Here I am awake at 3:30 am…wondering why on earth I am up at this time of the night. My dreams have awoken me, if only because of their stupidity and senselessness. But, it is more than that which keeps me awake.

I have been dreaming a lot lately of high school- not necessarily being in high school, but dreaming of different scenarios that include people I went to high school with. Unlike some, I was thrilled to move on from the people and the place a long time ago, so I am confused as to why my mind is revisiting it.

As I spent some time pondering this issue, the answer slowly became clear to me. Physically, I am here in Lilongwe, Malawi- Southeast Africa. However, mentally, emotionally, spiritually- I am in culture shock.

I almost hesitate to say this, because I am already anticipating the frantic emails and worried questions that will come from those who love us. I know- it sounds like a medical diagnosis that I may or may not recover from. But, let me reassure all of those who may feel that way (and myself) that this is normal. If nothing else, you can always trust that I will be honest, and to be completely honest I have to say that is where I am.

When we first arrived here, the transition was relatively easy. We adapted well and have been very happy settling in. The past week, though, I have found myself struggling without really understanding why. There have been many scenarios here that have caused me to question myself, my life, my understanding of God, and when I try to make sense of it, I can’t.

I have come to better understand the circumstances which people we work with everyday live in. These people that we have gotten to know and build relationships with are our friends. We regard them as our equals and our partners in this ministry. However, the reality of the situation is that their lives are very different than our lives. Even as missionaries living on support with a fixed budget, we make 10-20 times the money they do each month. When we go to the grocery store to buy food for the week, we spend more than they live on the entire month- and most of them have several children to feed. Every week, there is at least one or two people in our office who are attending a funeral of someone in their family.

There is one man in our office who is Michael’s age who briefly told me of his story. There are six children in his family- five boys and one girl. His father died when he was six or so, and then his mother died when he was nineteen. As the second eldest, he worked to care for the four younger children. His sister was sent to live with relatives in Zambia, and he hasn’t seen her since that time. He says that he struggles with the decision that he made to send her there, wondering if it was the right thing to do. He still cares for the youngest boy who is now fifteen, and he also cares for his own son who is two.

There are also a few people on staff here that have approached us for loans because of various family issues. One of them had a sister who just passed away and left two children. So he will be caring for his own family and two additional children on a salary of about $55 per month. The other is married and his wife is about to have a baby, but they have no way to pay for medical care or even transportation to the hospital to ensure the baby is born safely.

So, when you live in an environment with this type of need, it is easy to see where the struggle comes in. I feel guilty for the things we have been blessed with. But, at the same time, I am still transitioning from the place where I came. One moment I am frustrated because I haven’t had a pedicure in five months and I have layers of disgusting orange dirt caked under my toenails which I just can’t fix. The next moment I feel guilty for even considering spending what is another person’s monthly wages to have someone clean my feet. Or I am frustrated because I am sick of spending hours of my day cooking and cleaning because I have to cook everything from scratch and wash all of the dishes when I would just rather be at the Chik-fil-A drive thru. And then I remember all of the people I know that may or may not be eating today. I get frustrated that I am missing holidays and birthdays with those that I love, and yet as I write this many that I know are losing their loved ones and will not reunite with them this side of heaven.

I think I have been dreaming of people from high school because in some way I am trying to reconcile my former self that I knew and understood and who was relatively uncomplicated in the culture that I came from with this new person in this new place. It’s not comfortable; it’s not easy. It hurts, and it is painful. I am tired of crying tears of utter frustration as I sort these things out. I look forward to the day when I can look back and realize that I am past this.

Yesterday we visited Chirombo village for the first time. It is one of the two new villages where COTN is beginning to be involved. It is about an hours drive from here with about half of the drive on a very bumpy dirt road (I remember that very well as my rear end is more than a little sore today). Chirombo is a nice change from the villages directly outside of Lilongwe that we have gotten used to. It is greener and has more shade trees, which you learn to appreciate greatly when there is no rain and no air conditioning in the African summer.

As is standard for us "azungus" we received a welcome fit for kings. I am always entertained when the little kids look up from casually playing in the dirt outside their home to see the azungus driving by. It is how kids in America would react if they saw Santa Clause on an average day- they jump up and scream with joy at the top of their lungs calling their friends to come see the white people and wave. Of course, we look at each one and try to wave to each individually, and they giggle with uncontainable excitement. This time as we drove into the center of the village, the children started running behind the truck- first three or four and then gradually it increased to twenty or so children running after our truck screaming and laughing.

Once we arrived in the village, some of the people from COTN went about the business they had come for, and Michael and I just hung around with the kids while waiting. It was then that my experience began to change. My first impressions of the village were wonderful- green and shady, happy and joyful just as I described. But upon closer observation of the individual children, I became sad and sickened by grief. Usually when you first go into a village, you (or at least I as an outsider) can’t get a good impression of how the people really are living. Are they sick, do they have enough food, are the babies healthy, do they get medical care…..these are all questions that come to my mind, but it takes time to answer them. It is not something you can figure out from one visit. But, on this particular visit, it became painfully obvious to me that these kids are sick. There is clearly a great deal of suffering, and the needs are great.

Let me also explain that over time, since the arrival of the new Country Director who received a copy of my CV and educational and professional experience, people have begun calling me Dr. Courtney. The Country Director began calling me by my title, and it has trickled down to everyone else. So, as we entered this village the COTN staff members introduced me to all of these people as their doctor. Not only are these children sick and suffering, but they are now looking to me to ease their pain. I noticed the sicker ones trying to ease their way into the front hoping to get closer to me, as if just being closer to me would somehow help them. Some may find that flattering, but at this point in time I have nothing to give them. It is heart-wrenching to think about these children who are malnourished, sick, infected, hungry, thirsty, and they are hoping beyond all hope that they may receive something from this new person who as come, but she offers nothing. They must be wondering why she won’t help them. Why doesn’t she care about me?

So, as we plan over the next few months for the programs that will be instituted in these villages, please pray for these children specifically. Please pray for wisdom for me medically as well as wisdom for our leadership to be able to offer the services that are desperately needed here. Please pray that the leadership understands the desperate need for medical care. Please pray that on the American side that there will be enough money raised that these children will receive the basic necessities that they need to survive childhood. Please pray for American doctors to come and offer their services in these places.

On behalf of all of these children, thank you for your prayers.

My apologies.....

Well, I must admit that I am very embarrassed that it has been nearly a month since I posted anything. It is certainly not due to a lack of things to write about. Actually, I think there have been so many things swirling around in my head that it has been difficult to organize them and logically present them. Also, I think part of my struggle has been that at some point I realized that people were actually reading them, and I became a little self-conscious. I like my thoughts to be private and personal, but after all, I find myself baring my soul on the internet. So, at least in my mind, I am just going to pretend that this is my journal and no one is looking at it. 

I will give a somewhat brief summary of what I have been doing over the last few weeks. I have been spending time with Tapiwa and assisting her with exercises and strength training. Also, I researched her condition(s) and prepared a report of my  findings and recommendations for the Country Director as well as the National Board. My hope is that this will prompt serious consideration of much needed therapy for her. 

Also, I have been regularly visiting the girls' home in Mtsiliza. There are nine teenage girls who live there who are home from boarding school for their summer vacation.  I have really enjoyed just spending time with them and getting to know each of their unique personalities. I brought my photo album from home to show them, and they just loved looking at it. They squealed at the sight of wedding photos. One of the girls, Doress, just loved the pictures of my hair and would get so excited and pet the pictures of my hair because she thought it was so nice. I guess that is an obvious sign that my personal grooming standards have decreased somewhat since I have been here.  

I have also spent time at the widow's program in Mtsiliza as well. I guess I am naive, but when I was going to visit them, without really thinking I was expecting a group of elderly women. When  I walked into their meeting, I saw a group of women in their twenties and thirties, almost all of them with very small children. Several had small babies that were still breastfeeding. I began to try to do the math in my head to figure out how they could have babies that young and be widowed already.  Many of their husbands died while they were pregnant or soon after the baby was born. I just cannot conceive of the agony that it must be to lose your spouse when you have small children, and you are left with a family full of mouths to feed yet no way to provide for them. Through the widow's program, they learn to sew, knit, and bake to sell items for their income. I am interested to get to know these women because I suspect they are women of great strength and character.

 The rest of my time really has been spent reading, studying, and planning. Michael and I laugh because we brought all of these books from school that we thought may be useful for our work here. What we didn't realize is that we never really read these books in school. Now, I am reading these books and realizing there is some wonderful, insightful information that will help us tremendously in our respective jobs. I have thought to myself...wow if I had known how useful this was going to be, I would have studied a little harder in school. Today I was reading a book that I thought was totally useless in school. I looked through it and couldn't believe all of the great information it had. I guess God provides for you even when you don't even know it.  I also feel that we are both getting a better education than we could have dreamed of getting in any school. I am really excited to see what God will do with that after these two years.