qeOUa837i8LCM8SgeIvPGiw/s1600/2716.JPGb.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPCFNiMq0pU2XaA8VHHR1lVIv-8D5S_PuPtAMW9h5ePuQOWCjuHOAU85gONEx_eU3lZ5Hrn2LGVz0O3DTVYsH-cI6Ft0fwD5d1qjWlgP99w8zgKE_qeOUa837i8LCM8SgeIvPGiw/s320/2716.JPGb.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Providing Blow-By Oxygen</td></tr>
</tbody></table>
<br />
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<tr><td class="tr-caption" style="text-align: center;">More Suctioning and Oxygen</td></tr>
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Just after the above picture was taken the power went out
in the room. We were all overwhelmed by the fact that the power had stayed on
through the entire resuscitation process! One of the team members said it best,
“It was a God moment.”</div>
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Just this last week the mom brought her daughter in for a
well-baby visit. They both looked great. I hardly even recognized the mom. And the
baby girl, well she is doing fantastic! She is eating well, moving well, and
her reflexes are intact. Here she is!</div>
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Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com2tag:blogger.com,1999:blog-28816718.post-46950539175820219742012-09-20T17:13:00.000+03:002012-09-20T17:13:51.786+03:00To Hurt that We Might Heal....<!--[if gte mso 9]><xml>
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<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNnNylqZuB6e8wG1eYW5aU6nJxEWozUcUq-aEtZk3waVZX6cibWiCZXb3tuxAOQuvD1sgQfWy9kEyTlMBvgXuH6R0WBOHSFWroq0iPVP7WebgnxVy8BlsG8dfHyig5liTIPRAzrQ/s1600/2293.JPGb.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></div>
<div class="MsoNoSpacing">
One of the hardest things for me as a medical provider is
inflicting pain to help bring healing.<span style="mso-spacerun: yes;">
</span>This summer I became aware of a slum on the outskirts of a small
community center just a 20 minute drive from our home.<span style="mso-spacerun: yes;"> </span>This slum has over 600 family units living
there.<span style="mso-spacerun: yes;"> </span>One of the challenges faced in
this community is that of chiggers or <a href="http://www.jigger-ahadi.org/jiggers.html" target="_blank">jiggers</a>.<span style="mso-spacerun: yes;">
</span>They are extremely small bugs that imbed themselves in skin and lay eggs
there.<span style="mso-spacerun: yes;"> </span>They create itching, pain,
inflammation and infection that can destroy the tissues in the feet. Because
they imbed so deeply in the skin they must be removed using needles and
scalpels.<span style="mso-spacerun: yes;"> </span>It is a tedious and painful
process; but necessary in order to treat the patient.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
This hurting to heal makes me stop and contemplate a
bit.<span style="mso-spacerun: yes;"> </span>Just as in the medical profession
it often takes pain to bring healing, so it is in our spiritual walks.<span style="mso-spacerun: yes;"> </span>There are times when we endure emotional pain
that actually leads to growth and health.<span style="mso-spacerun: yes;">
</span>The key is in sitting still while we allow God to use the scalpel and
needles to dig out the root of the problem.<span style="mso-spacerun: yes;">
</span>It’s in remembering that He also has the soothing salve and dressings to
help heal the wounds so that we might be better off in the long run.</div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
But let me get back to the main subject of this blog, the
community with the chiggers!<span style="mso-spacerun: yes;"> </span>Since the
discovery of this need, we have been able to make a few trips to do chigger
care clinics.<span style="mso-spacerun: yes;"> </span>The first time we were
joined by a few ELI interns who helped sponsor the outreach.<span style="mso-spacerun: yes;"> </span>Click <a href="https://www.facebook.com/media/set/?set=a.4002419575541.160832.1132628517&type=3&l=5736afc4e5" target="_blank">here </a>if you would like to see some
pictures from that outreach.<span style="mso-spacerun: yes;"> </span>This most
recent trip was made possible by a team of nurses and nursing students from
UCLA who also helped us with the treatment of the patients.<span style="mso-spacerun: yes;"> </span>Our next chigger outreach will take place on
October 10<sup>th</sup> with a few team members from Water of Life Church
joining us.<span style="mso-spacerun: yes;"> </span>They have also raised funds
to help purchase shoes and socks for the patients being treated.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNoSpacing">
<br /></div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuebkKlbxYC4PdvZUEogvT9zeSs8k985Dhkt5c4L89idQnAZWyJdIX0oaxmCmw29prxdFgD5ZqHWdR0EYZ_GNjio2u4Us4drYYO0oZo1CLW32mZHrayfy_cgnUHn_fcX9oMHA7UA/s1600/2274.JPGb.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuebkKlbxYC4PdvZUEogvT9zeSs8k985Dhkt5c4L89idQnAZWyJdIX0oaxmCmw29prxdFgD5ZqHWdR0EYZ_GNjio2u4Us4drYYO0oZo1CLW32mZHrayfy_cgnUHn_fcX9oMHA7UA/s320/2274.JPGb.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Walking through the slum with supplies</td></tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUI8E6F_tgffljmakbA8xHdfOjjz8fgwvhWo3MtLYQU9w79nQJO1sjdMEKDmV5ukal4izCS23ylyibnxuBXKuMWNUh6pe8sOmjWAt786FPIvgGi1HLKkOSmVK5vL-IVRvioWvUYQ/s1600/2283.JPGb.JPG" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUI8E6F_tgffljmakbA8xHdfOjjz8fgwvhWo3MtLYQU9w79nQJO1sjdMEKDmV5ukal4izCS23ylyibnxuBXKuMWNUh6pe8sOmjWAt786FPIvgGi1HLKkOSmVK5vL-IVRvioWvUYQ/s320/2283.JPGb.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Tools of the Trade</td></tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">Setting up the Work Stations</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">The feet needed to soak before beginning treatment</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">This little Girl kept screaming at the nurse that she was going to call the police and report the nurse</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Making the incision to remove the chigger</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">And there is the chigger with larva</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Bandaged feet and waiting for socks and shoes</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">We were also able to distribute de-worming medication to the community</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">At the end of the day I climbed up on the rock behind the church to get a shot of the team with some of the patients and the local pastor</td></tr>
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Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com4tag:blogger.com,1999:blog-28816718.post-47071817636110328412012-04-29T21:33:00.001+03:002012-04-29T21:33:40.589+03:00Inspiration<div class="separator" style="clear: both; text-align: center;">
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The lady on the left is my mother-in-law, Elizabeth. Also known as "Mama William". Every day she comes to spend time with Ryan and teach him a little Kalenjin, her mother-tongue language . This morning she brought a new friend with her. She excitedly introduced me to Rose (holding Ryan in the photo). She shared with me that this last week Rose entered ELI's alcohol recovery program. Rose was glowing. She explained that she is a trained teacher but has been unable to work because alcoholism has totally disabled her. She is thankful for the second chance she is getting in the program here.<br />
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What you may not know, is that a little over four years ago Mama William was sitting in her shoes. For William's entire life up to that point his mother had constantly battled with alcohol. In fact it was so bad that she was incapable of properly caring for him when he was a child. He wound up being raised in an amazing adoptive family. But over the decades he continued to reach out to his mother. <br />
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Shortly after we were married in 2007 she agreed to enter the ELI Anti-Alcohol program. At that time she completely surrendered her life to God and turned her back on alcohol. She has been sober since then. What is an inspiration to me is that she now reaches out to others facing the same struggles she has endured. When she looked at Rose she knew she could be an inspiration to her. So she is walking the journey with her and providing encouragement and hope.<br />
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Recently some people were talking about how bad things used to be for Mama William. She asked them to stop. She reminded them that the past is in the past and that she has a new and redeemed life now. I'm so blessed by the way she is dedicated to inspiring others!<br />Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-25405364364369945772012-04-27T10:56:00.001+03:002012-04-27T11:02:37.909+03:00An OpportunityLast week I talked about a women's clinic that I volunteer at. It's exciting for me to know that I can make a difference in the lives of women. What is sad for me, is that it isn't happening here in my village yet. I'm getting in a vehicle and driving 20 to 40 minutes away to provide this vitally needed service in clinics that have equipment but are lacking personnel. But the women in my own neighborhood aren't getting that same level of care yet. <br />
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It is my hope and prayer to begin to launch these services here in the Chebaiywa and Kipkaren areas this summer. We are just lacking a few more vital pieces of equipment before I can actually begin. In the course of the last four months I've been amazed at the donations that have come in to help enable me to launch the program. I now have about 80% of what I need to start doing cervical cancer screening. But I don't want to actually start screening until I also have the equipment to also provide treatment for pre-cancerous lesions.<br />
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Here is an opportunity for you to get involved. Would you consider making a tax-deductible donation to go towards this worthy life-saving cause ?<br />
<ul>
<li>$15 Pays for a complete cancer screening procedure for a woman</li>
<li>$25 Covers the cost of treatment to completely wipe-out a pre-cancerous lesion with cryotherapy (freezing the bad tissue of a small lesion)</li>
<li>$50 Purchases a bottle of medicine used to stop bleeding post-biopsy or treatment and has enough medicine that it can be used on dozens of women</li>
<li>$75 Purchases a pair of biopsy forceps used for biopsying suspicious lesions</li>
<li>$150 Purchases a surgical packet for performing minor surgeries to remove larger pre-cancerous lesions in-office during an out-patient procedure </li>
<li>$250 Pays for a special rubber-coated speculum needed when performing electro-surgical, out-patient procedures</li>
<li>$450 Pays for a gynecology exam table </li>
<li>$500 Gets us a tank of the gas used for performing cryotherapy (used in freezing off bad tissue)</li>
<li>$700 Purchases an autoclave for sterilizing equipment between patients</li>
<li>$3,000 Pays for the cryotherapy equipment</li>
</ul>
As you can see even a small donation can help make a big difference. To learn more about the organization partnering with me to fundraise <a href="http://www.forwardadvantagefoundation.org/">click here</a>. To actually donate to this worthy cause head over to<a href="http://www.forwardadvantagefoundation.org/take-action/giving"> this page</a> and select "Kenya -Women's Clinic" from the dropdown menu while making the donation.<br />
<br />
Asante Sana! (Thank you very much!)Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-23388321901072906952012-04-20T20:51:00.000+03:002012-04-20T20:51:00.398+03:00Blessed are the Flexible....for they shall not be broken. I first heard that phrase back in 1998 while preparing to lead my first team to Africa. And how true it is! Today was an exercise in flexibility. I was scheduled to see patients who screened positive in their preliminary cervical cancer screenings at one of the clinics about 20 minutes drive from our home. The clinic was supposed to run from 9AM until noon or one-ish.<br />
<br />
Considering this is Africa and I had to catch a ride, I felt that I was doing pretty good arriving by 9:10AM. As I walked up to the GYN room I passed six ladies sitting on the bench outside waiting for clinic to open. I found the door locked. The first nurse I found told me to go to another building and look for A. Luckily A was the first nurse I ran into in the other building. She told me that the electricity was out so we were going to have to move our clinic to the building that was hooked up to the generator. <br />
<br />
Okay, I can be flexible! So I helped her start hauling loads of equipment from one building to the other. I noticed that the number of women had grown to 8. As we began to set up the new room I noted that one of the leg-rests on the exam table was missing. We searched the room and found only a piece of the apparatus. So I went back to the main room and stole a leg-rest from that table. Those of you who know me in real life will be proud that I actually figured out how to attach the leg-rest to the table! By then we were all sweating. I had shed my lab coat and went to wash my hands in the sink. Well it turns out that not only was the sink positioned so that it would poke me in the back as I examine patients, but it also doesn't have running water. As I took a closer look at the setup I realized that all of my supplies would be to my left side (I'm right handed). Not exactly an ideal ergonomic setup. That's okay, I can be flexible. Plus I brought my own hand sanitizer with me.<br />
<br />
Now we are ready to start! But of course not. The nurse informs me that the colposcope (giant microscope that I use for doing exams and guiding biopsies) has not arrived yet. I asked her if she had any idea when it was due to arrive. She told me that she just talked to the research assistant and that he told her he thought the vehicle would arrive to pick him and the equipment up shortly. This is where my composure began to crack. You see he was coming from an hour's drive away! <br />
<br />
Thankfully I know about life in Africa (FLEXIBILITY) and I had brought a text-book I'm slowly working my way through. I made some good progress on it today! Finally by 11AM we were ready to begin. Nurse A told me that I had 9 patients booked. <br />
<br />
About 7 patients in I asked "how many more". The answer was 9. I'm still trying to figure how that math adds up. About 11 patient later we were finally done. At one point someone called for a soda delivery. So I had a lunch of orange fanta between patients while I filled out their charts. <br />
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And of course the last four patients had to be the most complicated ones. Thankfully with God's help I was able to handle all of today's cases with the exception of one. I just could not get a satisfactory exam and had to refer her to see a physician in Eldoret. I wound up treating several infections and a case of malaria in addition to what I was actually there for.<br />
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By the time I got home I was utterly exhausted. When William asked me how my day went I told him that I was exhausted. He asked why? Well because I saw a gazillion patients (duh!). "That's wonderful!" was his reply. "You really got to help a lot of ladies today." Thanks honey for reminding me that all of that flexibility ultimately does make a difference in this world!<br />
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<br />Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-9967172748338316852012-03-13T13:18:00.000+03:002012-03-13T13:18:18.110+03:00A Non-IssueOne of my highlights of our recent trip to the USA was being able to attend the National Women's Health <a href="http://www.whconference.com/">Consensus Conference</a> which was held in Los Angeles. In the past three years I have acquired a vision for women's health in rural Kenya. The biggest and most immediate issue that has jumped out at me has been that of cervical cancer. It is mind boggling that this is one of the leading causes of cancer-related deaths in Kenya when it is so preventable.<br />
<br />
My friends who recently launched a hospice program in our area have already shared several sad stories of terminal patients they have or are currently caring for with advanced cervical cancer. <br />
<br />
In the last two years I've been able to expand my training and skill set in the area of cervical cancer prevention and early intervention. I've finished my training period and am ready to begin implementing what I have learned. <br />
<br />
So as I prepared to launch out it in this new area of providing women's healthcare at the village level, it seemed like a perfect time to attend a major conference addressing the latest in issues of women's health. What surprised me when I received my conference agenda, was that cervical cancer would only comprise of one 30 minute session of this three day conference.<br />
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And then it hit me. In the USA cervical cancer is a non-issue. You rarely hear of someone dying of this disease. We have such sophisticated yet simple screening methods that we pick it up before it becomes an issue. We have the capabilities to do provide early intervention in the form of procedures and minor surgeries in simple office visits. In-and-out. Same-day! <br />
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There is not a lot of research and ground-breaking news in that area because quite simply, the West has it under control. It is my hope and my prayer that the day will come in Kenya where we will be able to say "Cervical cancer, that one is a non-issue here!"Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-27549812799238077582012-03-06T08:06:00.000+03:002012-03-06T08:06:56.752+03:00The Hand of God<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPuvSU6bv9mSHYxo7_AMdGErxaPnrVX1DELfS0FU44x2PWdrUX-B_r_lnu28SvzaCEySWw1hMRdspGxTIFg4ppftwhlpOX9gxKJ6Vr4zAU0q6tsBI15id2fypP8-ef6YxFU-ClYA/s1600/IMG_20120306_064258.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPuvSU6bv9mSHYxo7_AMdGErxaPnrVX1DELfS0FU44x2PWdrUX-B_r_lnu28SvzaCEySWw1hMRdspGxTIFg4ppftwhlpOX9gxKJ6Vr4zAU0q6tsBI15id2fypP8-ef6YxFU-ClYA/s320/IMG_20120306_064258.jpg" width="240" /></a></div><br />
This morning I saw the hand of God at work. It was approaching 5AM and I had just gone back to sleep after feeding Ryan when I heard a knock on my window. It was the nurse on-call at the clinic. She quickly told me that she had a serious emergency at the clinic. A mom who was 28 weeks pregnant was having a lot of bleeding, but baby had a strong heartbeat.<br />
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As I was getting dressed I was mentally reviewing possibilities. None of them looked very positive. I knew that I wanted to get an ultrasound quickly so that I could see if there was a problem with the placenta. As I walked into the delivery room the nurse called out "the baby is here!". It was one of those moments of sensory overload where my ER background kicked in. You are thinking dozens of thoughts in a moment and trying to prioritize them all. I saw a pile of blankets in our baby warmer which I assumed held the baby. I saw a LOT of blood pretty much everywhere around the delivery table. As I was pulling on a pair of gloves I heard a movement from the warmer. Could it be? Could a baby born at just 28 weeks without a highly specialized team to receive her actually be capable of making a noise?<br />
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A quick glance and I saw a little arm reaching up. At that point I was pulling out all the stops. The nurse was with the mom and a quick glance showed that she could do without me for a minute or two. I immediately got on the phone to start working on emergency transportation even as I sorted out power cords to get our oxygen condenser up and running. <br />
<br />
With only one power socket on hand I had to choose between oxygen and warmth. I opted for oxygen and got the machine up and running. I put the baby's daddy to work holding the oxygen in front of the baby to provide what we call "blow-by" oxygen. I then called William and asked him to bring the keys to my office so I could get a power strip out of my office to activate both oxygen and the warmer. About the time the power strip arrived our stepdown machine (converts the power so that we can use the American oxygen condenser without blowing it up) started smoking and blew up. William went to find me another stepdown while I got the warmer moving. Unfortunately the second stepdown only accepted two-prongs and the machine had a three-prong cord. So back up to the main building once more to raid the dental clinic for our last stepdown. Finally we had both warm air and oxygen being supplied to the baby.<br />
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About that same time I got confirmation that miracle of miracles we were able to get transportation to take this mama and baby to the hospital. The majority of the time it is next-to-impossible to get transportation for a case like this. Many times we have put life-and-death cases in the backseat of our personal vehicle and taken them to the hospital at 3AM. But praise God, transport was on the way. AND the baby was not only pink, but was moving her arms and legs. She looked to me to be more like 32 weeks along. Still very early, but not as early as we had been told by the mom.<br />
<br />
The nurse told me that shortly before the baby was born she had done a quick ultrasound and seen blood pooling behind the placenta. This is what we call a placenta abruption where the placenta separates from the wall of the uterus before the baby is born. This is an extremely life threatening emergency for both the mom and the baby. It is nothing short of a miracle that both the mom and the baby walked away from this alive. Mom lost about 1,500 mL of blood (that's 3/4 of a 2L soda bottle!). She should be receiving a transfusions right now and baby should be in an incubator getting the neonatal intensive care she needs.<br />
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What a way to start my Tues morning! And what an amazing reminder of God's power to intervene in situations that would seem hopeless. When I first realized what was happening I felt fairly certain we would have two fatalities in our clinic today. Thank you God for working a miracle!Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com2tag:blogger.com,1999:blog-28816718.post-53444855642207340892012-02-27T18:32:00.000+03:002012-02-27T18:32:27.838+03:00Resurrecting the BlogAfter a fabulous visit to the USA we are now back in Kenya. I had really intended to get some posts up while we were in CA but just never got around to it. So hopefully in the coming weeks I'll have time to share some of what has recently transpired. One of the most exciting recent happenings was being given the gift of some used women's health equipment to bring back with me for my use in helping to fight cervical cancer. I'm pretty excited to see where this path that God is leading me on takes me!Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-27784358883575358262011-12-25T12:11:00.000+03:002011-12-25T12:11:59.171+03:00This is Why I'm Here<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--> <m:smallfrac m:val="off"> <m:dispdef> <m:lmargin m:val="0"> <m:rmargin m:val="0"> <m:defjc m:val="centerGroup"> <m:wrapindent m:val="1440"> <m:intlim m:val="subSup"> <m:narylim m:val="undOvr"> </m:narylim></m:intlim> </m:wrapindent><!--[endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="MsoNormal">My Christmas started at 5:30 this morning with a phone call.<span> </span>I was being summoned to the clinic to see a friend who I’ve been doing OB/GYN care for over this past year.<span> </span>After nearly a year of trying to conceive, and some problems with ovarian cysts, she finally was expecting.<span> </span>At almost three-months along, I saw her for her first OB appointment on Thurs this last week and immediately had some concerns.<span> </span>I shared these concerns with both her and her husband.<span> </span>She was to follow up with me just before I leave for the states next week. I told them to call me sooner if there were any problems.<span> </span>They were calling this morning to tell me that she was bleeding.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">With a heavy heart I got dressed and made the walk to the clinic. As I saw hints of the coming sunrise spreading across the sky this Christmas morning, I asked the Lord “Why? Why today on Christmas does she have to lose this baby she has been longing for?<span> </span>Why ever Lord?”<span> </span>I can’t say that I got an answer.<span> </span>But what I did feel was a calm assurance that this is why I’m here.</div><div class="MsoNormal"><br />
This is why I’m in the medical profession.<span> </span>This is why I’m here in Africa.<span> </span>This is why I’m here on earth.<span> </span>God has a calling on my life to use the skills that he has given me to reach out and touch others with a tangible expression of his love.<span> </span>I don’t know why my friend has to suffer.<span> </span>But I can be there to walk through the process with her.<span> </span>I can explain what is happening to her and her husband in a way that they can understand the physical process and know what to expect.<span> </span>I can ease her physical pain, and hopefully her emotional pain a bit as well.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">I took a deep breath and walked in the room.<span> </span>Tears were streaming down my friend’s face.<span> </span>Her husband looked up with huge relief when he saw me walk in.<span> </span>“I’m so glad you came” he said.<span> </span>I confirmed that they were in fact experiencing a miscarriage.<span> </span>We spent a while talking about what had likely happened and how she needed to be cared for right now.<span> </span>I gave her some medicine to ease the pain. I held her in my arms and cried with her.<span> </span>We prayed together.<span> </span>It was somehow a sacred moment even through the pain.<span> </span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal">And later as I walked home to prepare for Christmas breakfast with my family I thought again, this is why I’m here….</div>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-26969090796730407282011-12-21T12:08:00.000+03:002011-12-21T12:08:36.345+03:00Wordless WednesdayI have several friends who put pictures up on their blogs every Wed. I realized that today is Wed and I have a bunch of pictures I've been wanting to upload. I think technically I'm only supposed to post one picture on Wordless Wednesday. And I've obviously already messed up the "wordless" part. But here are some pictures fromWilliam's famine-relief trip to Samburu a few weeks back.<br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSKOWa4YJNi0FXe_6Sjdgr1JAywhCIEkHsPBDIPy8GxG3Ht3mpDUWg54X_5rSLACsZ2MsTxW2FAmG_sLC64reAkueJl5oLk-vKoEl4rIX4N8K7gUMhaukasayf4ylBk6_C9FiZ2A/s1600/IMG_4387b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSKOWa4YJNi0FXe_6Sjdgr1JAywhCIEkHsPBDIPy8GxG3Ht3mpDUWg54X_5rSLACsZ2MsTxW2FAmG_sLC64reAkueJl5oLk-vKoEl4rIX4N8K7gUMhaukasayf4ylBk6_C9FiZ2A/s400/IMG_4387b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The team got stuck in the mud in the middle of nowhere. </td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkxyaDA6Eno0D-KsqHZIIdKQ9c2ZKEetxZOZDKxOgQkZf2-8a9SpIlmQ-ZrJoyoFxHMpIUDbv472HrtOMv-NxPkC6tiUg3zMuyOd_gpMiSm9lR3m4A6xr2arPknDfk7YTkczrCIg/s1600/IMG_4384b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkxyaDA6Eno0D-KsqHZIIdKQ9c2ZKEetxZOZDKxOgQkZf2-8a9SpIlmQ-ZrJoyoFxHMpIUDbv472HrtOMv-NxPkC6tiUg3zMuyOd_gpMiSm9lR3m4A6xr2arPknDfk7YTkczrCIg/s400/IMG_4384b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">It took hours to dig the truck out.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2yt9EPLuj2R23IXY2OxAhfxfi30BR7rAxgKzrfpnqJNjxcuUSmNdFPH5stFHhUDQsqR886j8o8gBZQEVURyxFi9BGFmwT579N72H-liDwDw7xyF4RXGrKT-aq3s-D_Az2JlQ-qw/s1600/IMG_4369b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2yt9EPLuj2R23IXY2OxAhfxfi30BR7rAxgKzrfpnqJNjxcuUSmNdFPH5stFHhUDQsqR886j8o8gBZQEVURyxFi9BGFmwT579N72H-liDwDw7xyF4RXGrKT-aq3s-D_Az2JlQ-qw/s400/IMG_4369b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Some passing zebra stopped to watch the poor team trying to dig their way out.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEja5cpmTDdj3pAQDXR-NQhD93RSA9Gpih2FHjeZDywTL1Kahyq2uaIS_2KrgZyVLI-JjFbxN29t21LJLCnr78CXjR608nYeN-m4t4Uw1ryE8nTMr8L9W0pKr5T6eE71VZyPDPRCAQ/s1600/IMG_4420b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEja5cpmTDdj3pAQDXR-NQhD93RSA9Gpih2FHjeZDywTL1Kahyq2uaIS_2KrgZyVLI-JjFbxN29t21LJLCnr78CXjR608nYeN-m4t4Uw1ryE8nTMr8L9W0pKr5T6eE71VZyPDPRCAQ/s400/IMG_4420b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">It was the first large rain that the area had experienced in years. Many roads were flooded.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCBpmvHUQs5cFLBXMw9ocrfhzViEp7Nc8mEkWqrh6gEXQ9DtBBBJFO51JGWq69ojpNY0TF_Fm-OtSjByHuMinlN6tTcG2zIfyj8xPuSBg_44VXyyt4P-iC2FbVZIoNMYUtR-O3BQ/s1600/IMG_4495b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCBpmvHUQs5cFLBXMw9ocrfhzViEp7Nc8mEkWqrh6gEXQ9DtBBBJFO51JGWq69ojpNY0TF_Fm-OtSjByHuMinlN6tTcG2zIfyj8xPuSBg_44VXyyt4P-iC2FbVZIoNMYUtR-O3BQ/s400/IMG_4495b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">This man was so excited for the arrival of the maize that he did not want even one kernel to be wasted.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioPIE5zc_gCBANwmBET1zJNLFdLkZHrzjAZ3X_Qp1jWV48oF-OYsxu0LGF5ucs1mq6tR25nkFEinMuYWMpO_bM9eV0zAmV6Hf7RgMIlasr53B3qMWbBZSwo-9TpopNCoRcIw27RQ/s1600/IMG_4510b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioPIE5zc_gCBANwmBET1zJNLFdLkZHrzjAZ3X_Qp1jWV48oF-OYsxu0LGF5ucs1mq6tR25nkFEinMuYWMpO_bM9eV0zAmV6Hf7RgMIlasr53B3qMWbBZSwo-9TpopNCoRcIw27RQ/s400/IMG_4510b.JPG" width="397" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Masai man watches the unloading of the first bags of relief food.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhN4TyxhQ9Ak1FzxVI6c04a1flqq7caO51Ay7u4O_4zU8eaK6KonI51Kzve7CWyfhg4FRd4vs7F2g9P64BiQggq4tBO05nSrBMr79Bsc8MnV1VsDoVcA2VbJVi3DgdlwxmU37KRjw/s1600/IMG_4545b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhN4TyxhQ9Ak1FzxVI6c04a1flqq7caO51Ay7u4O_4zU8eaK6KonI51Kzve7CWyfhg4FRd4vs7F2g9P64BiQggq4tBO05nSrBMr79Bsc8MnV1VsDoVcA2VbJVi3DgdlwxmU37KRjw/s400/IMG_4545b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Waiting for the maize to be ready for disbursement.</td></tr>
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhufqTvi8iMXp0z4jfzLhA6EDmHqRZejyqnjsazxRIVavOxQoNBVoz7BDFC6dzKQMVps4AmMYjoeQwWSSbq1h-JxMqeX5ZuCHnnvWEdQUl_2rvaBUctzkxAAVqpVZDpb0Qa9-pi2w/s1600/IMG_4548b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhufqTvi8iMXp0z4jfzLhA6EDmHqRZejyqnjsazxRIVavOxQoNBVoz7BDFC6dzKQMVps4AmMYjoeQwWSSbq1h-JxMqeX5ZuCHnnvWEdQUl_2rvaBUctzkxAAVqpVZDpb0Qa9-pi2w/s400/IMG_4548b.JPG" width="400" /></a></div><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguXvO0Us_oBPHlS1VBKKkOZBSaQmcUnEOzFnZN4w269CgmOBQd2cMzbeCVEdpqymvI5QWD50TE7qkZ-uWTPmJCIEpfeq3iuwfanZzmgv0IdYmm0NTnuSb_efPVG-0xC6vZ48UV2A/s1600/IMG_4754b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguXvO0Us_oBPHlS1VBKKkOZBSaQmcUnEOzFnZN4w269CgmOBQd2cMzbeCVEdpqymvI5QWD50TE7qkZ-uWTPmJCIEpfeq3iuwfanZzmgv0IdYmm0NTnuSb_efPVG-0xC6vZ48UV2A/s400/IMG_4754b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">I love all of the bright colors!</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixrL8L5cMvHgAwdJUM19Lb7ApXOGygXUsyWZjSTiu6QYK3oR_4mV83ngVF3qvH5YhCpeefoIB0-11YYTrURpkMTu4YYMthDEIN16tnE4Uk8QRxdezDAAJ3Y4PzHMuhRSfZnFWK-w/s1600/IMG_4827b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixrL8L5cMvHgAwdJUM19Lb7ApXOGygXUsyWZjSTiu6QYK3oR_4mV83ngVF3qvH5YhCpeefoIB0-11YYTrURpkMTu4YYMthDEIN16tnE4Uk8QRxdezDAAJ3Y4PzHMuhRSfZnFWK-w/s400/IMG_4827b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">So thankful to receive the maize.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8FbD4OQLJyktuz2lf2JP_UHxcGT552UDsb-alKwCnf6L4BNdYHFyEcxFCvI_4VriWCWCbU90lNmS7lq1435gv9nd4MZjnLuM-yWZi6QY6MjW_glgVqM7ZLZ6gdT4TwQ-cGxC14Q/s1600/IMG_4690b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="322" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8FbD4OQLJyktuz2lf2JP_UHxcGT552UDsb-alKwCnf6L4BNdYHFyEcxFCvI_4VriWCWCbU90lNmS7lq1435gv9nd4MZjnLuM-yWZi6QY6MjW_glgVqM7ZLZ6gdT4TwQ-cGxC14Q/s400/IMG_4690b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">William helping to pass out maize.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXJ9fSAXu53vRDAHelFMBOfkzch3st1tLQXO4CgHP8D9ciodWuBjcXHWqPzZiZ7gs_PZVsGSk4QJEOZF_3hfrSmdRuueEscbIPtAOqSXzdhy-REef2Mcb7z_rN1Y09q87BAr_VEw/s1600/IMG_4712b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="330" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXJ9fSAXu53vRDAHelFMBOfkzch3st1tLQXO4CgHP8D9ciodWuBjcXHWqPzZiZ7gs_PZVsGSk4QJEOZF_3hfrSmdRuueEscbIPtAOqSXzdhy-REef2Mcb7z_rN1Y09q87BAr_VEw/s400/IMG_4712b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Saying "Asante"</td></tr>
</tbody></table>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-9092033827600246522011-12-15T21:35:00.000+03:002011-12-15T21:35:47.888+03:00Practicing what I Preach<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeFcUkMPCRF7dSP7YmyIClVWygPId9WAGdIS_332gEgZlxxNSZRAer1Kvqc3D_FpH8_gry3TTxxTD7B1PwDyjXpM8fJd71wQJDqxXXMkHUmqwzGflpZ5cWOpYbsUgPxz6uRDlNrw/s1600/IMG_5205b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeFcUkMPCRF7dSP7YmyIClVWygPId9WAGdIS_332gEgZlxxNSZRAer1Kvqc3D_FpH8_gry3TTxxTD7B1PwDyjXpM8fJd71wQJDqxXXMkHUmqwzGflpZ5cWOpYbsUgPxz6uRDlNrw/s320/IMG_5205b.JPG" width="320" /></a></div>I figure if I'm going to promote dental care in the village I better be taking my own family to the dentist! Yesterday Jonah and Moses both had their teeth professionally cleaned for the first time ever. Moses was convinced that we were going to kill him and was pretty much sobbing as he was being led to the chair. The air compressor spitting right before he started didn't help anything either! So we wound up asking Jonah to go first so that Moses could see that he lived through the procedure. I unfortunately did not get any pictures of Moses, but here is Jonah just as the dentist is about to get started. You can see Moses' arm and sleeve in the corner. Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-86402162749992296312011-12-09T18:26:00.000+03:002011-12-09T18:26:02.270+03:00Back on the Front LinesToday I put on my women's health hat and went back to GYN clinic. Last month I went back to work in our clinic here in Kipkaren, but I had asked my women's health team for an extra month before putting me back on the schedule. Earlier this year I connected with an incredible team of doctors and nurses who are on the front-lines of fighting cervical cancer here in Kenya. I've been training under a team of Kenyan, Canadian and American doctors. <br />
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As a way of saying thanks for the training, and also getting on the front lines myself, I've volunteered to rotate through some of their satellite clinics a few times a month. Two of the clinics they rotate through are just 20 and 40 minutes drive from my home. So this morning I was at the Turbo clinic seeing patients. <br />
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It was my first time in four months re-entering the women's health world. And I was reminded that this is what I really, really, really want to start doing at our clinic in Chebaiywa. Please pray with me that God opens the doors for us to get the equipment we need to launch this program. The exciting thing is that we will not only be screening for cervical cancer, but doing interventions and procedures in simple office visits that can stop it in it's tracks!<br />
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The team was excited to have me back. The nurses asked if I had any pictures of my baby. I showed them a recent one of my sweet little guy. The nurse squealed and said with a big smile "Oh look, he's fat just like his mom!" Um, thanks?......<br />
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Anyway! It's exciting to be back on the front lines again. I've talked with one of the American GYN docs about going into the big Eldoret hospital for some further training in basic surgical procedures used in GYN care. She was very welcoming. I'm excited to see what this next year will hold as I continue to train and provide a greater spectrum of services in the more rural areas of Western Kenya.Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com4tag:blogger.com,1999:blog-28816718.post-68139278411494857102011-11-29T20:16:00.000+03:002011-11-29T20:16:00.967+03:00My Three SonsOkay, so in the most technical sense they are not all mine. The two oldest ones are sort of foster-sons. <br />
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I don't normally capture moments like this one, but I got it tonight! We are doing an advent devotional as a family before supper every night. Tonight after eating it was reading time while I caught up on the computer. I glanced up and saw Moses about to fall asleep, cuddled up to Jonah, as Jonah read a book and rocked Ryan at the same time.<br />
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William and I assumed responsibility for Jonah a little over two years ago. He has had a difficult upbringing with a mother who severely mentally ill and no father in the picture. Although he was quite a few years behind, he somehow managed to score extremely well on his primary school (eighth grade) exit exams. He was invited to attend a secondary boys boarding school with a very good reputation. At that time we decided to stand by this young man and assist him in obtaining his goal of getting an education. The first year we did a harambe (local fundraiser) in our church and community to help raise his school fees. This year a woman from my church heard his story and helped sponsor him for this school-year. Last year, whenever he was on school breaks he would come and work with William at the farm. He would show up at breakfast time and leave in the early evening. I always assumed he went home to his mom's house. Half-way through this year I found out that he was moving from place-to-place to sleep and that he never ate supper. Since then we have pulled him in more and more as a family member. We are so proud of him. He finished his sophmore year of high school strong, ranking fifth in his class of fifty-five!<br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLBNVW4MIOYU4QFy-RIHkAybnuJ2UK17-xx78UBeZN1MoBz44h6R95NFjeJMRXPuKtnw2xmxRS3Z7xPt9hdV0E8pal3fMU4UCtTjao40TpoqwK3VPVapX0PuIqW86AVm4Yv5hZgw/s1600/IMG_3056b.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLBNVW4MIOYU4QFy-RIHkAybnuJ2UK17-xx78UBeZN1MoBz44h6R95NFjeJMRXPuKtnw2xmxRS3Z7xPt9hdV0E8pal3fMU4UCtTjao40TpoqwK3VPVapX0PuIqW86AVm4Yv5hZgw/s320/IMG_3056b.JPG" width="240" /></a></div><br />
I shared about Moses a few posts back. Moses has a family in Turkana but they are not in a position to care for him at this time. So we are fostering Moses as our son until his family is in a position to care for him again. We know for sure that he will be attending Brook of Faith (ELI's primary school) this next school-year starting in January. We have already had one person step up to assist with school fees for Moses. If you are interested in helping sponsor either of these special young men please let me know!Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-51659078740190188822011-11-23T22:51:00.001+03:002011-11-23T23:06:06.539+03:00Giving Thanks: William's Relief Mission to Famine-Affected Families<div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"></div>On this eve of Thanksgiving my heart and mind are both very full. I find myself especially thankful for the gift of life this year. And I find that I'm asking myself what I am to do to truly make a difference in this world.<br />
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I would love to share some pictures with you. William recently returned from a relief mission to Turkana, one of the areas in Kenya that is currently affected by the drought and famine. The team of four Kenyans were able to distribute relief food to 1,800 families. Here are some photos documenting their trip.<br />
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<tr><td class="tr-caption" style="text-align: center;">This is one of the churches in Turkana as they are holding the maize for distribution</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">In the capital of the region there was a borehole near the church. This is the only source of clean water in that area and people will walk miles to come for the water.</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Unloading the Truck</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">This woman came 40km to receive her relief food.</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">William was so blessed to bring hope along with food to these struggling people.</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Add caption</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">People all crowded under any piece of shade they could find while waiting for their food distribution</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Women waiting for the distribution</td></tr>
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-tBvidu99yCyZfr7lyawac1uOwuGsvtIN5yHw-BRK70svRmMmgSNtYfNAOEutIjghrb0414v85vIT6xGOfCSynme92WANfnftSkrwQfeFISCLdpIgpIBdrh1yL57EZd6T90ZAFg/s1600/IMG_4146b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-tBvidu99yCyZfr7lyawac1uOwuGsvtIN5yHw-BRK70svRmMmgSNtYfNAOEutIjghrb0414v85vIT6xGOfCSynme92WANfnftSkrwQfeFISCLdpIgpIBdrh1yL57EZd6T90ZAFg/s400/IMG_4146b.JPG" width="400" /></a></div>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-78294085220601301822011-11-18T14:52:00.001+03:002011-11-18T14:55:25.064+03:00And the Kiprop Family Grows Again<m:smallfrac m:val="off"> <m:dispdef> <m:lmargin m:val="0"> <m:rmargin m:val="0"> <m:defjc m:val="centerGroup"> <m:wrapindent m:val="1440"> <m:intlim m:val="subSup"> <m:narylim m:val="undOvr"> </m:narylim></m:intlim> </m:wrapindent> </m:defjc></m:rmargin></m:lmargin></m:dispdef></m:smallfrac><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9Kv4YkmwOgImHuIwDN2FXCFAhdQX81LwEgk96IvItu8Gz-OtfmGWqSlju__csbkUacGz5Cfg3eBXlyfL3x6CHApt23E8UUFsb3kC_0s7UGTrBvsp7x57vL1F-25nA62yZXw1y0g/s1600/IMG_3049b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9Kv4YkmwOgImHuIwDN2FXCFAhdQX81LwEgk96IvItu8Gz-OtfmGWqSlju__csbkUacGz5Cfg3eBXlyfL3x6CHApt23E8UUFsb3kC_0s7UGTrBvsp7x57vL1F-25nA62yZXw1y0g/s400/IMG_3049b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">William and Moses in front of our Home</td></tr>
</tbody></table><div class="MsoNormal"></div><div class="MsoNormal">William recently returned from a special mission to Northern Kenya to help with a famine relief outreach. You have likely seen in the news that the horn of Africa is currently undergoing a severe drought which has led to famine. During William’s mission to the Lake Turkana region he met a struggling pastor with eight children. His fourth-born, Moses, immediately latched on to William. After spending some time with William’s team, Moses began to beg to go with William so that he could go back to school. Do to the family’s current struggles to just survive, Moses had to leave school. The last class he completed was Standard Two (second grade). We think he is around 11 years old but we really aren’t certain of his age. His father came to William and asked if there was any possibility that William could take Moses home with him to offer him a better future. At that point William called me. We both had a strong sensation that this is from the Lord. </div><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiM2DDaP2J8AlOYqk1DTZBAN1gk5Ar8mOzfN6diF62mDqoN4VHgn5aj1TVhgnflr8hMKTVqUv7YW7uyp3QZdqMQgsbkZn2-Mb_Lr-rNphxlr2loFFbKjHa1RhxjVASDvwRySvUTNg/s1600/Moses+2.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiM2DDaP2J8AlOYqk1DTZBAN1gk5Ar8mOzfN6diF62mDqoN4VHgn5aj1TVhgnflr8hMKTVqUv7YW7uyp3QZdqMQgsbkZn2-Mb_Lr-rNphxlr2loFFbKjHa1RhxjVASDvwRySvUTNg/s400/Moses+2.jpg" width="300" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Moses in his home place of Turkana</td></tr>
</tbody></table><div class="MsoNormal"></div><div class="MsoNormal">William spent most of his growing-up years in an unofficial adoptive family. It was the amazing care of that family that has shaped William into the incredible man he is today. Before William and I were married he told me that it is in his heart to reach out to other struggling children just as his second family had reached out to him. So we always knew that sooner or later we would be getting involved in the lives of children like Moses. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">William and Moses arrived home yesterday at 4:30 in the morning. He is very energetic and outgoing. I have a feeling he likes to be at the center of attention. He is double jointed, has a great sense of rhythm and loves to dance. He could not believe that music was coming out of baby Ryan's stuffed lion. He just stared at it for about five minutes this morning. He is terrified of our dogs; absolutely petrified. And it probably doesn't help that one of them is named Kali (which means harsh!). He refuses come close to them or let them smell him. And when William and I have tried to walk him over to them he grabs our arms and tries to hide behind us. So I'm going to just leave it alone for now. He may need to just be escorted around the yard until he gets comfortable with them.<br />
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He has a big smile and an air of confidence for such a little guy. He does understand and speak a little English. I have a feeling he understands more than William first realized, and I think he will pick it up quickly. Yesterday he was pointing at things and telling me their English names. The first time I saw that confidence crack was when I put him to bed last night. As I tucked him in he looked so small and insecure. He ducked his head under the covers as I prayed with him. Today when I came home from the clinic for lunch he came running up to greet me.</div><div class="MsoNormal"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkOfhSPWJGQvkQaGvxFXBerkICrBHz2ngrUYrX8kE1hJzh_f5Jbc0OdQZp38Do_qMH4Vx_Da5p0SUb21BJG8FjVeEhbSRx1oFMa-KueSNHqfdUf8ackW-ebschOv-16zuHEMqXlQ/s1600/IMG_3051b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkOfhSPWJGQvkQaGvxFXBerkICrBHz2ngrUYrX8kE1hJzh_f5Jbc0OdQZp38Do_qMH4Vx_Da5p0SUb21BJG8FjVeEhbSRx1oFMa-KueSNHqfdUf8ackW-ebschOv-16zuHEMqXlQ/s400/IMG_3051b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">In Our Yard</td></tr>
</tbody></table><div class="MsoNormal"></div><div class="MsoNormal">His situation has reminded me of stories I have heard about families giving out their children during the great depression because they were unable to care for them. I can’t imagine being so desperate for my child to get food and education that I would be willing to send him with strangers. But that is exactly what happened to Moses. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">It is our hope to enroll Moses in ELI’s private school. They have just completed the school–year and will open school again in January. We would appreciate your prayers for this special little boy as he adjusts to new people in a new environment. If you would like to partner with us in financially helping to support Moses to go to school please let me know. We are unsure of how long he will be with us. But we do know that we want to do everything in our ability to help him pursue his education until his family is in a position where they are able to provide for him again.</div><div class="MsoNormal"><br />
</div>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com2tag:blogger.com,1999:blog-28816718.post-69027171251410479392011-11-14T13:39:00.001+03:002011-11-14T13:50:06.701+03:00TIA - This is Africa!<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTyRvXXn2TPRI402xE9MTD-nQuyy1BdgjNf_62zpqxlPtMNYT_c8ZZx5K4tXBY-i8PBYLP4LdXNGma3zuVQNzqjXfdcbH3GaQaO09Mb85JTDxHMk6d9GpWHlnUU6C87jeVPNGfbw/s1600/IMG_3045b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTyRvXXn2TPRI402xE9MTD-nQuyy1BdgjNf_62zpqxlPtMNYT_c8ZZx5K4tXBY-i8PBYLP4LdXNGma3zuVQNzqjXfdcbH3GaQaO09Mb85JTDxHMk6d9GpWHlnUU6C87jeVPNGfbw/s320/IMG_3045b.JPG" width="320" /></a></div><br />
Nothing is easy in Africa. Okay, I really shouldn't say "nothing" because there certainly are some things that are easy here. But today is one of those days when that statement feels really true. On one of my earlier visits to this community, my friend who has lived here for a number of years told me "Michelle nothing here is simple or easy." And she really had a point.<br />
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Our electric shower-head (yes we do combine electricity and water here, and yes it is a bit scary!) quit working a few nights ago. My hubby is off on an incredible mission for a few days (which I'll blog about when he gets back) so I'm here fighting cold showers and bucket baths with just a two-month-old for moral support. I decided to do the logical thing and call the electrician to come and take a look at it. <br />
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The last time I called an electrician, he took our money for new parts and disappeared for a few days. William had to hunt him down to get him to actually apply the money to what it was intended for. When he finally came and got the job done William wasn't home so he charged me twice as much as he should have for labor. Seeing as I would like to use the shower sooner rather than later and William is not here to help me negotiate labor costs, I decided to call someone else.<br />
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After very quietly working in the bathroom for about fifteen minutes he came out carrying the shower head. The conversation went something like this:<br />
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<span style="color: red;">Electrician</span>: So some of the holes are blocked, do you have a needle so I can clear them?<br />
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<span style="background-color: white; color: blue;">Michelle</span>: Sure, but is that really the reason that the water is not getting hot?<br />
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<span style="color: red;">Electrician</span>: No, that shouldn't make the water cold. There was some rust inside, but I fixed it and it's working now.<br />
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<span style="color: blue;">Michelle</span>: Can you show me how it is working?<br />
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<span style="color: red;">Electrician</span>: Okay let me just re-attach the head. See it's okay, the water is flowing here. (<i>And the water certainly is flowing, in fact it seems to have flowed all over my entire bathroom. I'm starting to wonder if there is a single square-inch anywhere in the room that is not covered in water.)</i><br />
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<span style="color: blue;">Michelle</span>: But the water is cold.<br />
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<span style="color: red;">Electrician</span>: It's not that cold, did you really need it to be hot? <i>(Note, the water is COLD, not even lukewarm.)</i><br />
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<span style="color: blue;">Michelle</span>: Umm, yeah. That's why I called you. The water is not getting hot and it needs to be hot.<br />
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<span style="color: red;">Electrician</span>: Okay, let me work on it a little longer. (<i>Another 15 minutes and he re-emerges</i>.) So it's time for you to buy a new shower head. This one is finished. (<i>Which is what I had kind of suspected from the get go</i>.)<br />
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<span style="color: blue;">Michelle</span>: Really? It's only two years old. <i>(We finally got indoor plumbing exactly two years ago.)</i><br />
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<span style="color: red;">Electrician</span>: Two years! It's amazing it lasted that long.<br />
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<span style="color: blue;">Michelle</span>: Okay well how much is the new one going to cost?<br />
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<span style="color: red;">Electrician</span>: Well you know that with the current inflation (which is a whole other blog post) it's almost double what it used to cost. And he gave me a price range based on the different qualities available.<br />
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<span style="color: blue;">Michelle</span>: Well I obviously need to get the higher quality one this time.<br />
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<span style="color: red;">Electrician</span>: Oh you had the highest quality one last time, that's why it lasted you so long.<br />
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Sigh...... Sometimes you just have to say TIA (This is Africa!) and take a deep breath and go on with your day.Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com2tag:blogger.com,1999:blog-28816718.post-30203089734517526442011-11-11T20:01:00.000+03:002011-11-11T20:01:27.291+03:00Growing Up<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgn530x2zdMslKEi7NzO_5c7CBvPO8heUe5PqQMDNH-xY2XuJ3SoOR6ZT0sSAElfBAt7nUSQyv3qVKGd7OlgsF-pbM7CH0mBAi6UL432q38DFs-egFhNlZwVlLRnLNyC5vMmC_qqQ/s1600/IMG_3757b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgn530x2zdMslKEi7NzO_5c7CBvPO8heUe5PqQMDNH-xY2XuJ3SoOR6ZT0sSAElfBAt7nUSQyv3qVKGd7OlgsF-pbM7CH0mBAi6UL432q38DFs-egFhNlZwVlLRnLNyC5vMmC_qqQ/s320/IMG_3757b.JPG" width="320" /></a></div><br />
Our kids from the Children's Home are growing up. I'm so proud of how they are maturing into lovely young men and women. I remember so clearly the day the first children arrived. You can read about it <a href="http://momentswithmichelle.blogspot.com/2006/07/visit-with-jesus.html">here</a>. This week some of our children completed eighth grade. They are required to take an important exam that will determine their high school eligibility. It's almost like taking SAT's and applying for college. High schools choose students based on how well they score in these national exams. We invited the kids who just finished exams to come take chai and visit with us. We went around the room and had each child share what they want to be when they grow up. They asked me a lot of questions about my career choice, education, and how I came to be in Africa. We had a great time of sharing together and discussing the future. We ran outside to snap a few pictures before the rain came. The kids chose their own poses for the photos.<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOwmoA_3nLTD2OpYaV32Em3rc6RjXiV-e-WYW2etgQA2azFDd-gPImZcBYeHZyQl0WkCYMT91sL-OAi9BpqY_hxPK6uVADoE_O3e-AcZ38MOJJHTtYQ3h6ZcRZEEqkSpA8KCG0pw/s1600/IMG_3756b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOwmoA_3nLTD2OpYaV32Em3rc6RjXiV-e-WYW2etgQA2azFDd-gPImZcBYeHZyQl0WkCYMT91sL-OAi9BpqY_hxPK6uVADoE_O3e-AcZ38MOJJHTtYQ3h6ZcRZEEqkSpA8KCG0pw/s400/IMG_3756b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The Girls</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">The Boys</td></tr>
</tbody></table>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-6180634184673044272011-11-08T10:46:00.000+03:002011-11-08T10:46:41.867+03:00HarvestIn our community people have been extremely busy these last two months getting their maize harvested and stored. It's been a fight with the weather as the rains have lasted much longer than normal and have caused many farmers to lose portions of their crops. Nonetheless, Kenyans are hardy people who know how to push through challenges. Here are some snapshots of the harvest this year.<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCd0HmdReWE_CAixGiGPVPQ2e-qD2Vh5vgLzEqtRtTerygQsKY4wdVyHHVfbbBSxwacxb2uct3XfRDAPvi9LWJnGqesB7N3QHIYUhVxXBto4VC46yRQV4YhecR13FX-UO_a7y7qg/s1600/IMG_3197b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCd0HmdReWE_CAixGiGPVPQ2e-qD2Vh5vgLzEqtRtTerygQsKY4wdVyHHVfbbBSxwacxb2uct3XfRDAPvi9LWJnGqesB7N3QHIYUhVxXBto4VC46yRQV4YhecR13FX-UO_a7y7qg/s400/IMG_3197b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Resting in the Shade While Mommy is Working</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDNZHom3rOpbaSbVGnxHkJ5LhaQKMEg3puiQbSIkPtGC4M64ciNe6nr9E9K9xWxjHyRbYRgarSXMRpLQUvEdagDmInPURgQuXF504vnv0go7P9aQ-TjrV2laNLieff0HOg2n0vRw/s1600/IMG_3195b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDNZHom3rOpbaSbVGnxHkJ5LhaQKMEg3puiQbSIkPtGC4M64ciNe6nr9E9K9xWxjHyRbYRgarSXMRpLQUvEdagDmInPURgQuXF504vnv0go7P9aQ-TjrV2laNLieff0HOg2n0vRw/s400/IMG_3195b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Removing the dry maize from the stalks that have been put into stacks for drying</td></tr>
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIQsFXT6nSphiAd9cDRDnXnGzFNPgiWSrg5OVtn_ioIny9Lq5PmnAY-0YSmcuZiwANLCBK3KQ5s9RCNNAxT_eXEzVj1zjQ4DFd8HcumBdea6VtKVDHzfgX_ITT3fMElOMPEVonLA/s1600/IMG_3192b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIQsFXT6nSphiAd9cDRDnXnGzFNPgiWSrg5OVtn_ioIny9Lq5PmnAY-0YSmcuZiwANLCBK3KQ5s9RCNNAxT_eXEzVj1zjQ4DFd8HcumBdea6VtKVDHzfgX_ITT3fMElOMPEVonLA/s1600/IMG_3192b.JPG" /></a></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3CbjW0Qr3E1r0zjr6N6-sm-tTPVA0Y0xpgK7LRYbpNbh38SROH4htNwxv5YBM8cgRaZOSK0Afe7BOywZl2X035apg1TyVeHmg-MAhtmSnwuIko5vvaQqhOr7W1C7xLQQORT_XXA/s1600/IMG_3225b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3CbjW0Qr3E1r0zjr6N6-sm-tTPVA0Y0xpgK7LRYbpNbh38SROH4htNwxv5YBM8cgRaZOSK0Afe7BOywZl2X035apg1TyVeHmg-MAhtmSnwuIko5vvaQqhOr7W1C7xLQQORT_XXA/s1600/IMG_3225b.JPG" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Spread Out in the Sun to Dry</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwS3uhQfRomwtfzAuwdcZhyebhxZJx0HmdpC6brDkIx_PjKFoUb8a5iMuUKmpCPmq6lE8sVCXhHHYc8yz_G8DB5JWwIBMThyphenhyphenjQSsaUIWRSfQsILNcNNkQy9YnRD5ht2wMsMLf1Gg/s1600/IMG_3206b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwS3uhQfRomwtfzAuwdcZhyebhxZJx0HmdpC6brDkIx_PjKFoUb8a5iMuUKmpCPmq6lE8sVCXhHHYc8yz_G8DB5JWwIBMThyphenhyphenjQSsaUIWRSfQsILNcNNkQy9YnRD5ht2wMsMLf1Gg/s1600/IMG_3206b.JPG" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The Process of Removing the Maize Kernels from the Cobs</td></tr>
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiAY8A-R6Ykyi7BDwgSqN7xhNNf8MV6i921bFMi8YjFGXNOXN4BFRZax4hUguHbOG-zR_rvHa8c_QGbzmyUBmwmOA_LG5R6-8DaR1uLKaz_8omu50aUEuekdHIDxGcesQEeL_3FQ/s1600/IMG_3208b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiAY8A-R6Ykyi7BDwgSqN7xhNNf8MV6i921bFMi8YjFGXNOXN4BFRZax4hUguHbOG-zR_rvHa8c_QGbzmyUBmwmOA_LG5R6-8DaR1uLKaz_8omu50aUEuekdHIDxGcesQEeL_3FQ/s1600/IMG_3208b.JPG" /></a></div><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_WcwdvDWoN9nB2tlATDnEq60Ok19SiG3Yp88HYJSCieeosEs_lUXibaa9f8_As-O61KeouWrgEFW5pw2MKfAiRHedwtsSv3M9U1xBq8p30LinGHo2mzIpg0iJ7wizTkob6-j0vA/s1600/IMG_3213b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_WcwdvDWoN9nB2tlATDnEq60Ok19SiG3Yp88HYJSCieeosEs_lUXibaa9f8_As-O61KeouWrgEFW5pw2MKfAiRHedwtsSv3M9U1xBq8p30LinGHo2mzIpg0iJ7wizTkob6-j0vA/s1600/IMG_3213b.JPG" /></a></div>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com0tag:blogger.com,1999:blog-28816718.post-36219999662061920072011-11-04T18:49:00.000+03:002011-11-04T18:49:20.133+03:00Health Center!!!<div style="text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYAolPVVQbeOQiNznNLmMzs0ct3ui7zn4CVi8YFTVKlUk8qP16WoTRx5sFRufBItJlpsgxyiwG3RlEhaUd1c0GdjK19VkVzFc-hQeUkYHNRj9b3gDL2mlMaUAm2kkixE9_AH2bSQ/s1600/IMG_2707b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYAolPVVQbeOQiNznNLmMzs0ct3ui7zn4CVi8YFTVKlUk8qP16WoTRx5sFRufBItJlpsgxyiwG3RlEhaUd1c0GdjK19VkVzFc-hQeUkYHNRj9b3gDL2mlMaUAm2kkixE9_AH2bSQ/s320/IMG_2707b.JPG" width="320" /></a></div><br />
</div>In the last few years our clinic has continued to expand and grow. Quite some time ago we outgrew our official title of "Dispensary". So we have been pursing the next level of licensing which is to become a Health Center. I'm pleased to announce that in September our application was approved and we are officially registered as the UPEC Chebaiywa Health Center now!!!<br />
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So what does this mean? Well it means that we can now act as a referral center for other smaller clinics in the surrounding areas. When they have cases too challenging for their facilities, they can send the patients on to us. It also means that we can admit patients for longer than 24hrs to receive inpatient care. And finally it allows us to launch a full Women's Health Center with services ranging from maternity to cervical cancer prevention and early intervention. <br />
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And with the upgrade to Health Center we have also joined the world of Facebook. <a href="https://www.facebook.com/home.php?sk=lf#%21/pages/Chebaiywa-Health-Center/259341710768178">Click here</a> to like the Health Center and stay updated on what's happening. <br />
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<tr><td class="tr-caption" style="text-align: center;">This will be the Women's Health Center when we Launch in January</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDlTxC7tNVfBpDP7PXFihy0BeSh1ETsJiUJHh1W3vViWyI0UA4tMWmzwnF4N_6TqlkTFhJUKLhKBjUdkQ-P3zXbnkN1r9vLtEvzfA5XtVvmeZ4eM_VSQfGf5zzXJ_SeAUedwMa-w/s1600/IMG_5112b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDlTxC7tNVfBpDP7PXFihy0BeSh1ETsJiUJHh1W3vViWyI0UA4tMWmzwnF4N_6TqlkTFhJUKLhKBjUdkQ-P3zXbnkN1r9vLtEvzfA5XtVvmeZ4eM_VSQfGf5zzXJ_SeAUedwMa-w/s400/IMG_5112b.JPG" width="340" /></a></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNfIlIiNpMtalUBVNmcAzNXvUhyDjMEHaqZg5FQx2yr3q0a-Cnbp_FsSmzM60ikLIBJMax1lFtYwYiphDVFaZG_QxPYX4YSAG2jVPplhl2NSUjKzn-5_SEItUO6rLxKfT2Zk0Hkg/s1600/IMG_5152b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNfIlIiNpMtalUBVNmcAzNXvUhyDjMEHaqZg5FQx2yr3q0a-Cnbp_FsSmzM60ikLIBJMax1lFtYwYiphDVFaZG_QxPYX4YSAG2jVPplhl2NSUjKzn-5_SEItUO6rLxKfT2Zk0Hkg/s320/IMG_5152b.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The Kiprop Family with the Health Center Staff</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEyWvJHxqyObS-8GZY_jT1g85i-IZpLZUnQd4qt6V8iqJeBggX1l4ARdLHnMhyFUe13BrL-YU-KDaoSnxt26-0IibGQ815pQRQ81YEgyFrxN8V3BEZu8h44kQpUc4P-RUXO0VNBg/s1600/IMG_5156b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEyWvJHxqyObS-8GZY_jT1g85i-IZpLZUnQd4qt6V8iqJeBggX1l4ARdLHnMhyFUe13BrL-YU-KDaoSnxt26-0IibGQ815pQRQ81YEgyFrxN8V3BEZu8h44kQpUc4P-RUXO0VNBg/s400/IMG_5156b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The Health Center Main Buildings </td></tr>
</tbody></table>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1tag:blogger.com,1999:blog-28816718.post-35460342438348062802011-10-23T14:29:00.000+03:002011-10-23T14:29:28.105+03:00Home Life<div style="text-align: center;">Here are a few pictures I snapped at home this past week.</div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjc7Qs6qlDHe6-GETJil9dhXs9FLLw7xCJE1tecesv2fEsCGnihjSnyA74e-MYWE5YHY-FzCF-B9WNdkjsZEt6MZXuZgj9j39eULCQe0L3hHJAFWeXUtyZCZjzWOTKMxkhakL2xVA/s1600/IMG_3015b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjc7Qs6qlDHe6-GETJil9dhXs9FLLw7xCJE1tecesv2fEsCGnihjSnyA74e-MYWE5YHY-FzCF-B9WNdkjsZEt6MZXuZgj9j39eULCQe0L3hHJAFWeXUtyZCZjzWOTKMxkhakL2xVA/s400/IMG_3015b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">One of the advantages of getting up to feeding the baby is catching the gorgeous sunrises!</td></tr>
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRMmNxdCiK3HnadWYm_z1iE7u0tXFNzITmmDtAAtKy3ZmmC9MGdhkxe24-29x6TI92H1dQZC1XXE3CCWCzRw9Xz4PA5sGdc0JFY2lGwnkQ9sP3HE6FlWaDQpxN15AdCsc1B0mb5A/s1600/IMG_3014b.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRMmNxdCiK3HnadWYm_z1iE7u0tXFNzITmmDtAAtKy3ZmmC9MGdhkxe24-29x6TI92H1dQZC1XXE3CCWCzRw9Xz4PA5sGdc0JFY2lGwnkQ9sP3HE6FlWaDQpxN15AdCsc1B0mb5A/s400/IMG_3014b.JPG" width="400" /></a></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdwzHTd4nXNJeEgs2sq0eTqtY87yOnFkre1HbFSPcoI8eUlfNfrGeJgKMnQMMc0c5j6Yu2Tiu22bVUYGQxGnjRanVjErr7MZsMRVIV98YUhogYro6-2SqtgH9QwKo2yNzYPhryUQ/s1600/IMG_3010b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdwzHTd4nXNJeEgs2sq0eTqtY87yOnFkre1HbFSPcoI8eUlfNfrGeJgKMnQMMc0c5j6Yu2Tiu22bVUYGQxGnjRanVjErr7MZsMRVIV98YUhogYro6-2SqtgH9QwKo2yNzYPhryUQ/s400/IMG_3010b.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">William brought me this giant grapefruit. I actually thought it was a melon until I cut it open!</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg74LoqT4Toie_COQVB2IeQ-IntSiV4p4ExxOaVVeKjOKNw4rTyTX7_E9fYqYMPUg8EsUC2plafwCvv-tw21swazkzQVijR88swBqSQaV5XpKFngjNCZZGgNNbaArU07PhUC4ZOaw/s1600/IMG_3011b.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg74LoqT4Toie_COQVB2IeQ-IntSiV4p4ExxOaVVeKjOKNw4rTyTX7_E9fYqYMPUg8EsUC2plafwCvv-tw21swazkzQVijR88swBqSQaV5XpKFngjNCZZGgNNbaArU07PhUC4ZOaw/s400/IMG_3011b.JPG" width="300" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">That single grapefruit made me a liter of juice!</td></tr>
</tbody></table>Michelle Kiprophttp://www.blogger.com/profile/06863371145299951447noreply@blogger.com1