tag:blogger.com,1999:blog-33684322823778614822024-03-17T20:02:58.339-07:00The Galat FamilyOur Experiences as Orthopedic Medical Missionaries in KenyaThe Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.comBlogger154125tag:blogger.com,1999:blog-3368432282377861482.post-83240385729665258902020-01-25T22:53:00.002-07:002020-01-25T22:53:41.624-07:00A New Season<div class="MsoNormal" style="font-family: Calibri, sans-serif; margin: 0in 0in 0.0001pt;">
This year marks 25 years of marriage for Heather and I, and during our engagement in the mid-1990s (imagine me in a pair of cutoff jean shorts, and Heather in her sweet Laura Ashley dress) we could never have imagined the adventure that God had in store for us. In 25 years, we have moved more than 20 times (often with many kids in tow), living in places as populated as Chicago and remote as Bomet, Kenya. And in every place, the constant has been God’s faithfulness, mercy and grace for two broken people. <o:p></o:p></div>
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Shortly after we were married, we sensed it was time for a change, and we entered a new season of life at Trinity Evangelical Divinity School, where I started seminary and Heather (newly pregnant with our now 22-year-old beast of a son Jeremiah) worked in the missions department as the secretary for great missiologists such as Paul Hiebert and Robert Coleman. Certain of my calling to ministry, but unable to shake the idea of going to medical school, God merged the two into a new vision: medical missions. The concept of “incarnational ministry” (that is, doing life with the people we are called to serve) so moved us that we promised God that if He would open the doors for us to live this type of life, we would stay long-term, full time, until He directed otherwise. <o:p></o:p></div>
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Fast forward 10 years, to the end of my orthopaedic surgical training in 2008, uncertain of how or where to fulfill this vision, we received an email about the need for an orthopaedic surgeon at Tenwek Hospital, and through a series of miraculous events, moved our family of 4 kids to Kenya for one amazing, wild, epic adventure. <o:p></o:p></div>
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More than we could ever have imagined happened during our 10+ years in Kenya: the addition of 3 more children to our family, the start of <a href="http://www.paacs.net/" target="_blank">PAACS</a> orthopaedic training at Tenwek, the unexpected but fruitful transition to Kijabe Hospital, the expansion of PAACS orthopaedics to Kijabe and Ethiopia, the miraculous provision to get board-certified while working overseas, the graduation of three of our oldest kids from Rift Valley Academy, and during the past three years, significant spiritual growth through a renovated prayer life. </div>
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Shortly after our transition to Kijabe in 2016, we began to sense another new season was imminent, as the work at Tenwek was going on well without me (despite many ups and downs), and Kijabe, with its strong core of talented national surgeons, was equipped to continue the PAACS mission well into the future. As such, we began to pray for God’s direction and asked many of you join with us. After many years, God has answered and confirmed that our long-term, full-time work <i>physically</i> in Kenya is finished for now, but the global work of teaching, training and discipling national surgeons via PAACS isn’t. <o:p></o:p></div>
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As part of this direction, God has provided the opportunity for me to join another surgeon in Phoenix named Shane Martin in a private total joints practice. Shane has been on short term missions’ trips to both Kenya and Tanzania and our mutual goal for the future is to steward our skills and resources to advance God’s kingdom through orthopaedic surgery. Heather and Shane’s wife Erin are partnering with us too as they meet weekly to pray.<o:p></o:p></div>
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The most amazing part of this new season is that I will remain with WGM as a U.S. based “global worker” as the PAACS Orthopaedics Program Administrator, providing direction, encouragement, recruitment and financial support for the (currently) three PAACS ortho sites and its more than 20 residents. This role will also include 1-2 trips to Africa annually for 1-2 weeks at a time. Heather will officially retire from WGM at the end of January to focus her ministry efforts primarily on our family. <o:p></o:p></div>
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Many of you have financially supported our family, the work at Tenwek and Kijabe, and the PAACS ortho residency programs over the years, and for this, we are eternally grateful. Through your faithfulness, God has enabled the healing of many patients, both physically and spiritually. All funds remaining in our <a href="http://www.wgm.org/galat" target="_blank">Galat Ministry Account</a> with WGM, and any funds given in the future, will be dedicated to the training of PAACS Orthopaedics national residents. The budget to train one resident for their entire 5-year program is approximately 125K USD! This is a huge task, but God is able to provide!<o:p></o:p></div>
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Although we are confident, excited and hopeful for this new season of life and ministry, we are also very sad to leave our life in Kenya on many levels, especially our dear friends and colleagues. But we know that God has ordained this new season, and what He has started, He will finish in a way that is beyond our ability to comprehend (Eph. 3:20). <o:p></o:p></div>
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Thanks for all your love and support!<o:p></o:p></div>
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<i>Ecclesiastes 3:1 For everything there is a season, and a time for every matter under Heaven. </i><o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com18tag:blogger.com,1999:blog-3368432282377861482.post-79753478685045588702019-12-22T19:48:00.000-07:002019-12-22T20:32:47.426-07:00Merry Christmas and Happy New Year from the Galats!<br />
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Dan and Heather</div>
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What an amazing and blessed year 2019 was for our family! In July, after a three year term at Kijabe Hospital in Kenya, we transitioned back to the U.S. for a time of furlough. We are so grateful to be together again with our growing family and are seeing the answer to so many of our prayers over the years. In 2020, Heather and I will celebrate 25 years of marriage as a testimony of God's continual faithfulness in our lives. </div>
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The Galats!</div>
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Hard to believe that we are 11 in our family now (12 if you count our new granddog Hobbs). </div>
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Jeremiah, Tory and Hobbs Galat</div>
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Jeremiah and Tory are doing so well, and are now married almost 3 years after eloping in 2017. They purchased their first home in May and are busy with school, work and a rapidly growing german shepherd puppy. In June 2020, they plan to "formalize" their union with a wedding celebration in Alaska (where Tory is from). We are looking forward to this special time together as a family!</div>
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Tye and Emma Dutcher </div>
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Shortly after our return from Kenya, we discovered that Emma and her boyfriend Tye eloped on July 31, 2019, and are now husband and wife. Although this was quite a shock for us, we see Tye as God's gift to Emma (and vice versa) and we love Tye (he is a perfect fit for our family). He has an amazing testimony of God's grace after loosing his leg in an accident at age 12. Determined not to let this define him, he started swimming and is now a member of the U.S. paralympic swim team. Emma and Tye live in Phoenix, and we love regularly spending time with them. </div>
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Tye won the gold in the backstroke (and three other medals) at the PanAm games in Lima, Peru this summer. He is currently training for the 2020 Summer Olympics in Tokyo. What we love about Tye is that he uses this platform as a way to share the gospel of Christ with many people.</div>
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Claire and her roommate Daria. </div>
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Claire began at Princeton in the Fall and is discovering how challenging college is! All last year, we prayed that God would provide the perfect roommate for Claire, and He answered far above our expectations. Daria is from Russia and is on the tennis team at Princeton. She is such a great friend for Claire! </div>
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Heather and Levi </div>
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Levi is now a sophomore in high school at Veritas Preparatory Academy here in Phoenix. He greatly misses his friends and life at the Rift Valley Academy in Kenya but has been determined to integrate well into school in the U.S. He played American football in the fall, and would have finished the season had we not discovered a scaphoid fracture from an injury he sustained several months earlier in Kenya.</div>
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Levi had only mild wrist pain despite having a chronic scaphoid fracture. He required open reduction and internal fixation of the fracture with vascularized bone grafting. </div>
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Ethan, Josie and Jane</div>
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And then there's the three little ones who keep Heather and I young, and perpetually active! They are loved by everyone in our family. </div>
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A recent total shoulder replacement I did on a patient with severe osteoarthritis</div>
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I (Dan) am halfway through my year-long fellowship in adult reconstruction (hip, knee and shoulder replacement) at the Mayo Clinic Arizona. This has been an incredible learning experience for me, as I gain greater skills in these procedures including Mako robotic assisted surgery. </div>
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We are so grateful for our friends and colleagues at Kijabe Hospital, Tenwek Hospital and within WGM. We are grateful for the years which God has given us in Kenya, and for the things which God has done in and through us. We are grateful for the growth of the orthopaedic training programs at Tenwek, Kijabe and Soddo/CURE in Ethiopia through PAACS, and amazed that there are now 20 residents being educated in orthopaedics and discipled in Christian maturity. We are also grateful for you who have been praying with us about the next steps for our family, and God is beginning to clearly show us the way!! Stay tuned for more updates in the near future, but for now, know that our commitment remains to the healthy growth and development of the PAACS orthopaedic training programs in Africa. </div>
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The PAACS graduates and residents are the future of orthopaedic surgery in Africa. In my mind, the most strategic way to reach underserved populations (who have massive needs surgically and spiritually) is through these national surgeons. We do this by multiplying ourselves in these incredibly intelligent, skillful, committed, and godly surgeons, who will then pass their knowledge on to others who come after them. What a privilege to invest in their lives in this way!<br />
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<b>Would you consider a <a href="https://www.wgm.org/project/orthofund" target="_blank">year end donation to help support the PAACS ortho residency programs?</a></b><br />
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May God richly bless you with grace and peace this Christmas and coming New Year!</div>
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<br />The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com7tag:blogger.com,1999:blog-3368432282377861482.post-16763548440514695332019-07-04T05:13:00.000-07:002019-07-04T05:13:38.900-07:00Endings and New Beginnings<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">Happy 4th of July from Kenya!</td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">It seems fitting on this cloudy and cold 4<sup>th</sup>of July in Kenya to reflect on what God has done in the past three years since we made the challenging </span><span style="font-family: Arial, Helvetica, sans-serif;">transition from Tenwek to Kijabe Hospital. So, I’ve built a blazing fire, and I’m sipping a cup of hot chai as I write, all the while wishing we could be in the U.S. for a blazing hot Independence day cookout with burgers, beans and sweet corn followed by fireworks as the sun sets. </span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Change is inevitable, and endings and new beginnings are a common part of this walk with Christ as strangers in this world. We often don’t take the time to grieve the multiple “deaths” that we experience regularly, and as a result, can get stuck in confusion, disillusionment, and stunted growth. But if we take the time to be honest with ourselves, and God, we can begin to see the new life that springs forth from the ashes (“<i>Unless a grain of wheat falls to the ground and dies, it remains alone; but if it dies, it bears much fruit. John 12:24)</i>. <o:p></o:p></span></div>
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<a href="https://1.bp.blogspot.com/-calm0I5yoXg/XR3fPKMJK6I/AAAAAAAADYE/vur18EGAKx8HmqifT-TfQvLdRCDOnDF6gCEwYBhgL/s1600/emma%2Bbiola.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"></span></a><span style="font-family: Arial, Helvetica, sans-serif;">If we would have been told 4 years ago that we would leave Tenwek (endings) and start again at Kijabe (new beginnings), we would have thought that would be impossible. We had worked too hard, invested too much, and planned to spend years, if not decades there. And I admit, we did not grieve well the loses we experienced and spent many months in a fog after first moving to Kijabe. <o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">But God, in His mercy, began to reveal the bigger picture of his sovereign plan, and one by one, new beginnings unfolded. In December 2016, Emma graduated from Mercy Multiplied in Nashville and returned to Kenya to complete her junior and senior year at RVA. </span><span style="font-family: Arial, Helvetica, sans-serif;">In February 2017, we discovered we were expecting another child, and Ethan Benjamin was born at Kijabe Hospital on October 11, 2017. </span><span style="font-family: Arial, Helvetica, sans-serif;">Now he is a little toddler, running around the house and trying to compete with his two, very doting older sisters. </span><span style="font-family: Arial, Helvetica, sans-serif;"> </span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">In March 2017, our oldest, Jeremiah, eloped, and although this was a complete surprise to us, we see God’s hand in this new beginning for him and Tory!</span><br />
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<tr><td class="tr-caption" style="text-align: center;">Jeremiah and Tory visited us in December 2017 when we found out the news!</td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">In July 2018, I became the first orthopaedic surgeon to complete the American Board of Orthopaedic Surgery certification process overseas in a mission/humanitarian setting. </span><span style="font-family: Arial, Helvetica, sans-serif;">In January 2019, PAACS Orthopaedics added two new programs (Kijabe and Soddo/CURE) to join Tenwek (which graduated their first two residents) bringing to total number of ortho residents to more than 20 (of which I have the privilege of overseeing as the PAACS Orthopaedics Regional Director). </span><br />
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<tr><td class="tr-caption" style="text-align: center;">Fasto and Victor as the first two graduates from the PAACS Tenwek program. Victor is working part-time at Tenwek and Fasto is a fellow in paediatric orthopaedics at CURE Kijabe. </td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Francis Mbugua and James Kinyua, the program directors at Kijabe. </td></tr>
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<tr><td class="tr-caption" style="text-align: center;">PAACS site visit to Soddo Christian Hospital in Ethiopia.<br /></td></tr>
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<tr><td class="tr-caption" style="text-align: center;">John Weston, recent graduate from the Mayo ortho residency program, visited us twice at Kijabe and had decided to join the team here. However, when Tenwek lost Dr. Kiprono and Dr. Nugent, he and his family changed gears and decided to make Tenwek their place of service. They plan to arrive in September 2019!</td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">And as of this month, we will have graduated two of our daughters from high school to send off to college (yes more endings/new beginnings). </span><br />
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<tr><td class="tr-caption" style="text-align: center;">Emma is now a Voice Performance Major at Biola in La Mirada, CA</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Claire plans to start at Princeton in the fall. </td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">The orthopaedic work at Kijabe Hospital thrived over the past three years, and I grew tremendously as I was pushed to more challenging cases such as revision total hip arthroplasty and bone transport for huge bony defects. </span></div>
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<tr><td class="tr-caption" style="text-align: center;">22 year old young lady with gaucher's disease. She required bilateral total hip replacements. </td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Pelvic X-ray of above patient. </td></tr>
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<tr><td class="tr-caption" style="text-align: center;">14 year old boy with large femoral bone defect requiring "bone transport."<br /></td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Pins and rail used to "transport" bone over a distance at 1mm per day to fill the defect. </td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">And as the Head of Orthopaedics, I was challenged to lead in deeper ways, including a book study for the consultants entitled “Emotionally Healthy Leadership” By Pete Scazzero (in which the last chapter is entitled “Endings and new beginnings.” Yes, you could say this book has had a profound impact on me!) </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Heather and I also experienced a rebirth of regular prayer and a new conviction for sabbath rest. We, for the first time in our missions career, began to experience the joy of intentionally leading together, in ministry, from our marriage (yep, another chapter in EHL). Heather was involved with multiple prayer ministry groups around the Kijabe campus, and we met weekly with a group of peers (couples with young kids, most of whom were 10+ years younger than Heather and I!). </span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">And we were able to really connect with our older kids during this critical time of development in their high school years. Many painful endings led us to beautiful new beginnings. </span><div>
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<tr><td class="tr-caption" style="text-align: center;">Over the past three years, we have made more pizzas than we can count. </td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Each Friday night, we have between 5-12 students with large appetites!</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Levi was baptized in the Indian Ocean in April 2019. </td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">And now, in two weeks, we will experience yet another ending as we leave this season at Kijabe, and head back to the States to begin a year of Home Ministry Assignment (HMA). During this time, I will be doing a year-long fellowship at Mayo Arizona in shoulder, hip and knee arthroplasty. At this point, we are planning to return to Kenya after the fellowship ends in July 2020, but we have learned to hold plans very loosely and are continuing to ask God for discernment of his will <i>(Do not be conformed to this world, but be transformed by the renewal of your mind, that by testing you may discern what is the will of God, what is good and acceptable and perfect. Rom. 12:2</i>).<o:p></o:p></span></div>
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<tr><td class="tr-caption" style="text-align: center;">We will miss sunsets (daily endings) like this at Kijabe!</td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif;">We continue to be thankful for each one of you, who have supported us prayerfully and financially over the past 10+ years we have spent in Kenya. Without your faithful work in our lives, we would not be here! </span><span style="font-family: Calibri, sans-serif;"><o:p></o:p></span></div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com10tag:blogger.com,1999:blog-3368432282377861482.post-30199814039582561672019-03-23T13:08:00.000-07:002019-03-23T13:08:00.739-07:00A Beloved Flower<div class="separator" style="clear: both; text-align: center;">
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Aimé's case of Blount's Disease or Tibia Vara was quite severe.</div>
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X-rays showing that the inside portions of both proximal tibia are severely sloped downward causing the bow-legged deformity. </div>
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<span style="font-family: inherit;">Ted</span> (Samaritan's Purse Post Resident in General Surgery) drilling a K-wire to help fix the cut bones. </div>
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<span style="font-family: inherit;">After shot of both legs now straight and with good rotation (God was present!)</span></div>
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<span style="font-family: inherit;">Aimé Fleury, the Beloved Flower</span></div>
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<span style="font-family: inherit;">This past week, I’ve been at <a href="https://kibuyehospital.org/" target="_blank">Hope Kibuye Hospital</a> in rural Burundi, East Africa participating in <a href="https://www.samaritanspurse.org/what-we-do/world-medical-mission-2" target="_blank">World Medical Mission</a>’s first sub-specialty orthopaedic outreach. The fact that I am even here is a miracle, because in my busyness of life and work at Kijabe, I didn’t even think to confirm that I needed a visa to enter the country (unlike all other African countries I’ve visited where my American passport allows me to buy a visa at the airport). And so, on Sunday morning, as Dr. Jomo (my 4<sup>th</sup>year resident at Kijabe and accomplice to Kibuye) were about to board our flight, I was denied. “Go on ahead without me,” I encouraged Jomo as he looked at me wide-eyed. “You get started on cases tomorrow, and I’ll catch up with you as soon as I can,” I said, knowing that to get a visa to join the outreach that week would take an absolute miracle. </span><br />
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<span style="font-family: inherit;">Little did I know, however, that there was a boy in Burundi named Aimé Fleury whose father and mother, along with their entire church had been praying and fasting for Aimé</span>’<span style="font-family: inherit;">s needed surgery to correct his severely crooked legs. And little did I know that after Jomo and I parted ways, he called his Burundian friend Gad, whose father has serious connections in the Burundi Department of Immigrations. Long story short, by Monday afternoon I had a visa stamped in my passport and by Tuesday morning, I was scrubbing cases with a grateful Jomo and the team here in Kibuye. The repeated response from everyone was, “How are you even here?” as the normal time to get a visa for Burundi is more than 10 days. </span></div>
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<span style="font-family: inherit;">I met Aimé the following afternoon as he was being prepared for surgery; an active, muscular 9-year-old boy with the worst case of Blount’s disease I’ve ever seen. As an orthopod who does very little pediatric orthopaedics, I prayed to myself, “God, unless you help me with this one, it won't be pretty.” As the patient was being wheeled to theatre, I met Aimé’s father, who explained that the meaning of his son’s name was “A Beloved Flower” and that his entire church had been praying and fasting for the success of his surgery since Sunday. It was clear that this son was truly loved, and that God brought him to this small hospital for a purpose. I relaxed a little as I realized I had no choice but to somehow let God work through our feeble hands to be an answer to the faithful prayers of so many. <o:p></o:p></span></div>
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<span style="font-family: inherit;">There are times in the operating room when we can sense the presence of God with us, and this was one of those times. Fixing Amié's crooked legs required multiple cuts in multiple planes to realign, and then stabilize the bones with wires through the skin – all without the benefit of any intraoperative imaging (no C-ARM available at Kibuye). But after finishing the case, I was pleasantly surprised at how normal the legs looked. Ted (World Medical Mission post-resident general surgeon at Kibuye) and I bumped fists as all in the room felt like we were on sacred ground. We said a prayer of healing and protection for Aimé and wheeled him back to his father. David (Samaritan’s Purse photographer who snapped all photos) showed him the before and after pictures, and his father said in amazement, “Those are his legs?!”<o:p></o:p></span></div>
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<span style="font-family: inherit;">So many deep and humbling lessons from this story: the power of faithful prayers of a small congregation in rural Africa, the love of a father, God’s help and strength in our absolute weakness. In the end, I was reminded that there is much going on behind the scenes that is so far beyond us (it’s not about us), but as we make ourselves available to God in our weakness, we see His miracles unfold firsthand, as we become the hands and feet of Christ to one another. Not for our glory, but for His alone! Please pray for Aimé, that he would heal without complications or infections, that he would walk with perfectly straight legs someday, and realize that he is a Beloved Flower of his Father in Heaven. </span><br />
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<span style="font-family: inherit;">Thanks for all your prayers and support!</span></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com5tag:blogger.com,1999:blog-3368432282377861482.post-16011312936489656802018-11-11T01:47:00.001-07:002018-11-11T03:00:40.473-07:00The Next Generation<!--[if gte mso 9]><xml>
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<span style="mso-bidi-font-weight: normal;"><span style="font-family: inherit;"><b>Expansion of PAACS</b></span></span><br />
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<span style="font-family: inherit;">Last weekend, I attended the annual </span><a href="http://www.paacs.net/" style="font-family: inherit;" target="_blank">Pan-African Academy of Christian Surgeons</a><span style="font-family: inherit;"> (PAACS) annual meeting in Chicago in my role as
the Regional Director for PAACS Orthopaedics.</span><span style="font-family: inherit;"> </span><span style="font-family: inherit;">Biggest news is that
two additional programs will be joining the PAACS ortho family: (1)
Kijabe/CURE (where we currently serve) and (2) Soddo/CURE in Ethiopia. In January 2019, the total number of residents will increase to over 20!</span></div>
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<span style="font-family: inherit;">The PAACS Orthopaedic Council sub-meeting...13 US-based surgeons committed to the training and discipleship of national orthopaedic residents in Africa. </span><br />
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<a href="https://4.bp.blogspot.com/-oonE-LWPZhU/W-f4EoWOrRI/AAAAAAAADHc/GA-6iOnkP30X--vexQyg5tXcLHg3BHPfQCLcBGAs/s1600/IMG_6440.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://4.bp.blogspot.com/-oonE-LWPZhU/W-f4EoWOrRI/AAAAAAAADHc/GA-6iOnkP30X--vexQyg5tXcLHg3BHPfQCLcBGAs/s320/IMG_6440.JPG" width="320" /></a></div>
<span style="font-family: inherit;">The main PAACS commission meeting had more than 100 people in attendance. </span><br />
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<span style="font-family: inherit; text-align: left;"><b>Tenwek</b></span></div>
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<span style="font-family: inherit; text-align: left;">Tenwek will graduate our first two residents, Dr.
Victor Sowayi, and Dr. Fasto Yugusuk in January 2019.</span><span style="font-family: inherit; text-align: left;"> </span><span style="font-family: inherit; text-align: left;">After graduation, Victor will be serving at
</span><a href="http://litein-hospital.org/" style="font-family: inherit; text-align: left;" target="_blank">Litein Hospital</a><span style="font-family: inherit; text-align: left;">, joining three other PAACS General Surgery graduates at this
mission hospital about 50 kilometers from Tenwek.</span><span style="font-family: inherit; text-align: left;"> </span><span style="font-family: inherit; text-align: left;">Fasto, who is from South Sudan, will God-willing
return to his home after a few years of work or additional training. </span><a href="http://www.wgm.org/mccoy" style="font-family: inherit; text-align: left;" target="_blank">Dr. Amada McCoy</a><span style="font-family: inherit; text-align: left;">, who recently completed a pediatric
orthopaedic fellowship at Baylor, joined the consultant team at Tenwek last month.</span></div>
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<a href="https://1.bp.blogspot.com/-M2zSIYPNjig/W-f4trZHJsI/AAAAAAAADHk/E09DMrYx_gEFUjV9DRIpOES1VJ8WNOLzQCLcBGAs/s1600/mccoy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="400" data-original-width="600" height="213" src="https://1.bp.blogspot.com/-M2zSIYPNjig/W-f4trZHJsI/AAAAAAAADHk/E09DMrYx_gEFUjV9DRIpOES1VJ8WNOLzQCLcBGAs/s320/mccoy.jpg" width="320" /></a></div>
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<span style="font-family: inherit; text-align: center;">Dr. Amanda McCoy recently joined Tenwek as a long-term, orthopaedic consultant.</span></div>
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<span style="font-family: inherit;"><b>Kijabe</b> </span></div>
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<span style="font-family: inherit;">The Kijabe/CURE program was approved to
come under the umbrella of PAACS.</span><span style="font-family: inherit;"> </span><span style="font-family: inherit;">Although
the residency was started in 2008, the consultants all agreed that PAACS would
add tremendous value in terms of spiritual ministry, discipleship and training.</span><span style="font-family: inherit;"> </span><span style="font-family: inherit;">We recently held our residency interviews and
have accepted three quality trainees into the program bringing our total number
of residents to 10.</span><span style="font-family: inherit;"> </span><span style="font-family: inherit;">Dr. John Weston and
his wife Ali, along with their two children, Gabe and Grace, will join Kijabe in late 2019. John
is currently a chief resident at Mayo Clinic and has been accepted into </span><a href="https://www.samaritanspurse.org/medical/post-residency-program/" style="font-family: inherit;" target="_blank">Samaritan’s Purse Post-Residency Program</a>. </div>
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Dr. John and Ali Weston, Gabe and Grace will join the Kijabe team in 2019. </div>
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<a href="https://4.bp.blogspot.com/-7m_vVRhi1N0/W-fdxw4vkXI/AAAAAAAADGA/glaWxWULVWwkbxzzzLblAKzYf72nOn01wCLcBGAs/s1600/IMG_2597.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1336" data-original-width="1600" height="267" src="https://4.bp.blogspot.com/-7m_vVRhi1N0/W-fdxw4vkXI/AAAAAAAADGA/glaWxWULVWwkbxzzzLblAKzYf72nOn01wCLcBGAs/s320/IMG_2597.jpg" width="320" /></a></div>
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John and I operated on this young man who received a total hip replacement for severe hip dysplasia. </div>
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<a href="https://1.bp.blogspot.com/-YBxnOBdElyk/W-fjGGI8DHI/AAAAAAAADHQ/DWOFg2QxXHoypUYSMzOpWbYxVUHeP0i5gCLcBGAs/s1600/IMG_2474.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://1.bp.blogspot.com/-YBxnOBdElyk/W-fjGGI8DHI/AAAAAAAADHQ/DWOFg2QxXHoypUYSMzOpWbYxVUHeP0i5gCLcBGAs/s320/IMG_2474.jpg" width="320" /></a></div>
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Kijabe CURE residents at our weekly PAACS spiritual curriculum bible study. </div>
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<b>Ethiopia</b></div>
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<span style="font-family: inherit;">The new PAACS orthopaedic training program beginning in Ethiopia in January 2019 will involve two sites: (1) </span><a href="https://cure.org/ethiopia/" style="font-family: inherit;" target="_blank">CURE Ethiopia</a><span style="font-family: inherit;"> in
Addis Ababa and (2) </span><a href="https://www.soddo.org/" style="font-family: inherit;" target="_blank">Soddo Christian Hospital</a><span style="font-family: inherit;"> in Southern Ethiopia.</span><span style="font-family: inherit;"> </span><span style="font-family: inherit;">Recently, in my role as Regional Director, I visited
both hospitals in Ethiopia, and was struck by the complexity of cases, and
incredible talent of the surgeons at both sites.</span></div>
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<span style="font-family: inherit; text-align: center;">The extreme work of the surgeons at CURE Ethiopia to correct neglected clubfoot.</span></div>
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<a href="https://2.bp.blogspot.com/-p6f-wIiONJ0/W-fe3tatiSI/AAAAAAAADGU/sGY4Qo7R-Io81ZN2rSmyxGw4_xpUfYcgACLcBGAs/s1600/IMG_2550.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1450" data-original-width="1600" height="289" src="https://2.bp.blogspot.com/-p6f-wIiONJ0/W-fe3tatiSI/AAAAAAAADGU/sGY4Qo7R-Io81ZN2rSmyxGw4_xpUfYcgACLcBGAs/s320/IMG_2550.jpg" width="320" /></a></div>
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<span style="font-family: inherit; text-align: center;">The drive to Soddo was beautiful, roads flanked by red fields of teff, the grain used to make the Ethiopian staple food injera.</span></div>
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<a href="https://4.bp.blogspot.com/-_oEIvS98FVQ/W-fe3sQH7zI/AAAAAAAADGY/8fQlih0i2CAqEHc_2WXXHcWPdWzt7_MPgCLcBGAs/s1600/IMG_2554.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://4.bp.blogspot.com/-_oEIvS98FVQ/W-fe3sQH7zI/AAAAAAAADGY/8fQlih0i2CAqEHc_2WXXHcWPdWzt7_MPgCLcBGAs/s320/IMG_2554.jpg" width="320" /></a></div>
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<span style="font-family: inherit; text-align: center;">Dr. Duane Anderson (middle), a very gifted orthopaedic surgeon, has been at Soddo since 2005. Dr. Brian Hodges (back row right) joined Soddo two years ago. The three guys in the front are orthopaedic residents from Ethiopia and Kenya.</span></div>
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<b><span style="font-family: inherit;">Global Missions </span>Health<span style="font-family: inherit;"> </span>Conference<span style="font-family: inherit;"> 2018</span></b></div>
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<span style="font-family: inherit;">On the tail end of my quick trip back to the
states, I attended the annual </span><a href="https://www.medicalmissions.com/events/gmhc-2018" style="font-family: inherit;" target="_blank">Global Missions Health Conference</a><span style="font-family: inherit;"> in Louisville,
KY, where I taught a workshop on casting and splinting, and gave a presentation
on PAACS orthopaedics to an enthusiastic crowd.</span><span style="font-family: inherit;">
</span><span style="font-family: inherit;">The conference was attended by more than 2500 medical professionals and
students and was a impactful time of networking, and encouraging this </span><i style="font-family: inherit;">next
generation</i><span style="font-family: inherit;"> of young men and women called to serve in medical missions.</span></div>
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<span style="font-family: inherit; text-align: center;">Instructing on the application of an RJ splint.</span></div>
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<span style="font-family: inherit; text-align: center;">Great hands-on workshop.</span></div>
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<span style="font-family: inherit; text-align: center;">Demonstrating how to reduce and splint an ankle fracture with </span><a href="http://www.wgm.org/nugent" style="font-family: inherit; text-align: center;" target="_blank">Dr. Dylan Nugent</a><span style="font-family: inherit; text-align: center;"> as the "test subject."</span></div>
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<span style="font-family: inherit; text-align: center;">A+ splints.</span></div>
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<span style="font-family: inherit; text-align: center;">Psalms 71:14-16</span></div>
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<span style="font-family: inherit; text-align: center;">As for me, I will always have hope;</span></div>
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<span style="font-family: inherit; text-align: center;">I will praise you more and more. </span></div>
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<span style="font-family: inherit; text-align: center;">My mouth will tell of your </span>righteous deeds, </div>
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of your saving acts all day long - </div>
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though I know not how to relate them all. </div>
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I will come and proclaim your mighty acts, Sovereign Lord;</div>
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I will proclaim your righteous deeds, yours alone. </div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com6tag:blogger.com,1999:blog-3368432282377861482.post-58223824945948468302018-10-20T02:36:00.001-07:002018-10-20T02:36:35.050-07:00Brief Galat Family Update - October 2018<br />
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The past several months have been incredibly eventful, not surprising for a family of 10! We were in the states for 6 weeks over the summer, and had a fantastic time together. </div>
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One of the reasons for our trip to the states was so that I could take my oral certification exams, defending cases that I "collected" overseas at Kijabe. I found out I passed the day we returned to Kenya (late August 2018)! Now, I can officially be called a "Diplomate of the American Board of Orthopaedic Surgeons." I am so grateful to God for this miracle and for all who prayed me through this process! </div>
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Emma graduated from the Rift Valley Academy in Kenya on July 12, 2018, the day we left for the States.</div>
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We transitioned Emma into college at Biola University in California, where she is a freshman studying in the Torrey Honors Program, and majoring in Voice Performance. The week school started, she went to the music department to inquire about private voice lessons and they asked her to audition. Long story short, the head professor of voice encouraged her to change her major, offering scholarships, and now she is pursuing her dream! </div>
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Claire is now in her senior year at RVA, busy with multiple activities, and in the midst of applying to colleges. </div>
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What? Josie is now 5 years old and started Kindergarten this year at RVA at the Titchie Swot (which is the British term for primary school). We've not seen a girl more devoted to learning as Josie!</div>
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Jane is now 3, and primarily loves Ethan. </div>
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Last week, we celebrated Ethan's 1st birthday!</div>
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While we were in the states, we were thankful to say goodbye to Heather's grandma Stuber before she passed away this month. Heather is going to travel back to Phoenix for the funeral next week while I remain behind as Mr. Mom. </div>
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This November will mark our 10th year anniversary of life and work in Kenya and our third year serving at Kijabe Hospital, where I continue to work teaching and training the orthopaedic residents. The Kijabe program was recently approved to become the 2nd PAACS program and a 3rd program will begin January 2019 in Ethiopia. God is doing amazing things to grow PAACS orthopaedics, which started at Tenwek just 5 years ago!</div>
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My hip and knee replacement practice has grown exponentially at Kijabe and now about 40% of what I do. The residents love learning about adult reconstruction, but our cases are far from straight-forward. As such, during our next scheduled home assignment (July 2019-August 2020) I "matched" at Mayo Clinic Arizona for a year long fellowship to bring my skills to the next level. We are so thankful to be near family during this time!</div>
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Overall, God has been incredibly faithful, providing for every need on multiple levels. </div>
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Thank you for your continued love and support of our family!</div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com8tag:blogger.com,1999:blog-3368432282377861482.post-75223108438486281732018-06-16T05:38:00.000-07:002018-06-16T05:38:46.059-07:00The Final Countdown (Ten Years in Waiting)
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<!--StartFragment-->
<br />
<div class="MsoNormal">
This week, I finalized the twelve surgical cases which were
selected for my American Board of Orthopaedic Surgery (ABOS) part-2 oral
certification exam, scheduled for July 24, 2018 at 6:30am at the Palmer House
in downtown Chicago.<span style="mso-spacerun: yes;"> </span>It all felt rather
anti-climatic as I clicked the “submit” button around midnight on Thursday, after
literally a 10 year process of waiting, trusting, and praying for the board to
change it’s decades-old policy to allow me (and others) to “collect” cases
while working overseas in missions settings (see <a href="http://dangalatkenya.blogspot.com/2016/02/when-gods-voice-thunders-in-marvelous.html" target="_blank">When God’s Voice Thunders inMiraculous Ways</a>).<span style="mso-spacerun: yes;"> </span>Now, it all comes down
to a three hour, grueling oral examination in which I will describe and defend
these 12 cases, which were selected from a list of 120 that I did during a six-month
period from April to September 2017.<span style="mso-spacerun: yes;"> </span>In
many ways, those six months were the most difficult of my career as an
orthopaedic surgeon, as I felt continually pushed to the edge of my limitations,
and had to manage complications which might not have occurred otherwise in a
location without resource limitations.<span style="mso-spacerun: yes;"> </span>The
“strange and bizarre” cases at Kijabe, which differ so greatly from the “bread
and butter” cases in the states, I’m sure, will raise a few eyebrows during my
exam.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
After 10 years practicing in rural Kenya, it almost feels as
if the “strange and bizarre” has become my new “bread and butter.”<span style="mso-spacerun: yes;"> </span>Just last week, I did a hemipelvectomy
(amputation of the entire hindquarter, including part of the pelvis) on a sweet,
45-year-old lady with dediffentiated chrondrosarcoma of the hip, a case way out
of my comfort zone (sorry, no pics on this one).<span style="mso-spacerun: yes;"> </span>Working late into
the night, tying off large pulsing arteries deep in the pelvis in this HIV+ patient,
her blood soaked through my cloth gown down to my skin. <span style="mso-spacerun: yes;"> </span>I fearfully wondered if I would now have to
take the one-month course of PEP (post-exposure prophylaxis) required after
exposure to HIV+ blood.<span style="mso-spacerun: yes;"> </span>Thankfully,
after consultation with the PEP specialist at Kijabe, that answer was “no,” as
these medications are known (by personal experience from another exposure in
which a general surgery resident decided to stick my finger with a needle) to
cause you to feel as if you’ve gotten the flu after being thoroughly beaten
with a lead pipe.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
While I don’t have a hemipelvectomy on my list of 12, I
still have some other challenging cases to defend, such as the patient who
required an above knee amputation after her total knee replacement became infected
with e. Coli, likely obtained at the local hospital she went to for “therapy”
after discharge.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Her daughters later explained the conditions
at this local hospital were entirely “unsanitary” and her wound left uncovered
for days on end.<span style="mso-spacerun: yes;"> </span>By the time she
returned to Kijabe, her knee was draining copious pus, and she had developed a
necrotizing-type fasciitis, which could not be controlled despite strong
antibiotics and multiple trips to theatre.<span style="mso-spacerun: yes;">
</span>Because I work in a resource-poor setting, other non-conventional
techniques will need to be gingerly explained to the examiners, for instance, why
I used a shorter plate here, or why I used a SIGN nail there.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Thankfully, though, all patients, whether
complicated or not, did remarkably, even miraculously, well.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In the end, it is clear that God is sovereignly
orchestrating all these events, from beginning to end, including the exact
cases that were selected. <span style="mso-spacerun: yes;"> </span>I’m praying this
examination will be a testimony to many that God is at work around the world to
bring glory to His name through orthopaedic medical missions.<span style="mso-spacerun: yes;"> </span>Your fervent prayers are also appreciated
during the final prep all the way up to the time of the actual exam.<span style="mso-spacerun: yes;"> </span>Pray not only that I pass, but also that God
would be glorified through the process, and that He would raise up others to
follow a similar path so that <a href="https://www.paacs.net/" target="_blank">PAACS orthopaedics</a> can continue to expand (more
on that later!). <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thanks for your ongoing prayers and support!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<!--EndFragment--><br />The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com10tag:blogger.com,1999:blog-3368432282377861482.post-50971402187694893212018-01-23T02:22:00.005-07:002018-01-23T05:24:35.901-07:00Imagine!<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-I_pvWuRHbjI/Wmb6okAQODI/AAAAAAAAC1M/5bB_ra-AU2IRtotS7hgdKmEOvHQ0OavTwCLcBGAs/s1600/IMG_0094.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://4.bp.blogspot.com/-I_pvWuRHbjI/Wmb6okAQODI/AAAAAAAAC1M/5bB_ra-AU2IRtotS7hgdKmEOvHQ0OavTwCLcBGAs/s320/IMG_0094.JPG" width="240" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
Beatrice hard at work doing PT after SIGN nailing of all 4 long bones of the lower extremities.</div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<a href="https://3.bp.blogspot.com/-I255P2s8Vk4/Wmb6owQ0qFI/AAAAAAAAC1Q/mA7VQWgnUnIsKv3JswZCJM8cL1l9OA_XgCLcBGAs/s1600/IMG_0095.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://3.bp.blogspot.com/-I255P2s8Vk4/Wmb6owQ0qFI/AAAAAAAAC1Q/mA7VQWgnUnIsKv3JswZCJM8cL1l9OA_XgCLcBGAs/s320/IMG_0095.JPG" width="240" /></a><br />
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
Beatrice standing with new, first-year orthopaedic resident Nobert Langat (left) and chief orthopaedic resident Isaac Kingori (right).</div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://2.bp.blogspot.com/-aOr3uTV45KI/Wmb8eLP9haI/AAAAAAAAC1k/4jbJebQZ11MTW9tn7aFm6XL41Kqt4DIOACLcBGAs/s1600/IMG_0097.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://2.bp.blogspot.com/-aOr3uTV45KI/Wmb8eLP9haI/AAAAAAAAC1k/4jbJebQZ11MTW9tn7aFm6XL41Kqt4DIOACLcBGAs/s320/IMG_0097.JPG" width="240" /></a></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Right femur SIGN FIN nail.</div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-tmx4ThYpdfo/Wmb8eclf3bI/AAAAAAAAC1o/WuBuAN8y8jUaFipHT9bc8Bjc1E5rtf0uACLcBGAs/s1600/IMG_0098.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://3.bp.blogspot.com/-tmx4ThYpdfo/Wmb8eclf3bI/AAAAAAAAC1o/WuBuAN8y8jUaFipHT9bc8Bjc1E5rtf0uACLcBGAs/s320/IMG_0098.JPG" width="240" /></a></div>
<br />
<div style="text-align: center;">
Right tibia SIGN nail.</div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://2.bp.blogspot.com/-s3P_vQuYoI0/Wmb8fZ6ZvNI/AAAAAAAAC1s/xm0Q2Z03MUcZcAF4oOJ3xFEdnMxXm6d3ACLcBGAs/s1600/IMG_0099.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://2.bp.blogspot.com/-s3P_vQuYoI0/Wmb8fZ6ZvNI/AAAAAAAAC1s/xm0Q2Z03MUcZcAF4oOJ3xFEdnMxXm6d3ACLcBGAs/s320/IMG_0099.JPG" width="240" /></a></div>
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Left knee x-ray showing both femur and tibia SIGN nails. </div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-g2NfnDV6AuE/Wmb6ryn0k3I/AAAAAAAAC1U/MCriHE9o87wBZnzmfinc18KrkMXFdi7vACLcBGAs/s1600/bus%2Baccident.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="645" data-original-width="860" height="240" src="https://3.bp.blogspot.com/-g2NfnDV6AuE/Wmb6ryn0k3I/AAAAAAAAC1U/MCriHE9o87wBZnzmfinc18KrkMXFdi7vACLcBGAs/s320/bus%2Baccident.jpg" width="320" /></a></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
The result of one of the multiple crashes which took the lives of more than 200 Kenyans in December 2017</div>
<br />
Story told with patient's permission.<br />
<br />
<div class="MsoNormal">
Kenyans use the word “imagine” frequently after listening to
a story that has an unfortunate or unbelievable outcome, but that which might
be ironically typical for normal, daily life in this developing nation.<span style="mso-spacerun: yes;"> </span>For example…Me: “I just waited in line at the
Immigration Office in Nairobi for more than 3 hours!” Kenyan friend: “Imagine!”
Or…Me: “The policeman who pulled me over for ‘speeding’ actually suggested I
pay him a bribe.” Kenyan colleague: “Imagine!”<span style="mso-spacerun: yes;">
</span>Or…me eating lunch at the hospital: “My beef stew is missing the
beef.”<span style="mso-spacerun: yes;"> </span>Response?<span style="mso-spacerun: yes;"> You guessed it.</span><span style="mso-spacerun: yes;"> </span>The word, used in these contexts, carries with it a negative sense of “if
only.”<span style="mso-spacerun: yes;"> </span>If only things could be
different.<span style="mso-spacerun: yes;"> </span>If only there was hope for
real and lasting change. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Now, imagine yourself traveling cross-country as the front
passenger in a matatu (14-seat van used for the majority of public
transportation in Kenya), over-stuffed with more than 22 people (a common
illegal problem in Kenya), and over-speeding on the main highway in Kenya
(two-lane road with on coming traffic).<span style="mso-spacerun: yes;">
</span>Imagine your matutu driver operating recklessly, crazily passing large
trucks in order to save time, all the while with passenger shouting at him to
“slow down” and “take care!”<span style="mso-spacerun: yes;"> </span>Now imagine
that, while overtaking another vehicle, a large semi comes barreling directly
towards you, and with nowhere to turn to the left or right. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This is all Beatrice remembers prior to waking up one week
later in Kenyatta National Hospital, with all four large bones of both legs
shattered, the only survivor in this horrific December 2017 road traffic
accident, only one among many in which more than 200 Kenyans lost their lives
during this normally festive, family-oriented, but travel-heavy and now
infamous month.<span style="mso-spacerun: yes;"> </span>She had been given minimal
care at KNH, and still had fragments of bone protruding through the skin in her
right thigh.<span style="mso-spacerun: yes;"> </span>Desperate, without money to
pay for her care, family members requested transfer to Kijabe, where <a href="http://www.watsi.org/" target="_blank">Watsi</a>, (an
on-line crowd funding platform), and four donated <a href="http://www.signfracturecare.org/" target="_blank">SIGN nails</a> fixed her broken legs.<span style="mso-spacerun: yes;"> </span>Now, she is on the mend, beginning to walk
not even a month after her injuries. <span style="mso-spacerun: yes;"> </span>When telling Beatrice how fortunate she was to
be alive and how amazing, unbelievable and God-ordained the events were which
brought her to Kijabe for care, her response was “Imagine!”<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
So the word “imagine” can also be used positively to respond
to a story in which the impossible breaks through in the midst of tragedy, and
in the end, all is not lost, futile, hopeless, or ruined.<span style="mso-spacerun: yes;"> </span>Here, the positive use of the word carries
the sense of “Can you believe it!?”<span style="mso-spacerun: yes;"> </span>This
is the essence of the gospel.<span style="mso-spacerun: yes;">
</span>Imagine!...when we were dead in sin, God made us alive in Christ (Eph. 2:1-10).<span style="mso-spacerun: yes;"> </span>Imagine!...every tear will be wiped away, and there
will be no more pain or death (Rev. 21:4).<span style="mso-spacerun: yes;"> </span>Imagine!...Christ is preparing a place for us in heaven (John14:2-3).<span style="mso-spacerun: yes;"> </span>God can do exceedingly, abundantly
more than we can ask or <i style="mso-bidi-font-style: normal;">imagine </i>(Eph.
3:20)!<i style="mso-bidi-font-style: normal;"> </i><span style="mso-spacerun: yes;"> </span>Real, lasting change is possible (1
Cor. 6:9)!<i style="mso-bidi-font-style: normal;"> <span style="mso-spacerun: yes;"> </span></i>Because of Christ, the <i style="mso-bidi-font-style: normal;">“if only”</i> becomes the <i style="mso-bidi-font-style: normal;">“can you believe it?"</i><span style="mso-spacerun: yes;"> </span>Imagine!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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Thanks for all your prayers and support!<o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com89tag:blogger.com,1999:blog-3368432282377861482.post-43209968790740050642017-12-24T02:22:00.001-07:002017-12-24T02:22:48.490-07:00Merry Christmas 2017 from the Galats!<div class="separator" style="clear: both; text-align: left;">
As we finish another highly eventful year, we wish to acknowledge the grace of God that has carried us, the prayers of many which have sustained us, and the friendships which have enriched us. This Christmas, may we all "have power, together with all the saints, to grasp how wide and long and high and deep is the love of Christ." (Eph. 3:18). This is the essence of Christmas: the love of God expressed in the gift of His Son, Jesus. Nothing else with change us like this Truth! Merry Christmas from our crazy, chaotic, colorful household to yours! </div>
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Here's a brief update on each one of us:</div>
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<a href="https://2.bp.blogspot.com/-JFQE-_PGd8E/Wj9o7gbujrI/AAAAAAAACy0/L3aAt28JmGM8rubRc55WTwcAWpT9tQHQACLcBGAs/s1600/galat_9R6A7131.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://2.bp.blogspot.com/-JFQE-_PGd8E/Wj9o7gbujrI/AAAAAAAACy0/L3aAt28JmGM8rubRc55WTwcAWpT9tQHQACLcBGAs/s320/galat_9R6A7131.jpg" width="320" /></a></div>
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The newest addition to our home, Ethan Benjamin Galat, born October 11, 2017. This is his serious, "old-man" face. Certainly a blessing to our family!</div>
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<a href="https://3.bp.blogspot.com/-Z1ENjT2I6G8/Wj9pW1hcUFI/AAAAAAAACzE/2W0w0wC6ok00hziRnIukz3UqJfliAadngCEwYBhgL/s1600/galat_9R6A7035.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://3.bp.blogspot.com/-Z1ENjT2I6G8/Wj9pW1hcUFI/AAAAAAAACzE/2W0w0wC6ok00hziRnIukz3UqJfliAadngCEwYBhgL/s320/galat_9R6A7035.jpg" width="320" /></a></div>
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Jane Kathryn Galat, age 2. </div>
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She brings constant laughter to our home with everything she is! </div>
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<a href="https://1.bp.blogspot.com/-HjzAuBmz_Kw/Wj9pbY6d9NI/AAAAAAAACzE/W7KbnSnPGTM_MtDPgPYcjeQRuzpn1YzMACEwYBhgL/s1600/galat_9R6A7016.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://1.bp.blogspot.com/-HjzAuBmz_Kw/Wj9pbY6d9NI/AAAAAAAACzE/W7KbnSnPGTM_MtDPgPYcjeQRuzpn1YzMACEwYBhgL/s320/galat_9R6A7016.jpg" width="320" /></a></div>
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Josie Grace Galat, age 4.</div>
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On the extrovert scale, she ranks an 11! </div>
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<a href="https://1.bp.blogspot.com/-Ym53xg1zwyk/Wj9pkYVoY6I/AAAAAAAACzc/2P5ESF2anWwKKvvQXLhOOTaVKUMG5nYsQCEwYBhgL/s1600/galat_9R6A7097.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://1.bp.blogspot.com/-Ym53xg1zwyk/Wj9pkYVoY6I/AAAAAAAACzc/2P5ESF2anWwKKvvQXLhOOTaVKUMG5nYsQCEwYBhgL/s320/galat_9R6A7097.jpg" width="213" /></a></div>
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Levi Stephen Galat, age 13.</div>
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Currently in 8th grade, and becoming quite accomplished on the tenor sax. </div>
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<a href="https://1.bp.blogspot.com/-1SJoD5_YCHg/Wj9pnwfAqMI/AAAAAAAACzc/sC_g9m8rXlccAitSdHuF35arXti7pd77wCEwYBhgL/s1600/galat_9R6A7100.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://1.bp.blogspot.com/-1SJoD5_YCHg/Wj9pnwfAqMI/AAAAAAAACzc/sC_g9m8rXlccAitSdHuF35arXti7pd77wCEwYBhgL/s320/galat_9R6A7100.jpg" width="213" /></a></div>
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Claire Elizabeth Galat, age 16. </div>
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In her junior year at RVA and enjoying school, friends, sports, music!</div>
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<a href="https://4.bp.blogspot.com/-K99etkLa-1A/Wj9pjDKtz_I/AAAAAAAACzc/uTFzD8B1DnQpLava2MN-ZoukS30fESv4wCEwYBhgL/s1600/galat_9R6A7091.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://4.bp.blogspot.com/-K99etkLa-1A/Wj9pjDKtz_I/AAAAAAAACzc/uTFzD8B1DnQpLava2MN-ZoukS30fESv4wCEwYBhgL/s320/galat_9R6A7091.jpg" width="320" /></a></div>
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Emma Rose Galat, age 18. </div>
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In her senior year at RVA, accepted to all five colleges to which she's applied! Praying for wisdom for the next step. </div>
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<a href="https://2.bp.blogspot.com/-240xqO_JNmQ/Wj9soShgBjI/AAAAAAAACzk/6VEznNql3v0Z5aRBfCS5jaKMMeDoMAErgCLcBGAs/s1600/galat_9R6A7236.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://2.bp.blogspot.com/-240xqO_JNmQ/Wj9soShgBjI/AAAAAAAACzk/6VEznNql3v0Z5aRBfCS5jaKMMeDoMAErgCLcBGAs/s320/galat_9R6A7236.jpg" width="213" /></a></div>
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Jeremiah Daniel Galat, age 20. </div>
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Currently a sophomore at Arizona State University, studying Biophysics for premed. </div>
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<a href="https://4.bp.blogspot.com/-lVMkXyRDg1c/Wj9sjkGhvcI/AAAAAAAACzg/ElYW40pGDgIyhiH1OtkoojT0d7HFT99kgCLcBGAs/s1600/galat_9R6A7187.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://4.bp.blogspot.com/-lVMkXyRDg1c/Wj9sjkGhvcI/AAAAAAAACzg/ElYW40pGDgIyhiH1OtkoojT0d7HFT99kgCLcBGAs/s320/galat_9R6A7187.jpg" width="213" /></a></div>
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Dan and Heather, married 22 years, and feeling too old to be parents of 7 kids spanning 20 years, but thankful for the family which God chose to bless us with. </div>
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<span style="text-align: left;">We continue to serve in missions at Kijabe Hospital in Kenya, where Dan works as the head of orthopaedic surgery, and as an educator for the orthopaedic residency training program here. Heather has become increasingly involved with a growing prayer movement that God is raising up on our hospital and school campuses. We continue to trust God for our next steps as well, as we plan (God willing) to stay in Kenya until our next furlough scheduled for 2019-2020. Thanks for all your prayers and support over the years!!</span></div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com0tag:blogger.com,1999:blog-3368432282377861482.post-35730912611038553772017-10-16T11:20:00.000-07:002017-10-17T05:29:42.582-07:00Strong, Firm, Enduring<div class="separator" style="clear: both; text-align: center;">
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<tr><td style="text-align: center;"><a href="https://4.bp.blogspot.com/-NhIi7WWqAB4/WeT1kdDw5zI/AAAAAAAACuo/0_6PAyuWkcsyvz-b7PCNDuUfEmnQH49_ACLcBGAs/s1600/IMG_8890.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://4.bp.blogspot.com/-NhIi7WWqAB4/WeT1kdDw5zI/AAAAAAAACuo/0_6PAyuWkcsyvz-b7PCNDuUfEmnQH49_ACLcBGAs/s320/IMG_8890.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The Kijabe Dream Team (minus Elector who hadn't arrived yet), pre-birth. Everyone happy, except Heather.</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://4.bp.blogspot.com/-eNZX8T87xWY/WeT1kb06paI/AAAAAAAACus/vwSi2n1rF74AyID_iK9qze6JlcxCUBtiACLcBGAs/s1600/IMG_8903.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://4.bp.blogspot.com/-eNZX8T87xWY/WeT1kb06paI/AAAAAAAACus/vwSi2n1rF74AyID_iK9qze6JlcxCUBtiACLcBGAs/s320/IMG_8903.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">How can someone look so good just a few minutes after delivery!</td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
<br /></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://2.bp.blogspot.com/-rAgvZdO-_mE/WeT1yL9sweI/AAAAAAAACvE/J1NaIWlfsSkYJTuPw0gz6YoAK6sNC8yIwCLcBGAs/s1600/fullsizeoutput_ddad.jpeg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://2.bp.blogspot.com/-rAgvZdO-_mE/WeT1yL9sweI/AAAAAAAACvE/J1NaIWlfsSkYJTuPw0gz6YoAK6sNC8yIwCLcBGAs/s320/fullsizeoutput_ddad.jpeg" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Getting to know baby Ethan. </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://3.bp.blogspot.com/-p55TkNK6cOU/WeT1kcDKdqI/AAAAAAAACuw/aezzmFVgk_8FoedvKxcik7-MpRCNF5uFgCLcBGAs/s1600/IMG_8923.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://3.bp.blogspot.com/-p55TkNK6cOU/WeT1kcDKdqI/AAAAAAAACuw/aezzmFVgk_8FoedvKxcik7-MpRCNF5uFgCLcBGAs/s320/IMG_8923.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Claire and Ethan.</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://3.bp.blogspot.com/-6n3rs1l4hnM/WeT1re0X1NI/AAAAAAAACu0/VWpn7qyB-LcXie51iIGPORu7mv60AEniQCLcBGAs/s1600/IMG_8930.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://3.bp.blogspot.com/-6n3rs1l4hnM/WeT1re0X1NI/AAAAAAAACu0/VWpn7qyB-LcXie51iIGPORu7mv60AEniQCLcBGAs/s320/IMG_8930.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Emma and Ethan. </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://4.bp.blogspot.com/-rKdWcsuo2GQ/WeT1sok3QVI/AAAAAAAACu4/uAgl14UigjIVdSoE2RB0zyl_ohERXE4YACLcBGAs/s1600/IMG_8939.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://4.bp.blogspot.com/-rKdWcsuo2GQ/WeT1sok3QVI/AAAAAAAACu4/uAgl14UigjIVdSoE2RB0zyl_ohERXE4YACLcBGAs/s320/IMG_8939.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Levi and Ethan. </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://3.bp.blogspot.com/-zSVG7hoXrlY/WeT1ta23UPI/AAAAAAAACu8/ZbuybOJBFzw35Lb4XND14wwP4raOqCJfwCLcBGAs/s1600/IMG_8991.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://3.bp.blogspot.com/-zSVG7hoXrlY/WeT1ta23UPI/AAAAAAAACu8/ZbuybOJBFzw35Lb4XND14wwP4raOqCJfwCLcBGAs/s320/IMG_8991.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">J&J love him too!</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://4.bp.blogspot.com/-ecM9GgE0E7A/WeT1vqAelYI/AAAAAAAACvA/K6Byf4Mnl2s-SKnmyZUFiZfvEFqdy5nRACLcBGAs/s1600/IMG_9016.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1600" height="320" src="https://4.bp.blogspot.com/-ecM9GgE0E7A/WeT1vqAelYI/AAAAAAAACvA/K6Byf4Mnl2s-SKnmyZUFiZfvEFqdy5nRACLcBGAs/s320/IMG_9016.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Almost smiling?<br />
<br />
<br />
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On October 11, 2017 at 2:51pm, Heather gave birth our seventh child, a son, whom we named Ethan Benjamin Galat. Surrounded by what I call the “Kijabe Dream Team” (Dr. Catherine – OB/GYN, Allyson – Family Nurse Practitioner, Elector – Kenyan Nurse Midwife, and Joan – Doula extraordinaire), Heather amazed us all with her determination, courage, and grit, delivering a healthy baby boy in a newly remodeled private birthing room at Kijabe Hospital. It was a surreal experience on multiple levels that we couldn’t have duplicated anywhere in the world, except for the fact that God was orchestrating it all. And right as the baby’s head started to crown, and Heather began the final push, it started to pour long-awaited rains on the overly dry land in which we live. We all had the sense that God was present, giving his blessing and affirmation to His sovereign plans. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In truth, the past few years for our family have felt more fragile, shaky, and transient, than strong, firm and enduring. We never imagined that we would leave our home at Tenwek and settle in a new place of ministry, nor in the midst of it all, add another child to our family (yes, by now, we should know what causes that), nor collect cases for board certification. But God has faithfully done all this, and much more than we could have imaged (or knew we needed). Hence, we gave our son the name Ethan, which in Hebrew means “Strong, Firm, Enduring” to honor our God who has remained our Fortress, our Strong Tower, our Ever-present Help in times of trouble. We remain continually humbled by the fact that our weakness is His strength; our uncertainty is His opportunity to shine! Oh, and the name Benjamin? It means “son of my right hand” or perhaps more appropriately “son born in my old age.” Come on now…I’m not THAT old!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thanks for all your prayers, love and support of our family over the years! <o:p></o:p></div>
</div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com4tag:blogger.com,1999:blog-3368432282377861482.post-11865868693460775602017-02-10T11:05:00.000-07:002017-02-10T11:46:06.668-07:00A SIGN for a New Generation<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://1.bp.blogspot.com/-A-cyAgodwlk/WJ34VdjsqII/AAAAAAAACiY/srLoAtb3f_EWQzyACgtd7pB4had27NHWACLcB/s1600/PAACS%2Bortho%2Bteam.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="210" src="https://1.bp.blogspot.com/-A-cyAgodwlk/WJ34VdjsqII/AAAAAAAACiY/srLoAtb3f_EWQzyACgtd7pB4had27NHWACLcB/s320/PAACS%2Bortho%2Bteam.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"> Orthopaedic residents and consultants from Tenwek and Kijabe. Dr. John is on the far left. We are demonstrating the "squat and smile" photo, which Dr. Lew Zirkle, the founder of SIGN, likes to see SIGN patients perform to show they are healed!</td></tr>
</tbody></table>
<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://1.bp.blogspot.com/-jJG68dR-Lrk/WJ34k2Ok5CI/AAAAAAAACik/zFfb5GgEZPovWHeqZ1S9UL2WL2KHWN8HgCLcB/s1600/mandela%2Band%2BGalat.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://1.bp.blogspot.com/-jJG68dR-Lrk/WJ34k2Ok5CI/AAAAAAAACik/zFfb5GgEZPovWHeqZ1S9UL2WL2KHWN8HgCLcB/s320/mandela%2Band%2BGalat.jpg" width="237" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div class="separator" style="clear: both;">
Dr. John and I.</div>
<div>
<br /></div>
</td></tr>
</tbody></table>
<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://3.bp.blogspot.com/-5zKzoFt0tpc/WJ34h5W_xnI/AAAAAAAACic/6Dppi70ZslYTX22MjnANilp1TEVSEI0NACLcB/s1600/mandela%2BAP.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://3.bp.blogspot.com/-5zKzoFt0tpc/WJ34h5W_xnI/AAAAAAAACic/6Dppi70ZslYTX22MjnANilp1TEVSEI0NACLcB/s320/mandela%2BAP.jpg" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">AP view of Dr. John's tibial SIGN nail. The nail goes in through the knee, and travels down the intramedullary canal of the bone, across the fracture to just shy of the ankle joint. The two screws go through holes in the nail to stabilize and hold the fracture. </td></tr>
</tbody></table>
<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://4.bp.blogspot.com/-Xh3izzgpoXw/WJ34ltCBf1I/AAAAAAAACio/SR8qgveWGjMez6Ormz5s3pFdQ-axJjG6ACLcB/s1600/mandela%2Blateral.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://4.bp.blogspot.com/-Xh3izzgpoXw/WJ34ltCBf1I/AAAAAAAACio/SR8qgveWGjMez6Ormz5s3pFdQ-axJjG6ACLcB/s320/mandela%2Blateral.jpg" width="233" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Lateral view.</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://1.bp.blogspot.com/-NFbFYwQS8zw/WJ37_vgTKQI/AAAAAAAACi4/91meEkzwOGUjZRW2YUeebn0I7_kvEPPtgCLcB/s1600/PAACS%2Bteaching.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="212" src="https://1.bp.blogspot.com/-NFbFYwQS8zw/WJ37_vgTKQI/AAAAAAAACi4/91meEkzwOGUjZRW2YUeebn0I7_kvEPPtgCLcB/s320/PAACS%2Bteaching.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Teaching ex-fix principles using PCV pipes simulating bones.</td></tr>
</tbody></table>
<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://4.bp.blogspot.com/-BCbI_38dcPQ/WJ34jx85D9I/AAAAAAAACig/ym9eB12JR78swDoLvp-KDOfnd9g7vZQGQCLcB/s1600/PAACS%2Bfull%2Bphoto.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="168" src="https://4.bp.blogspot.com/-BCbI_38dcPQ/WJ34jx85D9I/AAAAAAAACig/ym9eB12JR78swDoLvp-KDOfnd9g7vZQGQCLcB/s320/PAACS%2Bfull%2Bphoto.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The entire group at the PAACS Basic Science Course, Brackenhurst Conference Center, Limuru Kenya.</td></tr>
</tbody></table>
<div class="MsoNormal">
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<div class="MsoNormal">
During one call night in December, two weeks
into the national doctors’ strike in Kenya, and with cases stacking up for
surgery, I received a phone call from one of the 3<sup>rd</sup> year
orthopaedic residents.<span style="mso-spacerun: yes;"> </span>“Dr. Galat,” he
said, “you won’t believe this, but your resident, Dr. John Mandela, just
injured his leg playing soccer.” “Really,” I said, somewhat concerned, as Dr. John
was the only resident on my service at the time.<span style="mso-spacerun: yes;"> </span>“He’s in casualty,” he said, “and it looks
like he has an open (compound) tibia fracture.”<span style="mso-spacerun: yes;">
</span>While heading to the hospital to see Dr. John, I chucked, musing at the
irony of personally operating on my only resident.<span style="mso-spacerun: yes;"> </span>“You just can’t make this stuff up,” I
thought to myself, at the same time thankful for the opportunity to help.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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I found John in casualty with a bloody splint on his leg,
and, trying to lighten the mood, promptly informed him he was going to have to
write all patient notes from his hospital bed.<span style="mso-spacerun: yes;">
</span>Thankfully, we were able to take him to the operating room that same
night to wash the open wound, and stabilize the fracture using a SIGN
nail.<span style="mso-spacerun: yes;"> </span><a href="https://signfracturecare.org/" target="_blank">SIGN Fracture Care International</a> is
a not-for-profit company with a vision of “creating equality of fracture care
throughout the world.”<span style="mso-spacerun: yes;"> </span>They do this by
providing nails to a network of SIGN surgeons in more than 300 SIGN programs in
53 developing nations.<span style="mso-spacerun: yes;"> </span>To date, more
than 180,000 patients have been healed using the SIGN intramedullary nail, and
between Tenwek and Kijabe hospitals, we have treated more than 3,000 patients
using this innovative nail.<span style="mso-spacerun: yes;"> </span>Now, one of
our own trainees has received the very nail he is learning to use to heal
others.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Recently, I saw Dr. John at the <a href="https://www.paacs.net/" target="_blank">PAACS (Pan-African Academy of Christian Surgeons)</a> Basic Science Conference, a two-week intensive course
for 1<sup>st</sup> and 2<sup>nd</sup> year surgical residents from all over
Africa. <span style="mso-spacerun: yes;"> </span>I was amazed to see him walking
without a limp, just 6 weeks from his date of surgery. <span style="mso-spacerun: yes;"> </span>Without the SIGN nail, he would have still
been in a heavy plaster cast, walking with crutches, and struggling to get
around.<span style="mso-spacerun: yes;"> </span>As I watched him interacting and
learning with the other 50 residents, I thanked God for this new generation of
surgical trainees who are dedicating their lives to helping others in
need.<span style="mso-spacerun: yes;"> </span>And the PAACS orthopaedic family
is growing, as the Kijabe/CURE program will soon join Tenwek to make a total of
16 PAACS orthopaedic residents-in-training.<span style="mso-spacerun: yes;">
</span>It is a privilege to be involved in the education of these young,
bright, committed African trainees who will be part of the solution to the lack
of surgical care in some of the most needy parts of the world.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Dr. John will return to his training post at Kijabe next
week, just two months from his injury.<span style="mso-spacerun: yes;"> </span>I
told him he failed his rotation on the Galat service, and will have to
remediate!<span style="mso-spacerun: yes;"> </span>Just kidding…we’ll all be
glad to have him back. <o:p></o:p></div>
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<br /></div>
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Thanks for all your love and support over the years!<o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com3tag:blogger.com,1999:blog-3368432282377861482.post-23697612329701196672016-12-11T13:21:00.002-07:002016-12-11T13:21:26.756-07:00Tragedy and Triumph<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://2.bp.blogspot.com/-x_eZEGFQJkA/WE2si80-pGI/AAAAAAAACf4/yanwAryCXQck9xKJjoUCOSP0eLg-DE4rgCLcB/s1600/shoulder%2Bbone.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://2.bp.blogspot.com/-x_eZEGFQJkA/WE2si80-pGI/AAAAAAAACf4/yanwAryCXQck9xKJjoUCOSP0eLg-DE4rgCLcB/s400/shoulder%2Bbone.jpg" width="300" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Not sure I have ever seen this type of injury. Open proximal humerus fracture in a boy who fell from a height. </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://3.bp.blogspot.com/-y8ira-xUKzc/WE2srCkLTEI/AAAAAAAACf8/0oXYyHGIZDYA7rgWJ_AACSEI_I_CRdSAgCLcB/s1600/the%2Bcrew.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://3.bp.blogspot.com/-y8ira-xUKzc/WE2srCkLTEI/AAAAAAAACf8/0oXYyHGIZDYA7rgWJ_AACSEI_I_CRdSAgCLcB/s400/the%2Bcrew.jpg" width="300" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Levi and Claire majorly stepped up to the plate while Heather was away. </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://3.bp.blogspot.com/-T6pvToGqsVc/WE2ssaBAcRI/AAAAAAAACgA/Y5QEFVtLS1ciss76VRE-U4mhTuNdWUjYgCLcB/s1600/open%2Bankle.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://3.bp.blogspot.com/-T6pvToGqsVc/WE2ssaBAcRI/AAAAAAAACgA/Y5QEFVtLS1ciss76VRE-U4mhTuNdWUjYgCLcB/s400/open%2Bankle.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">One of several open fractures admitted this weekend. </td></tr>
</tbody></table>
<br /><div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />
<div class="MsoNormal">
With Heather being in the States for Emma’s graduation from
Mercy, and me “moonlighting” as Mr. Mom, my one prayer for this weekend of call
at Kijabe was, “God, please make it light” (although skeptical, because I am
known as somewhat of a “black cloud”). <span style="mso-spacerun: yes;"> </span>I find it
interesting how our perceptions of personal “need” are often trumped by God’s
higher purposes, as He may have something far greater than our convenience or
comfort in mind.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
What started as a light Saturday call quickly vanished after
being summoned to the ER to evaluate a woman with bilateral open tibia
fractures.<span style="mso-spacerun: yes;"> </span>At her bedside was a
concerned-looking man with a bloody bandage on his head, holding a baby about
Jane’s age.<span style="mso-spacerun: yes;"> </span>Two other young children were standing next to him, crying.<span style="mso-spacerun: yes;"> </span>“What happened?” I asked the man, as the
little baby grabbed my fingers and cooed happily.<span style="mso-spacerun: yes;"> </span>“I was traveling with my family and our car
broke down last night,” he said.<span style="mso-spacerun: yes;"> </span>“We
slept in the car and early this morning, my wife and I were trying to push the
car along the roadside when a speeding Mercedes Benz crashed into us,” he said in
broken English.<span style="mso-spacerun: yes;"> </span>His story touched an
exposed nerve in my soul, as I considered the senseless injustice of these
events in the life of an already poor family.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
While preparing this woman to go to theatre for a washout of
her open fractures, I received a text from our medical director which read,
“FYI, there’s been a bus accident in the flyover/Chicken Inn area.<span style="mso-spacerun: yes;"> </span>We may get a mass casualty in about half an
hour’s time.”<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>I quickly ran home to tell Levi and Claire (my
very capable child care specialists) that I might not be of much help with
Josie and Jane, and briefly relayed to them the poor family’s story.<span style="mso-spacerun: yes;"> </span>Claire quickly responded, “Dad, can I make
cookies for that family and the workers in the hospital?”<span style="mso-spacerun: yes;"> </span>“Of course,” I responded, encouraged by her
desire to participate in her own unique way.<span style="mso-spacerun: yes;">
</span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Afterwards, I walked to
the ER to see if this “mass casualty” would materialize, and indeed the ER was
already full of first arrivers from this bus accident…and equally full of doctors
and nurses ready to help.<span style="mso-spacerun: yes;"> </span>Outside, a minivan
driven by a very well dressed woman arrived.<span style="mso-spacerun: yes;">
</span>She jumped out of her car and shouted “I have an injured man in the
back!”<span style="mso-spacerun: yes;"> </span>As we opened the sliding door, we
saw a man crumpled on the floor of the minivan.<span style="mso-spacerun: yes;">
</span>His limbs were twisted and garments soaked with blood from the multiple
open fractures sustained just a few minutes prior.<span style="mso-spacerun: yes;"> </span>As the team of residents and nurses placed
the man on a stretcher, I asked the driver what happened.<span style="mso-spacerun: yes;"> </span>“A large bus was overtaking another car,
when it collided with a matatu (smaller passenger van),” she said.<span style="mso-spacerun: yes;"> </span>“Several people are dead, and this man was
the driver.”<span style="mso-spacerun: yes;"> </span>The nerve in my soul felt a
little more raw as I wondered why such a tragedy even needed to occur.<span style="mso-spacerun: yes;"> </span>But, as I walked back into the ER, I was
encouraged to see my friend Isaac, the housing manager at Kijabe, with a pair
of latex gloves on his hands, helping in whatever way he could as a
non-medic.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
After a full day of operating, while trying to exit the
theatre to sneak home, the junior resident-on-call met me in the corridor.<span style="mso-spacerun: yes;"> </span>“There is another patient for you; an 11 year
old boy who fell from a height,” he said, “ and his humerus is sticking out of the
skin at his shoulder.”<span style="mso-spacerun: yes;"> </span>“Are you
kidding?” I answered incredulously, now growing a little tired of the “non-answer”
to my earlier prayer for a "light" day.<span style="mso-spacerun: yes;">
</span>Before tackling this case, I decided to walk home to grab a quick bite. On my way, I meet one of the senior ortho residents (who was not officially on call) walking <i style="mso-bidi-font-style: normal;">into</i> the hospital.<span style="mso-spacerun: yes;"> </span>“What are you doing here?” I asked him.<span style="mso-spacerun: yes;"> </span>“Helping with the other ortho cases for the
evening,” he said.<span style="mso-spacerun: yes;"> </span>“I’ll call you when
the next patient is ready to go.”<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thankful for a little opportunity to recharge, I continued
my walk home and pondered two thoughts: (1) there <i>is</i> too much tragedy in the
world, and much of it appears senseless, beyond my ability to understand (aka.
the exposed nerve).<span style="mso-spacerun: yes;"> </span>But maybe my
responsibility is not to understand, nor question God’s purposes, but just to be
available to help alleviate some suffering in this little part of the world.
(2) in the midst of the tragedy, there is also the triumph of people pushed to
“pull together” (Swahili word “harambe”) as a team with multivariate giftings,
for a cause greater than our comfort…to help the poor and suffering in Jesus’
name, who came to suffer and triumph on our behalf. <span style="mso-spacerun: yes;"> </span>These ponderings were solidified as I walked
into our well-ordered home to the smell of freshly-baked snickerdoodles.<span style="mso-spacerun: yes;"> </span>Levi and Claire clearly didn’t need me all
that badly after all!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thank you for partnering with our family though your prayers
and support!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<div class="MsoNormal" style="text-align: left;">
Let us keep hanging onto Psalm 41:1: “Blessed is the one who considers the poor! In
the day of trouble, the Lord delivers him.”<span style="mso-spacerun: yes;"> </span> </div>
<div class="MsoNormal" style="text-align: center;">
<o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com2tag:blogger.com,1999:blog-3368432282377861482.post-14868516428090347812016-11-04T04:40:00.000-07:002016-11-04T12:02:48.360-07:00Divine Surgery<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-zQDmQ_tUfsw/WBxx5yNr6kI/AAAAAAAACd8/7rvOFgTRoJY0Rj01aZzlYSmiS0_GdQr4wCLcB/s1600/adan.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://4.bp.blogspot.com/-zQDmQ_tUfsw/WBxx5yNr6kI/AAAAAAAACd8/7rvOFgTRoJY0Rj01aZzlYSmiS0_GdQr4wCLcB/s320/adan.JPG" width="240" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="MsoNormal">
My second week at Kijabe, a clinical officer came for advice
on a perplexing case of a young, 12-year-old boy with multiple joint pains and
fevers.<span style="mso-spacerun: yes;"> </span>“I think it’s a case of juvenile
rheumatoid arthritis,” he said, “but it could also be infection.”<span style="mso-spacerun: yes;"> </span>“Let’s go take a took,” I said curiously, as his
lab work showed a markedly elevated white count and ESR, findings more
consistent with a diagnosis of septic arthritis.<span style="mso-spacerun: yes;"> </span>However, this condition is rarely seen in
multiple joints simultaneously, unless the patient also had some hidden source
of infection, showering the bloodstream with bacteria.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
When we came to Adan’s bedside, his body was burning with
fever, and he looked rather ill.<span style="mso-spacerun: yes;"> </span>Everywhere
I touched hurt, but the slightest movement of his right shoulder, right elbow
and left ankle caused excruciating pain. <span style="mso-spacerun: yes;"> </span>A quick aspiration of his shoulder joint with
a large-bore needle confirmed what we suspected: pus.<span style="mso-spacerun: yes;"> </span>Thus, plans were made to take him to the
operating room for urgent washout of these multiple joints.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In theatre, Dr. John Deng (general surgery resident) and I
started with the shoulder as Dr. John Weston (a visiting resident from Mayo)
worked on the ankle.<span style="mso-spacerun: yes;"> </span>As the capsule of
the shoulder joint was pierced, pus under pressure oozed copiously and
continued as we "milked" the arm upwards. <span style="mso-spacerun: yes;"> </span>After opening the elbow joint, we found the
same.<span style="mso-spacerun: yes;"> </span>The entire fibrous covering
(periosteum) of the humerus was elevated off the bone and a large pocket of pus
communicated with both joints above and below.<span style="mso-spacerun: yes;">
</span>Dr. Weston also found pus in the ankle, less than the shoulder and elbow,
but still present.<span style="mso-spacerun: yes;"> </span>Cultures were taken, and
antibiotics were started.<span style="mso-spacerun: yes;"> </span>Although we
weren’t certain why multiple joints were infected, after these thorough
washouts, we expected the pain and fevers to quickly diminish. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
However, this was not the case.<span style="mso-spacerun: yes;"> </span>Over the next 48 hours, this fevers climbed
even higher, and his white count was not dropping, despite being on strong
antibiotics.<span style="mso-spacerun: yes;"> </span>Cultures eventually grew
staphylococcus aureus, a common bug for musculoskeletal infections, which was
sensitive to the antibiotics he was receiving. <span style="mso-spacerun: yes;"> </span>Daily, on morning rounds, I kept hoping to
find him better.<span style="mso-spacerun: yes;"> </span>However, he continued
to spike fevers, and still looked quite ill.<span style="mso-spacerun: yes;">
</span>“What are we missing?” I asked the team, as we examined him daily.<span style="mso-spacerun: yes;"> </span>Finally, after about a week, one of the
nurses noticed a small amount of pus
oozing from a wound on the lateral side of his leg, opposite the original
incision made to wash the ankle.<span style="mso-spacerun: yes;">
</span>“Let’s just take him back to theatre and wash all these joints again” I
said, still not convinced we were on to the true source of his ongoing fevers.</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In the operating room, after Adan received general
anesthesia, I was able to do a more thorough exam.<span style="mso-spacerun: yes;"> </span>I noticed that the left thigh was slightly larger
than the right…subtle, but notable.<span style="mso-spacerun: yes;"> </span>To
confirm my suspicion, I stuck a needle in his distal thigh and pus rolled into
the syringe.<span style="mso-spacerun: yes;"> </span>“This must be the problem,”
I thought as I prepared to again wash out the joints and make new incisions to
wash the lateral leg and thigh. <span style="mso-spacerun: yes;"> </span>As I
opened the thigh, I was shocked to find about a liter of pus that tracked
in a pocket up to the level of his hip.<span style="mso-spacerun: yes;">
</span>“How can so much hidden pus escape the examining eye of so many
providers?”<span style="mso-spacerun: yes;"> </span>I thought to myself, now fully
convinced I had found the culprit of the ongoing fevers.<span style="mso-spacerun: yes;"> </span>As expected, over the next few days, Adan’s
temperature and white count finally normalized, and he slowly gained strength
as he was transferred out of the ICU onto the general peds ward.<span style="mso-spacerun: yes;"> </span>We never found the exact cause for his
polyarticular septic arthritis and osteomyelitis, but we are thankful that he
is on the mend.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The spiritual parallels to Adan’s story are salient.<span style="mso-spacerun: yes;"> </span>Hidden sins of the heart, when left
un-confessed and un-addressed, continue to fester and cause soul-sickness.<span style="mso-spacerun: yes;"> </span>Perhaps even more deadly than the “spectacular”
sins, the “small” sins of jealousy, greed, pride, anger, selfish ambition, and unbelief
are more easily hidden and, as such, are commonly left untreated.<span style="mso-spacerun: yes;"> </span>As a result, they can grow into an ugly
abscess, jeopardizing our very life and faith.<span style="mso-spacerun: yes;">
</span>Let’s be honest with each other.<span style="mso-spacerun: yes;">
</span>We are all sinners and that is why we so desperately need a Savior – Jesus,
the great physician.<span style="mso-spacerun: yes;"> </span>Only He can perform
divine surgery to open the hidden areas and place us on the path to healing. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thanks for all your prayers and support!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
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<!--StartFragment-->
<span style="font-family: "cambria"; font-size: 12.0pt;"><i>Mark 2:17
“On hearing this, Jesus said to them, ‘It is not the healthy who need a
doctor, but the sick. I have not come to
call the righteous, but sinners.’”</i></span><!--EndFragment-->
</div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com11tag:blogger.com,1999:blog-3368432282377861482.post-6455939810006486072016-09-30T23:47:00.000-07:002016-09-30T23:47:51.304-07:00Miracle at Kijabe<div class="separator" style="clear: both; text-align: center;">
<a href="https://2.bp.blogspot.com/-dk-UcxgAvds/V-5kMsRkVRI/AAAAAAAACbQ/9qUYeicgn6gaNqoj4aX5bL-cxemdfBKzACEw/s1600/IMG_2840%255B2%255D.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://2.bp.blogspot.com/-dk-UcxgAvds/V-5kMsRkVRI/AAAAAAAACbQ/9qUYeicgn6gaNqoj4aX5bL-cxemdfBKzACEw/s320/IMG_2840%255B2%255D.JPG" width="320" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
Samuel, now all smiles!</div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-_mDeEuwVPis/V-5lWkIGgWI/AAAAAAAACbg/rYwX0qszygE6Tfl46NriYiu0e0krDrA4QCEw/s1600/3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="177" src="https://3.bp.blogspot.com/-_mDeEuwVPis/V-5lWkIGgWI/AAAAAAAACbg/rYwX0qszygE6Tfl46NriYiu0e0krDrA4QCEw/s320/3.jpg" width="320" /></a></div>
<br />
<div style="text-align: center;">
Original CT scan of the fracture of T7 vertebra. Bone fragments are pressing into the spinal canal, compressing the spinal cord.</div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://2.bp.blogspot.com/-MTnA1NCZ5rQ/V-5lWeP5F0I/AAAAAAAACbc/XQR1qnXi-Sw74IGVgBCHAJ0L-6MnBk5_ACEw/s1600/1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://2.bp.blogspot.com/-MTnA1NCZ5rQ/V-5lWeP5F0I/AAAAAAAACbc/XQR1qnXi-Sw74IGVgBCHAJ0L-6MnBk5_ACEw/s320/1.jpg" width="290" /></a></div>
<br />
<div style="text-align: center;">
Dr. Muchiri did excellent work stabilizing his spine. </div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-xhKkdRWXkf8/V-5lUQJDIqI/AAAAAAAACbY/tgXYNBHBpk8Bsx5Jla5RZbOil7GEXZXqQCEw/s1600/2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://1.bp.blogspot.com/-xhKkdRWXkf8/V-5lUQJDIqI/AAAAAAAACbY/tgXYNBHBpk8Bsx5Jla5RZbOil7GEXZXqQCEw/s320/2.jpg" width="290" /></a></div>
<br />
<div class="MsoNormal">
<br />
On my first day of work at Kijabe Hospital, I met a
20-year-old patient named Samuel, who had been involved in a terrible
motorcycle accident resulting in a burst fracture of his T7 thoracic
vertebra.<span style="mso-spacerun: yes;"> </span>When he first presented to Kijabe
(one week after the accident), Samuel was completely paralyzed from the abdomen
down, without any motor and minimal sensory function in his lower extremities.<span style="mso-spacerun: yes;"> </span>One of my new partners, Dr. Muchiri, had
performed a decompression with posterior instrumented fusion from T4-T10 so
that the patient could at least mobilize to a wheelchair.<span style="mso-spacerun: yes;"> </span>Now, when I first met him, more than two
weeks from his initial injury, Samuel was recovering from his surgery, and
physiotherapy was beginning to work with him, teaching him how to live as a person
with a new, permanent spinal cord injury.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Samuel’s affect was quite flat when I first met him, no
doubt secondary to the realization that he would never walk again.<span style="mso-spacerun: yes;"> </span>Spinal cord injuries in Kenya are at best,
significantly challenging (as there are no disability provisions or laws in
Kenya) and at worst, a “death sentence” (as patients, neglected by family and
friends, often succumb to pneumonia, infected bedsores, or urinary tract
infections).<span style="mso-spacerun: yes;"> </span>My heart went out to Samuel
as I was examined his legs, confirming that he was indeed paralyzed.<span style="mso-spacerun: yes;"> </span>After my examination, I offered to pray for
him, and he readily accepted.<span style="mso-spacerun: yes;"> </span>I prayed
simply that God would meet him in a meaningful way, and that he would be able
to function well with his new condition. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Upon returning from a 3-day trip to Singapore for an
orthopaedic training course, while rounding on patients in the morning, the
team came to Samuel’s beside, and he was beaming.<span style="mso-spacerun: yes;"> </span>“Anything new with Samuel,” I asked, hoping
that he had gotten his wheelchair, and was progressing on schedule with therapy.<span style="mso-spacerun: yes;"> </span>“Yes,” said Dr. Otido, rather dispassionately.<span style="mso-spacerun: yes;"> </span>“He started
walking about three days ago."<span style="mso-spacerun: yes;">
</span>“What?” I said, looking searchingly at the team, entirely puzzled, as I had never
seen, nor heard of a patient who made a complete recovery more than two weeks after such a spinal cord injury.<span style="mso-spacerun: yes;"> </span>“Come
again…you said he’s <i style="mso-bidi-font-style: normal;">walking</i>?!” I asked with emphasis.<span style="mso-spacerun: yes;"> </span>“Yes,” said Dr. Okello,
the orthopaedic resident.<span style="mso-spacerun: yes;"> </span>“He’s been
walking with crutches.”<span style="mso-spacerun: yes;"> </span>Bewildered, I went
to Samuel’s bedside to examine him myself.<span style="mso-spacerun: yes;">
</span>I couldn’t believe what I was seeing… he had full sensation in both
extremities, and was moving his legs, feet and toes as if he had never been
injured (all the while smiling broadly).<span style="mso-spacerun: yes;">
</span>I looked back at the team, and said, “This is a complete miracle!<span style="mso-spacerun: yes;"> </span>There is no other way to explain this
medically!”<span style="mso-spacerun: yes;"> </span>Now Dr. Okello was the one
looking puzzled.<span style="mso-spacerun: yes;"> </span>“Daktari, you know…<i style="mso-bidi-font-style: normal;">these things happen</i> at mission
hospitals,” he replied.<span style="mso-spacerun: yes;"> </span>“Indeed,” I said,
still amazed that I had witnessed a modern day miracle.<span style="mso-spacerun: yes;"> </span>Later, I came to Samuel, and encouraged him
with the truth that Jesus had heard our prayers and healed him.<span style="mso-spacerun: yes;"> </span>He fully agreed and affirmed that he was a
believer, a member of the Presbyterian Church in Kenya.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
As I have processed Samuel’s case (myself and with other
physicians), I am convinced that we have been privileged to witness a true
miracle.<span style="mso-spacerun: yes;"> </span>There is absolutely no way to explain
it medically.<span style="mso-spacerun: yes;"> </span>While recovery after
such spinal cord injuries can occur, it is usually minimal (e.g. slight improvement in sensation by a level or two), especially in
those who have demonstrated almost complete neurologic deficit for
an extended period of time after initial injury.<span style="mso-spacerun: yes;">
</span>But should I be so surprised?<span style="mso-spacerun: yes;"> </span>Is
anything too difficult for the One who in perfect wisdom created something as
complex as the spinal cord?<span style="mso-spacerun: yes;"> </span>Surely, “Who
is like you, Lord God Almighty? You Lord, are mighty, and your faithfulness
surrounds you.” Psalm 89:8.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<span style="font-family: "cambria"; font-size: 12.0pt;">Thanks for all your prayers and support which
has sustained us over the years, and enables us to continue partnering with you in
Kenya! </span><!--EndFragment-->The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com5tag:blogger.com,1999:blog-3368432282377861482.post-56890040800349836642016-09-04T12:35:00.000-07:002016-09-04T12:41:54.814-07:00Home Bittersweet Home<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-pPqN1CROzSg/V8xuXj7mtnI/AAAAAAAACY8/Qau_KVXJ3cgd1ME7cU8qQmlFWbNyeqVqgCLcB/s1600/IMG_2508.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://3.bp.blogspot.com/-pPqN1CROzSg/V8xuXj7mtnI/AAAAAAAACY8/Qau_KVXJ3cgd1ME7cU8qQmlFWbNyeqVqgCLcB/s320/IMG_2508.JPG" width="320" /></a></div>
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With dear friends and orthopaedic colleagues, Dr. Kiprono and Dr. Dylan..."welcome home/return again" cakes in Kiswahili. </div>
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<a href="https://4.bp.blogspot.com/--MFfpnBK1jk/V8xuOJglMXI/AAAAAAAACY4/Bhbxh0HM20MLKNV45_F2MPc_swBdg9wpQCLcB/s1600/IMG_2564.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://4.bp.blogspot.com/--MFfpnBK1jk/V8xuOJglMXI/AAAAAAAACY4/Bhbxh0HM20MLKNV45_F2MPc_swBdg9wpQCLcB/s320/IMG_2564.JPG" width="320" /></a></div>
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Saying goodbye to good friends.</div>
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<a href="https://4.bp.blogspot.com/-qrW_9gPwZGQ/V8xulqKfaAI/AAAAAAAACZE/vDU6WBLUTcwoHIt4q0Fi7_Gd1fQrHqwvwCLcB/s1600/IMG_2583.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://4.bp.blogspot.com/-qrW_9gPwZGQ/V8xulqKfaAI/AAAAAAAACZE/vDU6WBLUTcwoHIt4q0Fi7_Gd1fQrHqwvwCLcB/s320/IMG_2583.JPG" width="320" /></a></div>
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Our home at Tenwek which we newly remodeled. We are thankful that our friends, Will and Alisa Copeland (neurosurgery) will be living in it for the next two years. </div>
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<a href="https://2.bp.blogspot.com/-ebsA-idXDoM/V8xutX909NI/AAAAAAAACZI/hnGs7OOynQUWSaWFXkK5ZPMfmqRJUNiZQCLcB/s1600/IMG_2584.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://2.bp.blogspot.com/-ebsA-idXDoM/V8xutX909NI/AAAAAAAACZI/hnGs7OOynQUWSaWFXkK5ZPMfmqRJUNiZQCLcB/s320/IMG_2584.JPG" width="320" /></a></div>
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The heaviest item - an old piano which was given to us when we packed our container in 2013.</div>
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<a href="https://3.bp.blogspot.com/-65pwmBhy1G0/V8xvsAMsAWI/AAAAAAAACZc/SrIQPpmekQYvNJx4H5JyFdVI9Q8vfXOqQCLcB/s1600/IMG_2616.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://3.bp.blogspot.com/-65pwmBhy1G0/V8xvsAMsAWI/AAAAAAAACZc/SrIQPpmekQYvNJx4H5JyFdVI9Q8vfXOqQCLcB/s320/IMG_2616.JPG" width="320" /></a></div>
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The core crew gathering strength for the move...sausages, chapati, samosas and chai...breakfast of champions. </div>
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<a href="https://2.bp.blogspot.com/-SKRtP8_e8BU/V8xulJUAuaI/AAAAAAAACZA/Tnxxih60RvEVKJlxDQMwmO-BYACuWTa5wCLcB/s1600/IMG_2618.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://2.bp.blogspot.com/-SKRtP8_e8BU/V8xulJUAuaI/AAAAAAAACZA/Tnxxih60RvEVKJlxDQMwmO-BYACuWTa5wCLcB/s320/IMG_2618.JPG" width="320" /></a></div>
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Moving in Africa was quite the experience...despite the potholes and last 8 km of bumpy dirt roads, only one item broke during the process...a single coffee mug! <a href="https://vimeo.com/181071860" target="_blank">Check out the video</a> Dean Cowles made of the move!</div>
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<a href="https://1.bp.blogspot.com/-dBQM7hOO3IM/V8xweauKWQI/AAAAAAAACZs/mtODN3Xq0uQEv4e-dhA_6aHEXfQhyL-qgCLcB/s1600/IMG_2543.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://1.bp.blogspot.com/-dBQM7hOO3IM/V8xweauKWQI/AAAAAAAACZs/mtODN3Xq0uQEv4e-dhA_6aHEXfQhyL-qgCLcB/s320/IMG_2543.JPG" width="320" /></a><br />
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Kijabe means "place of the wind." </div>
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<a href="https://4.bp.blogspot.com/-h5r3brJUuPk/V8xvvbiGocI/AAAAAAAACZg/mMo3ZLl7CS0womht83KZdTfNY-y5ZMsNQCLcB/s1600/IMG_2550.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://4.bp.blogspot.com/-h5r3brJUuPk/V8xvvbiGocI/AAAAAAAACZg/mMo3ZLl7CS0womht83KZdTfNY-y5ZMsNQCLcB/s320/IMG_2550.JPG" width="240" /></a></div>
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Not only is it windy, but cold here as well. Josie and Jane both wear double sleepers at night. </div>
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<a href="https://4.bp.blogspot.com/-0fVwdeKhk6c/V8xvYQbWYRI/AAAAAAAACZU/nqr5CXgErcQT5wRiM3_YcnstwmOe9NffwCLcB/s1600/IMG_2546.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://4.bp.blogspot.com/-0fVwdeKhk6c/V8xvYQbWYRI/AAAAAAAACZU/nqr5CXgErcQT5wRiM3_YcnstwmOe9NffwCLcB/s320/IMG_2546.JPG" width="320" /></a></div>
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Kingfisher, the apartment at Kijabe. We now know why God placed us here originally...so we would have a place of stability for our little girls during the chaos of packing and unpacking. </div>
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<a href="https://2.bp.blogspot.com/-mOC0boJiTTc/V8xwe3rh5LI/AAAAAAAACZw/2ANLh46DntozfWL1lEMQCTXXRqL8QXUHwCLcB/s1600/IMG_2529.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://2.bp.blogspot.com/-mOC0boJiTTc/V8xwe3rh5LI/AAAAAAAACZw/2ANLh46DntozfWL1lEMQCTXXRqL8QXUHwCLcB/s320/IMG_2529.JPG" width="240" /></a></div>
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We also placed Claire and Levi temporarily in the dorms at RVA while we made this transition. </div>
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Sand Grouse, our new house at Kijabe. 6 bedrooms and fully adequate for our family (and visitors!).</div>
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<a href="https://2.bp.blogspot.com/-A5AvAud5NW8/V8xvWZLIlTI/AAAAAAAACZQ/uK_4NQnt2EcETvxegeJ_AZ01jFQRit0TwCLcB/s1600/IMG_2539.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://2.bp.blogspot.com/-A5AvAud5NW8/V8xvWZLIlTI/AAAAAAAACZQ/uK_4NQnt2EcETvxegeJ_AZ01jFQRit0TwCLcB/s320/IMG_2539.JPG" width="320" /></a><br />
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The view of the Great Rift Valley from our living room. </div>
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The quad which we imported in our container in 2013 has been HUGELY useful here at Kijabe. </div>
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Last week, our family moved from Tenwek to Kijabe, (our 21<sup>st</sup>
move since Heather and I were married in 1995).<span style="mso-spacerun: yes;">
</span>By far, this was our most challenging, not just because of the logistics
of planning and executing a household move in Africa, but because we said
goodbye to the place we poured our hearts and lives into the past 7+ years
since first arriving in 2008.<span style="mso-spacerun: yes;"> </span>And the
tears flowed freely last week, as God allowed us to feel deeply the grief of
loss as we said goodbye to our dear fellow missionary and Kenyan friends, and
the place our kids called “home.”<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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At the same time, we sensed God’s mighty hand of sovereign
direction, despite moments of severe doubt, wondering if we had made the right
decision for our family.<span style="mso-spacerun: yes;"> </span>When we first
arrived at Kijabe, the apartment to which we were assigned (called Kingfisher) had
black mold growing on the ceiling tiles, and within a few minutes of being
inside, Claire, Levi and I all experienced significant allergic reactions.<span style="mso-spacerun: yes;"> </span>We knew that we were not going to be able
stay long term in this house, so we asked Kijabe if anything else was
available.<span style="mso-spacerun: yes;"> </span>As housing is in short demand
at both Tenwek and Kijabe, they confirmed that Kingfisher was it.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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The following day, while visiting the Smith family (with whom
Claire lived while she was at RVA for her 8<sup>th</sup> grade year), we met
the Smith kids’ grandparents, Mike and Rose Matlak who were visiting from the
states.<span style="mso-spacerun: yes;"> </span>Dr. Mike is a pediatric surgeon
who has worked at Kijabe several times over the years, and was instrumental in
starting the peds surgery program here.<span style="mso-spacerun: yes;">
</span>Ironically (sovereignly), 20 years ago, while Heather and I were living
at Trinity Evangelical Divinity School, when Jeremiah was just a baby, we had
Mike and Rose over for dinner (long story), and Mike was very instrumental in
convincing me to pursue a career in medicine. <o:p></o:p></div>
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After sharing with Rose about our situation with housing,
she mentioned that she knew of a house at the nearby Moffat Bible College that
might be available to rent.<span style="mso-spacerun: yes;"> </span>“It’s very
near the Smith’s house, and has 6 bedrooms,” she said.<span style="mso-spacerun: yes;"> </span>“It would be just perfect for your
family.”<span style="mso-spacerun: yes;"> </span>Excitedly, I contacted the housing
administrator from Moffat, but she informed me that it would not likely be
available, as another missionary family (also friends of ours) were currently renting
the house (called Sand Grouse) for a few weeks while getting their three
children in boarding school at RVA.<span style="mso-spacerun: yes;"> </span>Steve
and Sharon were preparing to return to their place of ministry in Central
African Republic and were debating whether to continue renting the house into
the future, as a ‘home base’ for their family and for other team members with
them in CAR. <o:p></o:p></div>
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About a week later, while attending new student/parent
orientation at RVA, we saw the Steve and Sharon, and they informed Heather and
I that they had decided not to rent the house, and later that day, the Moffat
housing administrator called to let us know that the house was ours until July,
2017.<span style="mso-spacerun: yes;"> </span>However, because the house was
completely unfurnished, we would need to move our entire household from Tenwek,
a task that seemed completely impossible to us, especially with two little
girls at home who require full-time attention.<span style="mso-spacerun: yes;">
</span>But with the help of faithful Kenyan friends and missionary colleagues
who sacrificed time and effort to help in the process, it couldn’t have gone
more smoothly.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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So now, Heather and I are in the process of setting up our
21<sup>st</sup> home. <span style="mso-spacerun: yes;"> </span>While we are
excited to see what God has in store for us as a family here at Kijabe, we also
carry with us a feeling of sorrow, and more deeply, a longing for our unchangeable,
eternal home, which awaits us in heaven.<span style="mso-spacerun: yes;">
</span>We are convinced that this paradoxical bitter-sweetness is part of
following Christ.<span style="mso-spacerun: yes;"> </span>God never promised any
of us that a life of faith would be without pain.<span style="mso-spacerun: yes;"> </span>But, there is a reward that awaits us now,
and in the end, as we continue in faith - that reward being Jesus Christ
himself, our Greatest Treasure, our constant Companion and Friend, our Savior
and God, our only Hope. <o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com2tag:blogger.com,1999:blog-3368432282377861482.post-52952375834547700912016-07-07T10:50:00.000-07:002016-07-07T10:50:59.483-07:00Returning to Kenya: An Important Update from the Galats
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God has faithfully carried us through this challenging past
year of home ministry assignment (HMA) in the states, and we are now immersed
in our preparations to return to Kenya on August 15<sup>th</sup>! We are excited about our return and wanted to
update you on some new directions in which God is leading our family. The past few years, we have become increasingly
aware that our children have some critical educational needs that have been
challenging for us to meet in this life of missions. As you know, since first arriving in Africa
in 2008, our family has been serving at Tenwek Hospital (on the west side of the
Great Rift Valley). When our kids were
young, homeschooling (supplemented by the Tenwek co-op) was the best (although
not always easy) option. But as they
grew, and entered middle school and high school, we saw a growing complexity in
terms of their educational, social, spiritual and relational needs. The only real option for a secondary
classroom education while serving at Tenwek is to send our kids to the <a href="http://www.rva.org/" target="_blank">Rift Valley Academy</a>, a boarding school about 3-1/2 hours drive from Tenwek (on the
east side of the Great Rift Valley).
Jeremiah graduated from RVA in 2015, and Claire and Emma have both sent
time there as well. While most families
at Tenwek have done well with sending their kids to RVA, it is becoming evident
that this boarding school environment is no longer a viable option for <i>our</i> family. In addition, we have been counseled (and we
agree), that our family, at least for this season in life, needs to remain together.
<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
As such, after much prayer, and seeking wise counsel from
others with much more experience and knowledge than us, we have made the
difficult, yet confident, decision to relocate our base of ministry to <a href="http://kijabehospital.org/" target="_blank">Kijabe Mission Hospital</a>, which is on the same campus as the Rift Valley Academy. In this way, our kids will be able to
continue their education at RVA, but now as <i>day</i>
students rather than as <i>boarding</i>
students - which also means that we will be able to keep our family together
during these important years. In
addition, I will be able to continue my calling to serve “the least of these”
through orthopaedic medical missions and resident education/discipleship. <o:p></o:p></div>
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<br /></div>
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Kijabe and Tenwek are similar (almost sister) hospitals -
Christian mission in focus, and dedicated to the surgical education of African
nationals. Kijabe’s orthopaedic
residents have rotated at Tenwek as part of their education for years, and we
have recently started sending our Tenwek orthopaedic residents to <a href="https://cure.org/kenya/" target="_blank">CURE Hospital</a>
(located at Kijabe) for paediatric orthopaedic training. Because of this already established
Tenwek/Kijabe connection, even though our Galat “base of operations” will be at
a different location (at least for the time-being), we very much view this as
an opportunity to expand our current ministry in new and exciting ways. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Nevertheless, as is so often the case in this life of
international missions, our emotional response to this decision has been quite
paradoxical. While we are thankful for
this opportunity to be together as a family, we are sad to leave our family at
Tenwek, and our home, which we just recently rehabbed (our house at Kijabe
will be quite small in comparison– three bed and one bath!). However, we are thankful that another large
family will have the opportunity to live in our house while we are away. And while we are excited at the opportunity
to broaden the scope of orthopaedic training at Kijabe, I will miss the
day-to-day interaction with the consultants and residents at Tenwek whom I love
deeply and view as family. Thankfully,
God has ordained two very qualified, talented and skilled orthopaedic surgeon
consultants - Drs. Kiprono Koech and <a href="https://dylannugentkenya.wordpress.com/" target="_blank">Dylan Nugent</a> - to continue the work at
Tenwek (as they have done even this past year while I have been stateside). As I mentioned, I will remain closely tied to
Tenwek, even while stationed at Kijabe, on multiple levels.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Some have wondered how this move will impact giving and
support of the Galat Family Ministry going forward. Although our ministry base of operations will
change to Kijabe, we will continue with World Gospel Mission as career
missionaries, so no change in giving is necessary. Funds given to the <a href="https://www.wgm.org/galat" target="_blank">Galat Ministry Account(125-03814)</a> will continue to support our family, the orthopaedic work at Tenwek
AND now the orthopaedic work at Kijabe as well.
Funds earmarked for the <a href="https://www.wgm.org/orthofund" target="_blank">Orthopaedic Residency Fund (125-25240)</a> will
continue to support resident education at Tenwek, and now also at Kijabe going
forward. Thank you for being a part of
our Galat Family Ministry in Kenya with WGM over the years. Your partnership has enabled us to continue
strongly in our calling to serve people in the most needy areas of the world
through compassionate healthcare, and though the education, training and Christian
discipleship of African orthopaedic surgeons.
Your support and giving is making a tremendous difference in the lives
of countless people (directly, through surgical care, and indirectly through training
of national surgeons)! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Please keep us in prayer over the next several weeks as we
make this transition back to Kenya, and to our new home at Kijabe. Pray for joy and peace as we pack (yet
again!), say our goodbyes in Phoenix, and then enter a season of traveling with
two little girls in tow! Pray for
Jeremiah, as he remains behind to continue college at ASU, and for Emma, as she
continues for another 3-6 months at a wonderful program in Nashville, TN called
<a href="http://mercymultiplied.com/" target="_blank">Mercy Multiplied</a> before joining us in Kenya.
Finally, pray for provision of all the orthopaedic needs (consultants,
implants, residents, etc.) at Tenwek and Kijabe…the work is massive at both
places – and in the entire developing world – and resources are so few. This is a work that only God can
sustain. Thankfully, He is able to do
immeasurably more than any of us could ever ask or imagine! Thanks
for all your prayers and support!!<o:p></o:p></div>
<!--EndFragment-->The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com2tag:blogger.com,1999:blog-3368432282377861482.post-45202768965223717722016-02-12T21:42:00.000-07:002016-02-12T21:42:15.939-07:00When God’s Voice Thunders in Marvelous Ways
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When our family left for Kenya the first time
in 2008, we felt the strong conviction to go in faith, despite many
uncertainties and potential challenges that this calling might afford. As a newly graduated orthopaedic resident,
leaving directly after training meant laying aside the possibility of board
certification, a two step examination process for final validation of
competency and knowledge as an orthopaedic surgeon. Part one of this process of board
certification involves taking, and passing, a rigorous written examination
(which I did in July 2008). After
passing part one, a candidate becomes “board-eligible” (a period lasting up to
five years). Part two involves working at
least 20 consecutive months in the same location, “collecting” all cases done
during a 6-month portion of that time period, and then orally defending these surgical
cases before a board of examiners.
However, the decades-old bylaws of the American Board of Orthopaedic
Surgery (ABOS) includes a “practice location” requirement for part two, in
which a candidate orthopaedic surgeon can only collect cases while working <b>in the U.S. or its territories</b>.<o:p></o:p></div>
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<br /></div>
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As such, the thousands of cases I have done in Kenya over the years can not
count towards fulfillment of the requirements for taking part two. Orthopaedic surgery is the only surgical
subspecialty that has this requirement (to my knowledge). As a result, this location requirement is a
major hindrance for newly-graduated residents to go directly into
missions. For us, however, several factors compelled us to go directly to Tenwek, rather than first working in the States
to become certified prior to making the missions leap. First, our children were at an age where
waiting would make it more difficult to leave after a few years of U.S. based
practice (education, sports, comforts, etc.).
Second, Heather and I know our own hearts, and realized our
propensity to be the seed that falls among the thorns and is choked by the “worries
of this world, and the deceitfulness of wealth” (Matt. 13:22). So we went, and set ourselves to prayer (and
recruiting hundred of others to pray with us), asking God to move the “hearts
of the kings” and make a way for me to get board certified <i>while</i> working at Tenwek. <o:p></o:p></div>
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<br /></div>
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In 2011, after many solid, board-certified, U.S.-based
Christian orthopaedic surgeons began questioning the ABOS of the fairness of
this practice location requirement, I was asked (by the Board), to write a “proposal”
for getting certified overseas. The
answer then, however, was “no,” the response letter to me saying “the exam was
too high-stakes to make such a change in policy which would affect so few
people.” As such, with my eligibility expiring in 2013, I had to retake part one in order to remain
“board-eligible” (an exam which, trust me, you only want to take once!). Many times, Heather and I pondered whether we
made the right decision, forsaking the possibility of board certification by
going so quickly to Tenwek after graduation, and wondered if we should just
leave the mission field and return to the states to complete the process (at
least a three year commitment for us).
However, with the amazing things God was doing at Tenwek with the growth
of the orthopaedic department, and the start of the new PAACS orthopaedic
training program, we never felt the release or peace from God to leave, when His
calling was so clear to go in the first place.
So we kept asking and praying, sometimes more fervently and sometimes
less. <o:p></o:p></div>
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<br /></div>
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As the years wore on, the possibility of certification overseas
seemed to fade. At times, we lost heart,
believing that perhaps I would never become certified, in Kenya or the U.S. (a process
which becomes more difficult the longer it’s delayed). Not
being board certified has broad implications on many levels, both in the U.S.
and abroad, including legitimacy with the African Colleges, and even on finding
work in the States while on furlough. But
last year, things began to change and God was starting to move. He began adding people to (and removing
people from) the board according to His sovereign will in a drama akin to the
story of Esther. Several
board-certified orthopaedic surgeons who had been to Tenwek wrote letters to
the ABOS asking them to reconsider their original decision. Then, in November, I was told that a
sub-committee had been formed to explore the feasibility of changing this
decades-old policy. Our hope was
rekindled, although I was still expecting it to take years of step-wise,
incremental change, rather than one instantaneous, complete paradigm shift. <b>However,
today, at a time when I least expected it, I learned that the ABOS has voted to eliminate the U.S. practice location requirement for part two, not just
on a one-person basis (i.e. me), but for all orthopaedic surgeons who choose to
work in humanitarian (missions) settings directly after finishing residency!!<o:p></o:p></b></div>
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<br /></div>
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The implications for this massive answer to prayer are
enormous. I have corresponded with
multiple orthopaedic residents over the years who have said the one hindrance
to taking the leap into full-time missions is this issue of board
certification. Now, with this hindrance
removed, we are praying for God to open the floodgates for an entire generation
of new, young, orthopaedic surgeons who will say “yes” to full-time missions without the
fear of the negative implications surrounding certification. God did this according to his timetable, and
to Him, belongs all the glory!
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<!--StartFragment--><span style="font-family: Cambria; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;">In short, God answers prayer and still does
miracles today! Thank you</span> for all your prayers and support over the years. Please continue, as we plan our return to
Kenya, God willing, this summer, and as I begin to collect my cases for the
part two oral exam which I will take in July 2018. It's not over yet!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i>God’s
voice thunders in marvelous ways; he does great things beyond our
understanding. Job 37:5</i><o:p></o:p></div>
<!--EndFragment-->The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com4tag:blogger.com,1999:blog-3368432282377861482.post-27525865971596381672015-11-14T16:44:00.000-07:002015-11-14T16:44:13.813-07:00Sweeter than Honey<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-UvTYOsFfEr4/Vke3PNawmpI/AAAAAAAACOA/7_oGWQrur0Y/s1600/IMG_2543.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://2.bp.blogspot.com/-UvTYOsFfEr4/Vke3PNawmpI/AAAAAAAACOA/7_oGWQrur0Y/s320/IMG_2543.JPG" width="320" /></a></div>
<br />
<div style="text-align: center;">
Mr. Joseph's pressure sore, in the operating room, prior to sharp debridement. </div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-IOIzAeHDw8w/Vke3GR9lAlI/AAAAAAAACN4/qCVUAv-Qc3M/s1600/IMG_2624.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://1.bp.blogspot.com/-IOIzAeHDw8w/Vke3GR9lAlI/AAAAAAAACN4/qCVUAv-Qc3M/s320/IMG_2624.JPG" width="320" /></a></div>
<br />
<div style="text-align: center;">
After a few days of honey dressings. Note the wet, white fibrous tissue is completely gone, and the wound beginning to heal with nice red granulation tissue. </div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-zk-K1-f9Ghk/Vke3CAI7jhI/AAAAAAAACNw/iVNyydrAKYc/s1600/IMG_2627.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://1.bp.blogspot.com/-zk-K1-f9Ghk/Vke3CAI7jhI/AAAAAAAACNw/iVNyydrAKYc/s320/IMG_2627.JPG" width="240" /></a></div>
<span style="text-align: center;"><br /></span>
<span style="text-align: center;">The honey is obtained raw and first strained with a sieve to remove all solids (but not enzymes). </span><span style="text-align: center;">Then the honey is diluted with normal saline to make it more manageable. </span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-Na1dn8UPyeQ/Vke3xkXtHAI/AAAAAAAACOM/ovAPTjsdN7c/s1600/IMG_2632.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-Na1dn8UPyeQ/Vke3xkXtHAI/AAAAAAAACOM/ovAPTjsdN7c/s320/IMG_2632.JPG" width="240" /></a></div>
<br />
<div style="text-align: center;">
Gauze, soaked in honey, used to pack the open wound. Mr. Joseph's grandson is packing the wound himself after expert training from our wound care nurses.<br />
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<a href="http://2.bp.blogspot.com/-nKFjpFAMokc/Vke4C6C1G6I/AAAAAAAACOY/qAI-2A110DA/s1600/IMG_2650.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://2.bp.blogspot.com/-nKFjpFAMokc/Vke4C6C1G6I/AAAAAAAACOY/qAI-2A110DA/s320/IMG_2650.jpg" width="240" /></a></div>
<div class="MsoNormal">
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<div class="MsoNormal" style="text-align: center;">
Mr. Joseph and his grandson, on the day of discharge. Oh, happy day for all. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<div style="text-align: left;">
Every once in a while, we care for a patient at Tenwek who
defies the “natural order of the expected,” and demonstrates that we serve a
God who intervenes and heals according to his sovereign plan.<span style="mso-spacerun: yes;"> </span>Mr. Joseph (name changed), an unfortunate
man in his 70s, was admitted to Tenwek after a horrible road traffic accident
in which he suffered injuries a 20 year old would have difficulty surviving.<span style="mso-spacerun: yes;"> </span>In addition to an open left ankle fracture, his
left hemipelvis was completely crushed, injuries in an elderly man which would
spell almost certain death in our environment.<span style="mso-spacerun: yes;">
</span>After thorough washout of the open ankle fracture, given his age and
co-morbidities, the decision was made to treat these very severe injuries
non-operatively with bed rest.<span style="mso-spacerun: yes;"> </span>Due to
scarcity of bed space, he was placed on a ward far from orthopaedics, and unfortunately
(because of his non-operative status) far from the top of our daily “tyranny of
the urgent” list.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
</div>
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<div style="text-align: left;">
<br /></div>
</div>
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<div style="text-align: left;">
Famous for my overly keen sense of smell, one morning during
7am report, I noted a scent quite different from the normal stench of the wards
in the morning (a potpourri of smells too challenging to put to words – more
than one visitor has had to sit down during rounds secondary the
dizziness).<span style="mso-spacerun: yes;"> </span>“What is that horrible (new) smell?” I asked the intern on orthopaedics.<span style="mso-spacerun: yes;">
</span>“Do you remember Mr. Joseph?” he asked, looking somewhat forlorn.<span style="mso-spacerun: yes;"> The name j</span>ogged my memory, and I said “Oh yes…the old man
with that terrible acetabular fracture we were treating with bed
rest.”<span style="mso-spacerun: yes;"> </span>The intern replied, "Yes, that’s
right.”<span style="mso-spacerun: yes;"> </span>“Somehow he developed a huge
pressure ulcer on his sacrum and we transferred him to orthopaedics so we could
keep a better eye on him.”<span style="mso-spacerun: yes;"> </span>My heart sank
as I said, “Let’s go take a look.”<o:p></o:p></div>
</div>
<div class="MsoNormal">
<div style="text-align: left;">
<br /></div>
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<div class="MsoNormal">
<div style="text-align: left;">
Upon entering his room, my nostrils were completely assaulted
with the foul smell of rotting flesh mixed with other unmentionables.<span style="mso-spacerun: yes;"> </span>Overall, Mr. Joseph looked ill, on the verge
of sepsis, as did his helpless roommates who were themselves enduring the
smell in that crowded, warmish room. <span style="mso-spacerun: yes;"> </span>Rolling him on his side, a huge pressure sore
covering his entire rear-end was revealed, skin eroded all the way down to bone
with wet, white fibrous tissue covering the gaping holes.<span style="mso-spacerun: yes;"> </span>Only twice in my medical career have I ever
gagged…the first was as a naïve medical student when the chief resident in
general surgery told me to go smell the stomach wound of a patient “so that I
would know the scent of pseudomonas infection.”<span style="mso-spacerun: yes;">
</span>This was the second time. <o:p></o:p></div>
</div>
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<div style="text-align: left;">
<br /></div>
</div>
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<div style="text-align: left;">
The first thought that went through my mind was that Mr.
Joseph would never survive this massive pressure sore, and my inclination was
to let the family take him home to die.<span style="mso-spacerun: yes;">
</span>However, his oldest son completely refused, saying that his father would
live, and be completely healed from both his injuries and complications.<span style="mso-spacerun: yes;"> </span>After explaining the details to the family,
and the length of time it would take to clean up and heal this sore, the first
step was to take Mr. Joseph to the operating room for a sharp debridement.<span style="mso-spacerun: yes;"> </span>So, later that day, after our normal queue of
trauma cases, <a href="http://dangalatkenya.blogspot.com/2009/10/justice-vs-mercy.html" target="_blank">Dr. Lando</a> and I explored and debrided the wound in the operating
room, finding it much deeper and more severe than we had originally
thought.<span style="mso-spacerun: yes;"> </span>We cleaned it the best we
could.<span style="mso-spacerun: yes;"> </span>“Now, let’s start thrice daily
wet-to-dry dressing changes and hope for the best,” I told Dr. Lando, still
with significant doubt that the patient would survive.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
</div>
<div class="MsoNormal">
<div style="text-align: left;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: left;">
After a few days of dressing changes, the wound looked only
marginally better - less smelly, but still with necrotic margins, and lacking
healthy granulation tissue (the beefy-red tissue the body forms to heal and
close wounds).<span style="mso-spacerun: yes;"> </span>One morning on rounds,
Dr. Louis Carter, a seasoned plastic surgeon himself in his 70s, who visits
Tenwek regularly to teach the residents (and consultants) about wound
coverage and care, said, to my interest and surprise, “What that wound needs is
a little honey.”<span style="mso-spacerun: yes;"> </span>I’m sure my face entirely
revealed what my mind was incredulously thinking: “Honey...you’ve got to be
kidding!?”<span style="mso-spacerun: yes;"> </span>Dr. Carter explained that God
made honey not just for gastronomic pleasure and biblical imagery, but also for wounds - that the
enzymes and sugar in honey fight harmful bacteria and fungus, and encourage the
formation of healthy granulation tissue.<span style="mso-spacerun: yes;">
</span>“But it can’t be the highly processed honey like you find in the
supermarket,” he said.<span style="mso-spacerun: yes;"> </span>“It has to be
completely raw, with the comb and bees and everything else in it.”<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>“Well,
what do we have to loose?” I said.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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Mr. Joseph was transferred to the Wound Ward, the finest raw
honey was sourced from the local Mau Forrest, and the unconventional honey
dressing changes initiated.<span style="mso-spacerun: yes;"> </span>Amazingly,
in just a few short days, the wound completely turned the corner – the smell
completely left, the fibrous margins disappeared, and the most beautiful
beefy-red granulation tissue appeared.<span style="mso-spacerun: yes;">
</span>Excitedly, we continued the daily changes, and when we ran out of the
first bottle of honey, we all exclaimed, “Get honey with even more bees in
it!”<span style="mso-spacerun: yes;"> </span>Soon, the wound was closing well and the patient was being mobilized to a wheelchair (by now, the fractures totally
healed). Even Mr. Joseph’s grandson, who wants to become a nurse, was
trained to perform the daily honey dressing changes.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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<br /></div>
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After several months with us at Tenwek, wound still open but
much smaller and healing nicely, Mr. Joseph was discharged from the
hospital.<span style="mso-spacerun: yes;"> </span>I saw his oldest son that day
with a veritable smirk on his face.<span style="mso-spacerun: yes;"> </span>He
reminded me of his faith - that God would heal his father as we had together
prayed.<span style="mso-spacerun: yes;"> </span>A flood of paradoxical emotions
washed over me: guilt for indirectly playing a role as consultant in the
neglect that caused the wound, thankfulness for Dr. Carter’s inside knowledge
of the medicinal value of honey, and marvel that God has the final say on life
and death. <span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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<div class="MsoNormal">
<div style="text-align: left;">
Scripture is full of imagery related to honey, and the
parallels with Mr. Joseph's story are astounding.<span style="mso-spacerun: yes;"> </span>God’s just decrees, when believed and obeyed, are said to be <i style="mso-bidi-font-style: normal;">sweeter than honey</i> (Psalms 19:10).<span style="mso-spacerun: yes;"> </span>Gracious words are said to be like “<i style="mso-bidi-font-style: normal;">a honeycomb, sweetness to the soul and
health to the body”</i> (Proverbs 16:24). God's gracious decrees, His promises, bring healing and life to foul wounds. And, at the end of time, those who put their
hope and trust in God will enter the ultimate Promised Land, a Land flowing
with milk and <i style="mso-bidi-font-style: normal;">honey</i> - perfect healing
for our wounds, and victory over death - purchased by the precious blood of
Christ shed for us on the cross.<span style="mso-spacerun: yes;"> </span>Grace,
forgiveness, healing, hope, life…sweeter than honey.<o:p></o:p><br />
<br />
Thanks for all your prayers and support for our family!</div>
</div>
</div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com2tag:blogger.com,1999:blog-3368432282377861482.post-62326947033397995682015-10-03T15:22:00.002-07:002015-10-03T15:22:56.886-07:00Meet the Nugents<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-QQ03mTRNByI/VhBMejxA7GI/AAAAAAAACKQ/bw46ca5pumI/s1600/IMG_0208.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="http://1.bp.blogspot.com/-QQ03mTRNByI/VhBMejxA7GI/AAAAAAAACKQ/bw46ca5pumI/s320/IMG_0208.JPG" width="320" /></a></div>
<br />
<div style="text-align: center;">
The Nugent Family: Dr. Dylan and Jessica and their four boys, Eugene, Darby, Asher and Tobey</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-aJGiaJkTzB0/VhBNLZqHIsI/AAAAAAAACKY/vnB2adSAz3o/s1600/IMG_0151.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="http://3.bp.blogspot.com/-aJGiaJkTzB0/VhBNLZqHIsI/AAAAAAAACKY/vnB2adSAz3o/s320/IMG_0151.JPG" width="320" /></a></div>
<br />
<div style="text-align: center;">
Josie was enamored with Asher, although it was not reciprocated. "Stop looking at my puzzle." </div>
<br />
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<br />
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<a href="http://4.bp.blogspot.com/-L0IH5scvzFk/VhBNgKkxjEI/AAAAAAAACKo/p-8X4BffoAQ/s1600/IMG_0181.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="http://4.bp.blogspot.com/-L0IH5scvzFk/VhBNgKkxjEI/AAAAAAAACKo/p-8X4BffoAQ/s320/IMG_0181.JPG" width="320" /></a></div>
<br />
<div style="text-align: center;">
Jane was a hit.</div>
<div style="text-align: center;">
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<a href="http://4.bp.blogspot.com/-3SQB_hV2sdA/VhBNnK_uvoI/AAAAAAAACKw/aofHql22nGI/s1600/IMG_0192.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-3SQB_hV2sdA/VhBNnK_uvoI/AAAAAAAACKw/aofHql22nGI/s320/IMG_0192.JPG" width="213" /></a></div>
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Dylan is a self-proclaimed "baby whisperer." Actually, he is...</div>
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<a href="http://2.bp.blogspot.com/-rrkD_y7RzA8/VhBPy4sxuDI/AAAAAAAACK8/DA81ej3L3cU/s1600/IMG_9413.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="http://2.bp.blogspot.com/-rrkD_y7RzA8/VhBPy4sxuDI/AAAAAAAACK8/DA81ej3L3cU/s320/IMG_9413.JPG" width="320" /></a></div>
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During their tour of the western U.S. </div>
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<a href="http://2.bp.blogspot.com/-RGke8uVHJzs/VhBQxlNKueI/AAAAAAAACLM/VQyKK17BzIY/s1600/IMG_0406%255B1%255D.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://2.bp.blogspot.com/-RGke8uVHJzs/VhBQxlNKueI/AAAAAAAACLM/VQyKK17BzIY/s320/IMG_0406%255B1%255D.JPG" width="320" /></a></div>
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Tobey and Jane. Is it culturally appropriate in the U.S. to still arrange a marriage? </div>
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In February 2013, I received a random email from a 3<sup>rd</sup>
year orthopaedic resident from the University of Florida in Jacksonville whom I
had never met.<span style="mso-spacerun: yes;"> </span>The email entitled “The
Road to Medical Missions” from Dr. Dylan Nugent, explained that, through a
series of interesting events, his wife Jessica found our blog and together they
read through it in the evenings.<span style="mso-spacerun: yes;"> </span>They
were amazed at the similarities between our families, and Dylan conveyed how
God had been developing their sense of calling to medical missions.<span style="mso-spacerun: yes;"> </span>Long story short, that initial email led to
phone calls, meetings, and finally a 1-month visit to Tenwek in October 2013. During
that time, God fully confirmed Dylan and Jessica’s call to long-term orthopaedic missions with us at Tenwek. <span style="mso-spacerun: yes;"> </span>Dylan
recently finished his residency training, passed part 1 of the Boards, and they
are now in their final preparations to leave for Tenwek next month under a dual
appointment with World Gospel Mission and Samaritan’s Purse. <span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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Dylan and Jessica, their 4 boys, and Jessica’s mother recently visited us in Phoenix for a week (as part of a several week post-mission-training
tour of the Western U.S.) during which time we “talked shop,” ate well, planned for the future,
and prayed.<span style="mso-spacerun: yes;"> </span>Our mutual, prevailing,
strong sense was that God ordained this partnership as the direct result of
prayers long prayed before we ever met.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Now, along with our Kenyan partner Dr.
Kiprono, we are a “threesome,” one short of what I would call the Tenwek
Orthopaedic “Dream Team.”<span style="mso-spacerun: yes;"> </span>Any other
readers interested?!<o:p></o:p></div>
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Please pray for the Nugent’s as they pack, say their goodbyes and
leave for Kenya on November 16<sup>th</sup>.<span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span>Pray for grace to adjust to a new
culture, a new practice, a new home (essentially, a new life) and that God
would preserve them for many years to come!<span style="mso-spacerun: yes;">
</span><o:p></o:p></div>
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Ephesians 3:20-21: “Now to him who is able to do far more
abundantly than all that we ask or think, according to the power at work within
us, to him be glory in the church and in Christ Jesus throughout all
generations, forever and ever. Amen”<o:p></o:p></div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com4tag:blogger.com,1999:blog-3368432282377861482.post-79750517439471612452015-09-08T15:59:00.000-07:002015-09-08T18:17:50.522-07:00Newness and Renewal<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-fjTrmcLgchI/Ve9etsChWWI/AAAAAAAACHI/1Y6kf92pg2o/s1600/IMG_0094.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://1.bp.blogspot.com/-fjTrmcLgchI/Ve9etsChWWI/AAAAAAAACHI/1Y6kf92pg2o/s320/IMG_0094.JPG" width="240" /></a></div>
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<div style="text-align: center;">
Heather was induced because she was diagnosed with Intrauterine Growth Restriction (IUGR) and her OB did not want to going past her due date (because of increased risk of still birth). Here, I am helping Heather through a contraction (or sleeping...can't remember). The interns and residents thought her water had broken, but in reality, it hadn't. So after "laboring" for almost 24 hours, her OB "broke" the water, and real labor began...Jane was born 45 minutes later. Ahh, teaching hospitals!!</div>
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Jane was predicted to weigh less than 5-1/2 lb. God answered our prayers and she came in at 6 lbs, 14 oz. and perfectly healthy!! So much for this diagnosis of IUGR!<br />
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Levi, although he wanted a little brother, was so happy to meet Jane. </div>
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Poor Josie's face communicates the fact that she is no longer the queen. I love my girls!! Lord help me!</div>
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Two sets of grandparents. Thankful my parents were able to come and meet their 28th grandchild!<br />
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Levi, Emma and Claire on the first day of school at Veritas Preparatory Academy. I cannot tell you how thankful I am that my two teenage daughters have to wear uniforms!!! It curtails so much potential drama!</div>
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Jane is pretty much held all the time. I'm hoping she'll be quite well adjusted as an adult with all this love!</div>
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Fully content...</div>
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One of the unexpected blessings of this year will be more time with Jeremiah before his next phase of life (and because he is an awesome chef). He has applied to the US Naval Academy, and is currently working towards his congressional nominations. I am sure he would appreciate your prayers for God's provision and direction!</div>
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This picture captures Josie and her expressions around Jane ALL THE TIME. She continually giggles and shouts "Jane loves me!"</div>
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<div class="MsoNormal">
The recent Galat family events could surely be described in
one word: “newness.”<span style="mso-spacerun: yes;"> </span>In the last few
months, we transitioned Stateside for several months of Homeland Ministry
Assignment (HMA), graduated our oldest, Jeremiah, from RVA and got him settled
into classes at Arizona State University, had our 6<sup>th</sup> child,
beautifully healthy baby Jane Kathyrn Galat (her name meaning God’s pure and
gracious gift), and started our three middle children (Emma, Claire and Levi)
in a new school in Phoenix.<span style="mso-spacerun: yes;"> </span>Heather and
I feel like we live between two worlds (…or five) with our kids spanning such
varied ages and life experiences: college, high school, middle school, toddler
and newborn!<span style="mso-spacerun: yes;"> </span>This, all the while living <i style="mso-bidi-font-style: normal;">literally</i> between two worlds: Kenya and
the U.S.<span style="mso-spacerun: yes;"> </span>There are times when I wake in
the middle of the night, and it takes me a few seconds to recall exactly where
(and even who) I am.<span style="mso-spacerun: yes;"> </span>I remember my
mentor at Trinity Evangelical Divinity School, Dr. Paul Hiebert, a long time
missionary to India, saying that the call to missions is like a call to cultural
schizophrenia.<span style="mso-spacerun: yes;"> </span>We can relate on multiple levels!<o:p></o:p></div>
<div class="MsoNormal">
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<div class="MsoNormal">
But even in all this blessed “newness,” God has been leading
us to pray for one thing for our family: “renewal.”<span style="mso-spacerun: yes;"> </span>Why? Because we came back from Kenya feeling
tired, disheartened, and worn, in large part because of all these major family
changes/stressors, but also secondary to the major events of the last two years
at Tenwek.<span style="mso-spacerun: yes;"> </span>God heard these prayers and,
as he often does, began to answer in mysterious and miraculous ways, drawing us
to drink more deeply from His word and seek Him more earnestly in prayer. <span style="mso-spacerun: yes;"> </span>When Heather returned to the States in June, concerned
about homeschooling our kids during this time of HMA, she made applications for
Emma, Claire and Levi to attend a relatively new classical charter school here
in Phoenix, just a few blocks from where we live.<span style="mso-spacerun: yes;"> </span>All summer long, all three kids were way high
on the wait list (more than 100), until (of course) the day Jane was born, when
we received an email that Claire had been accepted.<span style="mso-spacerun: yes;"> </span>The following day, we received a second email
that the school's offer had been rescinded because we did not respond in a timely
fashion.<span style="mso-spacerun: yes;"> </span>You can imagine our surprise
when we finally got around to checking our email again after returning from the
hospital!<o:p></o:p></div>
<div class="MsoNormal">
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<div class="MsoNormal">
Not wanting to miss a possible opportunity for our kids, I
called the school, and told them the reason we didn’t respond in a timely
fashion was because…well…we were having a baby (akin to “the dog ate my
homework”).<span style="mso-spacerun: yes;"> </span>They believed my story and
graciously reopened their offer for Claire.<span style="mso-spacerun: yes;">
</span>Long story short, after Claire was accepted, Levi and Emma jumped to
number one on their respective class wait lists, and within a few days of
having a baby, all three were in school.<span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span>These events happened so quickly (and
around other major life events), that I struggled to process what all this
would mean for us as a family, and for our lives and ministry at Tenwek.<span style="mso-spacerun: yes;"> </span>But what God made clear though this
unexpected gift (especially for Heather having a new baby) was that we would
need to extend our HMA by a few months so that our kids could (at least) finish
this school year before heading back to Kenya.<span style="mso-spacerun: yes;">
</span>Could be this the beginning of our prayers for renewal? <o:p></o:p></div>
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<div class="MsoNormal">
The state of orthopaedics at Tenwek is
such that the team needs me back yesterday, not next summer.<span style="mso-spacerun: yes;"> </span>And I struggle wanting to faithfully balance the needs of my family with these huge needs at Tenwek.<span style="mso-spacerun: yes;"> </span>However, we
believe that God is leading us into what we have been praying - a season of
renewal - so that we can go back to Kenya stronger, more compassionate, and
better equipped to love deeply.<span style="mso-spacerun: yes;"> </span>There
are still several unknowns.<span style="mso-spacerun: yes;"> </span>I would like to work while I am in the states to keep current with orthopaedic
technology and skills, and I am still praying for God to miraculously provide a
way for me to finish my board certification process.<span style="mso-spacerun: yes;"> </span>He knows the importance of such things.<span style="mso-spacerun: yes;"> </span>Would you please join us in praying for
renewal for our entire family, for strength and wisdom for Dr. Kiprono and Dr.
Dylan (who will be joining the team soon) and for God to provide the means by
which I can work and finish the board certification process?<span style="mso-spacerun: yes;"> </span>Thanks, and God bless you for your ongoing prayers and
support!<o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com2tag:blogger.com,1999:blog-3368432282377861482.post-66615132667654734502015-06-01T08:07:00.001-07:002015-06-01T08:07:26.555-07:00Word and Deed<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-GhAcZu1kbho/VWxxZ38K_PI/AAAAAAAACA4/vmq8JDhP028/s1600/IMG_2525.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://1.bp.blogspot.com/-GhAcZu1kbho/VWxxZ38K_PI/AAAAAAAACA4/vmq8JDhP028/s320/IMG_2525.jpg" width="240" /></a></div>
<br />
<div style="text-align: center;">
In the operating room, the right shoulder with bone-destroying mass which fungated through the skin and became a large, pus-draining wound. </div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-8H20Ut-AlQg/VWxxa1NVTtI/AAAAAAAACBE/-KUH8hiu5Zo/s1600/IMG_2537.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://2.bp.blogspot.com/-8H20Ut-AlQg/VWxxa1NVTtI/AAAAAAAACBE/-KUH8hiu5Zo/s320/IMG_2537.jpg" width="240" /></a></div>
<br />
<div style="text-align: center;">
The incision for a forequarter amputation.</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-Kqswz3qxPak/VWxxaBAIclI/AAAAAAAACA8/grw1jQDAcF0/s1600/IMG_2539.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-Kqswz3qxPak/VWxxaBAIclI/AAAAAAAACA8/grw1jQDAcF0/s320/IMG_2539.jpg" width="240" /></a></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
The day after surgery still sick, but feeling better. </div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-odf62-wZHJU/VWxxbareuII/AAAAAAAACBI/jUEVfyE1Mio/s1600/IMG_2541.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-odf62-wZHJU/VWxxbareuII/AAAAAAAACBI/jUEVfyE1Mio/s320/IMG_2541.jpg" width="240" /></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
The second day after surgery, Andrew felt significantly better, as the source of pain and blood infection had been removed. We are praying that the cancer margins are clear and that it will not recur. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Last weekend, while enjoying some time off with my family, I
received an unexpected page from a visiting surgeon.<span style="mso-spacerun: yes;"> </span>“I have an odd case I want to run by you,” he
said apologetically, knowing I was not on call that night. <span style="mso-spacerun: yes;"> </span>“An 18 year old boy presented to the emergency
room tonight with a huge mass and an open wound on his right shoulder,” he
said.<span style="mso-spacerun: yes;"> </span>“He appeared very sick, with a
white count of more than 20,000, so I took him to the operating room for a
debridement, thinking this mass was secondary to an untreated infection…but we
encountered significant bleeding which was very hard to control,” he
continued.<span style="mso-spacerun: yes;"> </span>Hearing this history, my mind
went immediately to a condition we see frequently here, but only very rarely in
the US: a highly aggressive bone cancer called osteosarcoma.<span style="mso-spacerun: yes;"> </span>After explaining my opinion to the surgeon,
he admitted that not once in his 25+ years of practice in the U.S. had he even seen
an osteosarcoma, let alone one so advanced that it had fungated through the
skin. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The following morning on rounds, I met Andrew and was
surprised to find a young and handsome (yet sick appearing) man with excellent
English.<span style="mso-spacerun: yes;"> </span>He relayed that he was a
college student studying computer science.<span style="mso-spacerun: yes;">
</span>However, this mass has grown so aggressively painful that he found it
difficult to attend classes.<span style="mso-spacerun: yes;"> </span>Finally,
when the cancer broke through the skin and became foul-smelling, the
instructors asked him to leave and seek treatment.<span style="mso-spacerun: yes;"> </span>I explained to Andrew that his x-rays showed
the entire shoulder joint had been destroyed and that with the superimposed
infection, with increased white blood count and high fevers, (really to save his life) the only solution
was to remove the entire arm, including the shoulder blade, to the level of the
chest wall, a surgery I had never desired to perform. <span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
After obtaining consent, we took Andrew to theatre and gave him general anesthesia.<span style="mso-spacerun: yes;">
</span>Upon removing the packing, which had been placed in his shoulder to
control the bleeding, a bolus of bloody, and very foul-smelling pus gushed from
the wound, filling the operating room with a sickening smell.<span style="mso-spacerun: yes;"> </span>The arm was prepped and draped, and with the
help of Dr. Heath Many (who isolated the large vessels to the right arm), we
performed the first forequarter amputation at Tenwek.<span style="mso-spacerun: yes;"> </span>While we did not see any tumor during
surgery, we did find pus which had tracked all the way to his chest wall.<span style="mso-spacerun: yes;"> </span>After washing well with a mixture of bleach
and normal saline, I closed the wound loosely over a drain.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The following day, Andrew looked markedly better and no longer
septic, the source of pain and massive infection having been removed.<span style="mso-spacerun: yes;"> </span>I sat and talked with him, and he relayed a
deep faith in God and a desire to trust Him no matter how his future would
unfold.<span style="mso-spacerun: yes;"> </span>I prayed for Andrew, and that
his heart would be encouraged and that God would completely heal him of this
cancer.<span style="mso-spacerun: yes;"> </span>The results of the biopsy will
be available in approximately two weeks, and if our suspicion is confirmed, he
will still need chemotherapy, as a tumor of this size most certainly has
metastasized to other areas of his body (although not immediately evident on our workup).<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Even after seven years at Tenwek, I am still routinely
amazed at the level of orthopaedic pathology we encounter here.<span style="mso-spacerun: yes;"> </span>In the past two weeks, we have seen not one,
but four cases of the same type of massive osteosarcoma.<span style="mso-spacerun: yes;"> </span>Patients come daily with multi-trauma and
open fractures that would rival the busiest centers in the U.S.<span style="mso-spacerun: yes;"> </span>And just last week, we recorded our 1500<sup>th</sup>
patient having received a SIGN nail.<span style="mso-spacerun: yes;"> </span>But
what amazes me more so, is the opportunity this busy service provides to share
the love of Christ with our patients.<span style="mso-spacerun: yes;">
</span>Yesterday on rounds, after seeing the young men in our open 10-bed ortho
ward, I took a few minutes to encourage these men to follow Christ.<span style="mso-spacerun: yes;"> </span>While turning to leave, one man said out
loud, “If we want to follow Jesus, can we raise our hands while you pray for
us?”<span style="mso-spacerun: yes;"> </span>Before I knew it, 8 men had their
hands high in the air as I prayed for spiritual and physical healing.<span style="mso-spacerun: yes;"> </span>Later in the day, I saw 4 of these men
outside, basking in the sun, and they pulled me over to enquire about
bibles.<span style="mso-spacerun: yes;"> </span>The opportunities of both word
and deed at Tenwek are unending.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thanks for your ongoing prayers and support for this
ministry here at Tenwek.<span style="mso-spacerun: yes;"> We </span>love and
appreciate you all!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com3tag:blogger.com,1999:blog-3368432282377861482.post-29488430238213247202015-05-03T11:05:00.001-07:002015-05-03T11:05:53.624-07:00Wanted: Orthopaedic Surgeons<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-PSQb9J_GfeQ/VUYzxN26mBI/AAAAAAAAB-g/tFMLphi0lOI/s1600/IMG_2454.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-PSQb9J_GfeQ/VUYzxN26mBI/AAAAAAAAB-g/tFMLphi0lOI/s1600/IMG_2454.jpg" height="240" width="320" /></a></div>
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Motorcycle taxis are taking over! These guys are the major source of orthopedic trauma at Tenwek.<br />
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<a href="http://2.bp.blogspot.com/-Ot7AWwWZ4hg/VUY0CdJV-lI/AAAAAAAAB-w/UIF1Jfxy0kc/s1600/IMG_9961.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-Ot7AWwWZ4hg/VUY0CdJV-lI/AAAAAAAAB-w/UIF1Jfxy0kc/s1600/IMG_9961.JPG" height="213" width="320" /></a></div>
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Current surgical trainees at Tenwek...adding to the numbers of qualified (and Christian) surgeons in Africa. </div>
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<a href="http://1.bp.blogspot.com/-wAFVhkf8h-U/VUY0NyQoPNI/AAAAAAAAB_A/ceHA9i8NKc8/s1600/IMG_2466.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-wAFVhkf8h-U/VUY0NyQoPNI/AAAAAAAAB_A/ceHA9i8NKc8/s1600/IMG_2466.jpg" height="320" width="240" /></a></div>
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Random pic of what I call "scary baby" with very happy orthopaedic pediatric patient. </div>
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<a href="http://1.bp.blogspot.com/-afi5qiDHf0A/VUY0YVTF2YI/AAAAAAAAB_I/VMzf18bocKg/s1600/IMG_2469.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-afi5qiDHf0A/VUY0YVTF2YI/AAAAAAAAB_I/VMzf18bocKg/s1600/IMG_2469.JPG" height="240" width="320" /></a></div>
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One of the many cases mistreated at another facility, and tragically ending in an above knee amputation. </div>
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<a href="http://4.bp.blogspot.com/-c_lRu10-Yik/VUY0m8Nfu2I/AAAAAAAAB_Y/rZCdVBuphi8/s1600/IMG_2485.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-c_lRu10-Yik/VUY0m8Nfu2I/AAAAAAAAB_Y/rZCdVBuphi8/s1600/IMG_2485.jpg" height="320" width="240" /></a></div>
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Adding to the lure of attraction of orthopaedic practice in Kenya. Work hard during the week, golf outings with son on the weekends (notice zebra in the background). </div>
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<a href="http://4.bp.blogspot.com/-sT2Q6Fo4qLw/VUY0c2gfalI/AAAAAAAAB_Q/Hur_kGoQvl0/s1600/IMG_2497.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-sT2Q6Fo4qLw/VUY0c2gfalI/AAAAAAAAB_Q/Hur_kGoQvl0/s1600/IMG_2497.jpg" height="320" width="240" /></a></div>
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Not only did this young lady have this painful basketball sized mass on her knee, but an ultrasound of her abdomen checking for evidence of metastasis revealed that she was 12 weeks pregnant. You just can't make this stuff up.</div>
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A recent 60-page, 30+ author <a href="http://press.thelancet.com/SurgeryCommission.pdf" target="_blank">article</a> in the prestigious medical journal <i style="mso-bidi-font-style: normal;">The Lancet</i> reported data corraborating the purpose of our existence here at Tenwek mission hospital in rural Kenya. <span style="mso-spacerun: yes;"> T</span>he study reported that 5 billion
people around the world are without access to safe surgical procedures, and
that 93% of all people in sub-Saharan Africa cannot obtain basic surgical
care.<span style="mso-spacerun: yes;"> </span>The reason is simple: there aren’t
enough qualified surgeons (nor facilities within reasonable distance) to
provide life-saving surgery in low and middle income countries. <span style="mso-spacerun: yes;"> </span>In Kenya, for example, which has a population of 43
million people, there are an estimated 50 orthopaedic surgeons, less than the
number of residents at the Mayo Clinic alone.<span style="mso-spacerun: yes;"> </span>The study also reports that 1/3 of all deaths in 2010 were from
conditions which were treatable with surgery (including open fractures)…more
than HIV, tuberculosis and malaria combined. <span style="mso-spacerun: yes;"> </span>The problem is compounded by the fact that the
number of injuries from road traffic accidents is exponentially on the
rise.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>This "perfect storm" of increasing need coupled
with inadequate supply is creating a global healthcare crisis of massive proportions.<span style="mso-spacerun: yes;"> </span>The authors call for an investment
of 420 billion USD to increase access to safe surgical care. Although a huge amount, they estimate that turning a
blind eye to the problem could cost the global economy more than 12 trillion
USD by 2030.<span style="mso-spacerun: yes;"> </span>But the core issue is more
than just financial...it is a mandate to care for those who are in greatest
need or as Jesus put it, “the least of these.”<o:p></o:p></div>
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This article underscores the heartbeat of our mission
statement at Tenwek: <i style="mso-bidi-font-style: normal;">Compassionate
healthcare, spiritual ministry and training for service.</i><span style="mso-spacerun: yes;"> </span>Through the <a href="https://www.wgm.org/orthofund" target="_blank">PAACS/COSECSA orthopaedic training program at Tenwek</a>, we are trying to be a part of the solution to this
global crisis: to provide more qualified national surgeons.<span style="mso-spacerun: yes;"> </span>However, our training program is unique in
that we are seeking to provide more than just surgeons, but <i style="mso-bidi-font-style: normal;">Christian</i> surgeons who are discipled to serve in a way that demonstrates the love of Christ to a hurting world.</div>
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The problem is that we cannot do this work of
training national surgeons alone.<span style="mso-spacerun: yes;"> </span>It is
too great a job without the combined efforts of a team, whose members all
have a common goal, the ultimate glory of the Lord Jesus Christ:</div>
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(1) We need those
who will commit to long-term missions to join the orthopaedic team at
Tenwek.<span style="mso-spacerun: yes;"> (2) </span>We need those who will volunteer
their time for short-term coverage to step in and provide relief and fresh
teaching for the residents. Our need is especially acute now as we are looking for coverage July through December of this year during our scheduled furlough in the U.S.</div>
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(3) We need those who will “silently support”
behind the scenes, praying and <a href="https://www.wgm.org/galat" target="_blank">giving financially</a>.<span style="mso-spacerun: yes;"> </span></div>
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Every month I receive orthopaedic journals in the mail with
large classified sections in the back containing eloquently written "want ads" for orthopaedic surgeons.<span style="mso-spacerun: yes;"> </span>Each ad enticingly
describes the ideal location, work environment and compensation package.<span style="mso-spacerun: yes;"> </span>I have often wondered what a "want ad" for an
orthopaedic surgeon at Tenwek would look like: <o:p></o:p></div>
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<b>Wanted: Orthopaedic Surgeon for Obscure Mission Hospital in
Africa</b></div>
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<b><o:p></o:p></b></div>
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<b>Uniquely situated mission hospital in the highlands of
western Kenya seeking qualified long-term and short-term orthopaedic
surgeons.<span style="mso-spacerun: yes;"> </span>Enjoy the best of equatorial
highland living including lush, rolling hills, 12-hour 70-80 degree days year
round and not one, but TWO rainy seasons.<span style="mso-spacerun: yes;"> Sip Kenyan coffee while working in the i</span>deal environment: long hours, a plethora of complex
cases well beyond your comfort (and skill) level, a constant sense of being overwhelmed, and with little recognition among your peers. However, the opportunity to impact the lives of patients and trainees in
one of the most needy places on earth will provide you with significance and
purpose beyond your wildest expectations.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Amazing benefits package including minimal earthly compensation, but with significant potential for long-term eternal
rewards.<span style="mso-spacerun: yes;"> </span>Do something different off the
beaten path!<span style="mso-spacerun: yes;"> </span>For more information,
contact Dan Galat at <a href="mailto:daniel.galat@wgm.org">daniel.galat@wgm.org</a> or
Dayna Wright with World Medical Mission <a href="mailto:dwright@samaritan.org">dwright@samaritan.org</a>.
<o:p></o:p></b></div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com9tag:blogger.com,1999:blog-3368432282377861482.post-30745184135761774332015-03-07T12:18:00.000-07:002015-03-07T12:18:28.576-07:00A Cord of Many Strands<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-hti33ZtkAvU/VPtK-D268II/AAAAAAAAB8M/KpXQIwEQnpI/s1600/IMG_2372.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-hti33ZtkAvU/VPtK-D268II/AAAAAAAAB8M/KpXQIwEQnpI/s1600/IMG_2372.JPG" height="258" width="320" /></a></div>
<br />
<div style="text-align: center;">
Eric, with Kiprono (my partner) and I, his surgeons. </div>
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-SmJrHB5Bdkc/VPtK9zEX8BI/AAAAAAAAB8A/RbmYHTSwXEg/s1600/IMG_2434.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-SmJrHB5Bdkc/VPtK9zEX8BI/AAAAAAAAB8A/RbmYHTSwXEg/s1600/IMG_2434.JPG" height="320" width="242" /></a></div>
<br />
<div style="text-align: center;">
Pre-op CT scan showing Eric's bent-over spine, the injury being right at the level where the spinal cord ends. </div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/--QHOg3k8Ppc/VPtK91Vxj_I/AAAAAAAAB8Q/lHFeUf_OpXE/s1600/IMG_2433.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/--QHOg3k8Ppc/VPtK91Vxj_I/AAAAAAAAB8Q/lHFeUf_OpXE/s1600/IMG_2433.JPG" height="296" width="320" /></a></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
X-ray, post-surgery, showing the straightened spine. </div>
<br />
<div class="MsoNormal">
Eric, a young 20-year-old patient recently admitted to
Tenwek, was working as a mason at a local construction site, laying block.<span style="mso-spacerun: yes;"> </span>He bent over to temper his mortar and when he
stood upright, he became dizzy and disoriented and fell three stories onto a
hard object.<span style="mso-spacerun: yes;"> </span>The fall caused a
flexion-distraction injury to the L1 vertebrae of his spine.<span style="mso-spacerun: yes;"> </span>Fortunately, he was not paralyzed by the
injury, but his spine was bent over with a significant kyphotic deformity. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Thanks to a generous donation from the NuVasive Spine
Foundation (NSF), we had the tools to help, and a few days later, he underwent
a posterior instrumented fusion of his T12-L2 vertebra using screws and rods,
straightening his crooked spine.<span style="mso-spacerun: yes;">
</span>Normally, these screws cost approximately $200 a piece, and had we not
the donation, Eric would not have been able to afford such a life-changing
surgery. The days following surgery, Eric was out of bed, and walking
almost normally with a big smile, realizing what God had done for him through
the ministry at Tenwek.</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Eric wrote a letter to NuVasive after the surgery: “I
thought I was going to be bedridden, but to my surprise, NuVasive rescued
me.<span style="mso-spacerun: yes;"> </span>The donation has come as a blessing
to me.<span style="mso-spacerun: yes;"> </span>This is quite an innovative
medical device that has come at the right time. Without it, we would not have
afforded the price.”<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We are blessed at Tenwek to have multiple partners
(NuVasive, Biomet, Hope International, Project Cure, and many others), who have
joined us in our mission to care for the most needy patients here in our small
part of Africa.<span style="mso-spacerun: yes;"> </span>Without our partners,
and you who pray for and support our family, we would not be able to offer such
specialized orthopaedic services here in Kenya, and hence, such an effective
means of sharing the practical love of Christ to our patients.<span style="mso-spacerun: yes;"> </span>Together, we are a cord of many strands.<span style="mso-spacerun: yes;"> </span>All I can say is that we can’t do this alone!<span style="mso-spacerun: yes;"> </span>Thank you for your ongoing prayers and
support!<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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<div class="MsoNormal">
<i>Ecclesiastes 4:12: "<span style="mso-bidi-font-family: "Helvetica Neue";">And
though a man might prevail against one who is alone, two will withstand him—a
threefold <span style="mso-bidi-font-weight: bold;">cord</span> is not quickly
broken."</span></i><o:p></o:p></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com0tag:blogger.com,1999:blog-3368432282377861482.post-15028215547583762242015-01-27T12:01:00.000-07:002015-01-27T12:01:18.259-07:00Galat Family Update January 2015<div class="MsoNormal">
2014 was one of the craziest years we have experienced since
first arriving in Kenya six years ago.<span style="mso-spacerun: yes;">
</span>The underlying theme of every event however, has been God’s continual sovereign
love and faithfulness in our lives, through your prayers and support!<span style="mso-spacerun: yes;"> </span>Following are some of the major highlights: <o:p></o:p></div>
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<b style="mso-bidi-font-weight: normal;">Rift Valley Academy<o:p></o:p></b></div>
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We now have three kids (Jeremiah, Emma, and Claire) at
boarding school at the Rift Valley Academy in Kijabe.<span style="mso-spacerun: yes;"> </span>Our family actually moved on campus for three
months for one term (by God’s providence a house was available) to help our
girls acclimate to their new environment.<span style="mso-spacerun: yes;">
</span>The concentrated times spent together in our little, temporary home were
so rich.<span style="mso-spacerun: yes;"> </span>I continued working at Tenwek
and made the three-hour commute on the weekends to visit (when not on
call).<span style="mso-spacerun: yes;"> </span>A little more than half of the
Galat’s (more on this later) are now back at Tenwek while Jeremiah, Emma and
Claire continue at school.<span style="mso-spacerun: yes;"> </span>While we miss
them tremendously, we also know that this is where God has ordained them to be
and we treasure every moment we have together (last weekend we were all
together back at Tenwek for the first time since August 2014). <o:p></o:p></div>
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<a href="http://2.bp.blogspot.com/-DPT4MaWZyg8/VMfXUmxDImI/AAAAAAAAB4A/jJQQRTeRJ9A/s1600/IMG_1689.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-DPT4MaWZyg8/VMfXUmxDImI/AAAAAAAAB4A/jJQQRTeRJ9A/s1600/IMG_1689.jpg" height="320" width="240" /></a></div>
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Jeremiah, Emma and Claire on the first day of school.</div>
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<b style="mso-bidi-font-weight: normal;">College?<o:p></o:p></b></div>
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Jeremiah has full-blown senioritis and has applied to 6
colleges in the states.<span style="mso-spacerun: yes;"> </span>Among his top
choices are Vanderbilt, Bowdoin and my alma maters, Ohio State University and
Miami of Ohio.<span style="mso-spacerun: yes;"> </span>I recently had the
pleasure of disclosing volumes of financial data on the FAFSA and College Board
applications!<span style="mso-spacerun: yes;"> </span>Our prayer for him is that
God would lead him to the school where he will grow as a young man of faith.<span style="mso-spacerun: yes;"> </span>His newest passion is “crossfit,” an intense
exercise regimen combining Olympic weight lifting with heavy aerobic
activity.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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<o:p>Jeremiah sporting his "epic apron." Yes, he is a fantastic cook and heads the senior store grill at RVA.</o:p></div>
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<o:p><br /></o:p></div>
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<o:p><br /></o:p></div>
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<b>Music in the Air</b></div>
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Emma is freshman in the dorms at RVA and continues to
practice voice every day.<span style="mso-spacerun: yes;"> </span>We miss her
singing around the house!<span style="mso-spacerun: yes;"> </span>She is growing
in her faith, spurred on by the challenge of “independent” living at RVA.<span style="mso-spacerun: yes;"> </span>Her goal is to attend Juilliard (dream big, right?) and will
continue voice lessons in the states during our next scheduled furlough the
second half of 2015.<o:p></o:p></div>
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<o:p>Mother and daughter or twins?</o:p></div>
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<o:p><br /></o:p></div>
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<b style="mso-bidi-font-weight: normal;">God’s Provision for
Claire<o:p></o:p></b></div>
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Claire started eight grade at RVA during our stint on campus
last term, and loved it so much she decided she wanted to stay (friends,
band…trumpet!, no homeschooling, etc.)<span style="mso-spacerun: yes;">
</span>However, there was no space for her in the 8<sup>th</sup> grade girls’ dorm.<span style="mso-spacerun: yes;"> </span>However, a wonderful family who lives at
Kijabe invited her to stay with them for the remainder of the school year, and
she is so well cared for and happy.<span style="mso-spacerun: yes;">
</span>Claire’s interest remains math and science and she hope to be a
pediatrician or orthopaedic surgeon some day!<o:p></o:p></div>
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<o:p> Claire learning how to apply contact lenses!</o:p></div>
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<b style="mso-bidi-font-weight: normal;"><br /></b></div>
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<b style="mso-bidi-font-weight: normal;">The Man of the House<o:p></o:p></b></div>
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During my frequent travels (currently at a conference for
PAACS residents near Kijabe), Levi functions as the man of the house, and is a great help to
Heather.<span style="mso-spacerun: yes;"> </span>Although he misses his
siblings, he keeps busy with his Tenwek friends, Josie and Legos.<span style="mso-spacerun: yes;"> </span>Did I mention Legos?<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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<o:p>Levi and his handmade pinewood derby car.</o:p></div>
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<o:p><br /></o:p></div>
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<b style="mso-bidi-font-weight: normal;">Another on the Way!<o:p></o:p></b></div>
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Yes, God has surprised us again with another child on the
way!<span style="mso-spacerun: yes;"> </span>Heather is ending her first
trimester and looking forward to the cessation of the endless nausea (I keep
telling her it must be twins).<span style="mso-spacerun: yes;"> </span>Heather
is due in August and will deliver again in the states.<span style="mso-spacerun: yes;"> </span>Because she will be so far along, she will
need to travel back to the states in June (with Levi and Josie), and thus miss
Jeremiah’s graduation from RVA.<span style="mso-spacerun: yes;"> </span>I will remain
in Kenya with Jeremiah, Emma and Claire and after graduation in July, we’ll all
join them.<span style="mso-spacerun: yes;"> </span>Our plan is to get Jeremiah
in college, have a baby, and then remain in the states until the end of 2015. Whew!!<o:p></o:p></div>
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"I'm going to be a big sister!"</div>
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<o:p><br /></o:p></div>
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<b style="mso-bidi-font-weight: normal;">Developing Scholars<o:p></o:p></b></div>
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Between bouts of nausea, Heather is also doing a fantastic
job teaching the 4<sup>th</sup> and 5<sup>th</sup> graders at Tenwek literature
and writing.<span style="mso-spacerun: yes;"> </span>Currently, they are reading
Robin Hood and doing writing lessons based on medieval history.<span style="mso-spacerun: yes;"> </span>All the women at Tenwek work very hard
teaching the 32 children who are based on our compound.<o:p></o:p></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;">Major House Repairs<o:p></o:p></b></div>
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Our house at Tenwek was built in the 1940s and was literally
falling apart, and desperately in need of major repairs (roof, ceiling, wood
siding, etc).<span style="mso-spacerun: yes;"> </span>God’s timing was perfect
because the majority of the repairs were done while Heather and the kids lived
at RVA last fall.<span style="mso-spacerun: yes;"> </span>However, just last
week, my office chair almost went through our wood floor and several other
boards acutely became very loose.<span style="mso-spacerun: yes;"> </span>An
inspection under the floor in the crawl space revealed the culprit:
termites!<span style="mso-spacerun: yes;"> </span>I guess the repairs aren’t
quite over…however this one will wait until furlough.<o:p></o:p></div>
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<o:p>Major remodel/repairs in process.</o:p></div>
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<o:p><br /></o:p></div>
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<o:p>Floor joists: Termites love wood from the 1940s. </o:p></div>
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<o:p><br /></o:p></div>
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<b style="mso-bidi-font-weight: normal;">Galat Guest/Ministry
House<o:p></o:p></b></div>
<div class="MsoNormal">
The whole of 2014 was also consumed with building a
guest/ministry house in our side yard and completion is drawing nigh (thanks be
to God). <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>It includes two apartments for volunteer
medical visitors and guests.<span style="mso-spacerun: yes;"> </span>In
addition, the large “upper room” will be used for meetings, meals (replete with
wood fired pizza oven), and other ministry events.<span style="mso-spacerun: yes;"> </span>We are looking forward to the first scheduled
event, which will be the “white coat ceremony” for our new residents. <o:p></o:p></div>
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Some of the construction crew. Hard working guys. We were thankful to provide income for local workers and their families. </div>
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<b style="mso-bidi-font-weight: normal;">PAACS/ORTHO Residency
Training Program<o:p></o:p></b></div>
<div class="MsoNormal">
The ortho program is now in the second year and we added Dr.
Ian Orwa to our other two, Dr. Fasto and Dr. Sowayi.<span style="mso-spacerun: yes;"> </span>The training and discipling<span style="mso-spacerun: yes;"> </span>of national residents, interns and medical
students continues to be our primary ministry objective at Tenwek.<span style="mso-spacerun: yes;"> </span>It is a privilege to impact the lives of
future leaders in medicine and ministry in Kenya!<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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<a href="http://4.bp.blogspot.com/-H_e6u0IsgHs/VMfcJutnAxI/AAAAAAAAB5U/B_4K4sMV_5w/s1600/IMG_2284.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-H_e6u0IsgHs/VMfcJutnAxI/AAAAAAAAB5U/B_4K4sMV_5w/s1600/IMG_2284.JPG" height="320" width="320" /></a></div>
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Graduation day for PAACS residents at Tenwek. Dan and Kiprono with the ortho residents. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
So much more has happened, but these are the major highlights.<span style="mso-spacerun: yes;"> </span>God has been teaching Heather and I to remain
dependent on him in our weakness and brokenness, and to dwell on his promises
in scripture.<span style="mso-spacerun: yes;"> </span>Thanks again for your
prayers and support! <o:p></o:p></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-0eaNXLSrvE8/VMfffAivMdI/AAAAAAAAB5g/vPjYERwNuAg/s1600/IMG_2081.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-0eaNXLSrvE8/VMfffAivMdI/AAAAAAAAB5g/vPjYERwNuAg/s1600/IMG_2081.jpg" height="320" width="240" /></a></div>
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<div class="MsoNormal" style="text-align: center;">
<o:p> On the road from Kijabe to Tenwek. Need we ever doubt God's faithfulness?!</o:p></div>
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The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com2tag:blogger.com,1999:blog-3368432282377861482.post-79005063613710304112014-12-20T21:12:00.000-07:002014-12-20T21:12:15.242-07:00Just Along for the Ride<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-QcBXuncSnYA/VJZBQKF9kEI/AAAAAAAAB2A/RjijDSWwDBM/s1600/6%2Bm%2Bold%2Bopen%2Bdistal%2Btibia%2Bfx%2Breferred%2B(1)%5B9%5D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-QcBXuncSnYA/VJZBQKF9kEI/AAAAAAAAB2A/RjijDSWwDBM/s1600/6%2Bm%2Bold%2Bopen%2Bdistal%2Btibia%2Bfx%2Breferred%2B(1)%5B9%5D.jpg" height="320" width="180" /></a></div>
<br />
<div style="text-align: center;">
This patient suffered an open distal tib/fib fracture which was treated with an external fixator at another hospital (what we call a "Kisii special"). </div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-g88PGbZcf3I/VJZBVYznDDI/AAAAAAAAB2I/yOCEdmBUN7E/s1600/6%2Bm%2Bold%2Bopen%2Bdistal%2Btibia%2Bfx%2Breferred%2B(4)%5B9%5D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-g88PGbZcf3I/VJZBVYznDDI/AAAAAAAAB2I/yOCEdmBUN7E/s1600/6%2Bm%2Bold%2Bopen%2Bdistal%2Btibia%2Bfx%2Breferred%2B(4)%5B9%5D.jpg" height="320" width="180" /></a></div>
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<div style="text-align: center;">
This fracture was particularly difficult to treat because of the amount of bone loss and angulation. </div>
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<a href="http://2.bp.blogspot.com/-wLDvKOM1omg/VJZBaxo80vI/AAAAAAAAB2Q/5gui5W_BTRY/s1600/6%2Bm%2Bold%2Bopen%2Bdistal%2Btibia%2Bfx%2Breferred%2B(5)%5B7%5D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-wLDvKOM1omg/VJZBaxo80vI/AAAAAAAAB2Q/5gui5W_BTRY/s1600/6%2Bm%2Bold%2Bopen%2Bdistal%2Btibia%2Bfx%2Breferred%2B(5)%5B7%5D.jpg" height="320" width="180" /></a></div>
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<div style="text-align: center;">
Also challenging was the amount of displacement and angulation of the fracture which had been in this malposition for many months. </div>
<div style="text-align: center;">
<br /></div>
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<a href="http://3.bp.blogspot.com/-7S1YE8IhMkI/VJZBgkUEZyI/AAAAAAAAB2Y/JLBEYYy0MQc/s1600/Image3%5B9%5D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-7S1YE8IhMkI/VJZBgkUEZyI/AAAAAAAAB2Y/JLBEYYy0MQc/s1600/Image3%5B9%5D.jpg" height="320" width="254" /></a></div>
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<div style="text-align: center;">
The fracture was expertly treated by visiting physician Dr. Frank Bryant, who used one of the donated Biomet plates. He filled the bone defect with graft taken from the iliac crest. </div>
<div style="text-align: center;">
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<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-pTd4ABdxmzg/VJZBkddmUqI/AAAAAAAAB2g/znEMuAF4FzE/s1600/Image2%5B7%5D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-pTd4ABdxmzg/VJZBkddmUqI/AAAAAAAAB2g/znEMuAF4FzE/s1600/Image2%5B7%5D.jpg" height="320" width="254" /></a></div>
<div style="text-align: center;">
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<div style="text-align: center;">
Overall, the fixation was solid and alignment anatomic. Now, the result is in God's hands. </div>
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<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;"><br /></span></div>
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<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;"><br /></span></div>
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<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;">Since 2012, Biomet, a major orthopaedic implant
company, has been supplying Tenwek with critical implants designed specifically
for the treatment of complicated fractures that occur in and around major
joints (hip, knee, wrist and ankle). The manner in which this partnership
was established was a total miracle in itself (perhaps to be told at another
time). Recently, another orthopaedic company called Zimmer purchased
Biomet and the merger is currently ongoing. Naturally, we at Tenwek have been wondering how this merger will affect our ongoing
partnership and the supply of these important implants. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;">Being stateside for a few weeks this month, I was
honored with an invitation to speak at Biomet’s annual Christmas party.
They mentioned that if I could come, they would also arrange a short
meeting with the CEO of Zimmer to introduce him to the work at Tenwek. So
just a few days after landing in America, I traveled to Warsaw, IN, where three
of the top five ortho implant companies reside. The presentation at the
Biomet Christmas party was well received as I communicated the blessing they
have been for us at Tenwek, and thanked them on behalf of the many patients who
been helped with their implants. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;">Following the presentation, I traveled across
town with the two Biomet executives who have spearheaded our partnership, and
we had our meeting with the CEO of Zimmer. As I communicated with him
about Tenwek, he seemed to track with significant interest. He also
mentioned that once the plans for our Orthopaedic Center of Excellence become
more solidified, that we should meet again. <o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;">God continually reminds me of two things: (1) He
is entirely sovereign and (2) He loves the poor.<span style="mso-spacerun: yes;"> </span>The orthopaedic work at Tenwek is wholly His,
and we just have the privilege of joining Him on this wild ride.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: Calibri; font-size: 14.0pt; mso-bidi-font-family: Calibri;">Thank you for your ongoing prayers and support
for our family.<span style="mso-spacerun: yes;"> </span>Without it, we would
not be able to continue at Tenwek.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
The Galat Family Kenya Updatehttp://www.blogger.com/profile/04426379194868422766noreply@blogger.com1