"Thank you for your support and prayers"

Recently, we were in the US for the holidays, visiting family and touching base with some of our supporters. We spent a lot of time saying, "Thank you for your support and prayers." We genuinely mean that...but what does it mean for us? As we reflect on the close of 2024 and start planning and praying and hoping for 2025, here are a few thoughts on "support and prayers."

Support

When we tell people that we work for a nonprofit and raise money for our salaries, health insurance, travel, and "ministry expenses" from our friends and family, most people respond the same way - "Whoa, I could never do that." My almost-universal response is - "You probably could." If you are fortunate enough to have a job that you believe is worthwhile, and if you believe that you are able to do it well, then you probably believe that you should earn a salary for the service you are providing. We believe that we have jobs (providing healthcare for women, teaching pastors and church leaders) that are worthwhile, and that we do well. We just happen to provide those services for people that legitimately cannot afford to pay, and we work in an area of the world where those services wouldn't be readily available if we weren't here to provide them. We are so blessed to have family, friends, and even some complete strangers who also think our work is important, and who are willing to contribute financially (some a small amount, others large amounts) so that we can continue to do this work that we love. So, to those of you who support us financially - THANK YOU, and thank you for making it easy to ask for and to continue to receive your support. We consider it a privilege to partner with you all.

Kris giving the new graduates a study Bible at their commencement ceremony

Your generosity has enabled us to support our community here in Kenya as well. In the past year, we have funded the purchase of new equipment for the hospital as well as maintenance of old equipment, supported students' fees at the School of Theology and in our community, kept antenatal care at the hospital when the government stopped paying, and even bought a piano that we use for praise and worship with our community (as well as for personal use/mental health!). We have attended a conference with our organization, Serge, and we are planning to attend another medical conference this winter.  

Kim can't purchase this special "NST" paper in Kenya so she has to buy it in the US and then get it to Kenya. This can mean the difference between a sick baby and a healthy baby - or even no baby at all. (This patient got a c-section, by the way!)

Support isn't just financial, though. We also have many people who help us with the various challenges of living overseas - here are some examples (sorry if I've missed something!):

- Reading with Dominic by Zoom

- Faithfully responding to blog posts and emails with words of encouragement

- Providing support (access to vehicles, clothes and shoes, places to sleep, rides to airports or train stations or bus stations) while we are in the US

- Managing our mail and local communication, especially responses to jury summons (that's mostly just Kim's mom!)

- Sending birthday cards and greetings

- Random texts and messages of encouragement

- Transporting stuff "from home" - sometimes things we need, often just things we want like mac and cheese powder and real chocolate chips

And finally - visits! We know that not everyone can fly halfway around the world to visit us. But we've treasured the time that we have spent with family members who have come to visit us, and we look forward to two more visits from family in the next few months!

Prayers

We are honored to be financially supported by about 85 individuals/families and six churches. Most, but not all, of those people are "praying people." For those of you who do regularly pray for us - THANK YOU! Here are two very important answers to prayer that we have received in the last year:

Kaylea joined us in August as our first ever Serge intern! She is helping with education for Dominic and two other families with school-aged kids and working parents. We have been praying for someone to come for more than a few months who is experienced with kids and is able to help us move forward with our education plans - not just for the time she is here, but really helping us prepare for what comes next. Kaylea has been such a joy, and has provided the stability to Dominic's education that we have really been missing these last four years.

Abby joined us in December as Kim's new OB/Gyn partner! She, and her Great Dane puppy, are going to be in Kapsowar for at least two years, and are the reason why I'm home on a Wednesday afternoon writing a blog post! It's great to have someone to bounce ideas off of and to bear the burden together.

We are also excited about another experienced teacher who will be coming for a visit in March to discuss starting a one-room school house! We are praying for guidance for Mary, and for the parents here, as we navigate the unchartered waters of educating our kids together.  Thanks for praying with us!

Hit Hard, and Hopeful

If October was a month filled with uncertainty and constantly wondering what new changes the new healthcare system would bring here in Kapsowar, November turned into a month with no time to stop and think at all. As we anticipated, mothers who decided just to "wait and see" at home eventually had to show up for healthcare - and with doctors at the public hospitals in our region on strike, there is only one place for them to come. We're so happy to provide care, and so overwhelmed with the task of explaining the new system to them, getting them enrolled, helping them figure out how much and where to pay to access their government healthcare benefits - all added to the routine task of providing "catch up" care. At this point it time, the hospital is running on promises from the government that we will eventually receive back pay for all the care we've provided. Obviously my salary doesn't depend on the government making good on that promise - but promises aren't keeping food on the table for healthcare workers and support staff at our hospital, in our county, or around the country. It's been a stressful month at the hospital.

On top of work stress, this month we dealt with our washing machine motor going out (we got it replaced), our solar panels dying (got them replaced too), more days of rain that I care to count, and increasingly frequent power outages which seem to only sometimes be related to the weather. November weather patterns (alternate high and low pressure) often trigger migraines for me (Kim), and that's been true in the last few weeks. Also, some type of allergic or exposure-related reaction would make you think that someone is using my face as a model for a horror movie - blisters, bruises, and rashes all around my eyes and a few other places on my face. Yuck.

Nonetheless, we've had a lot of reasons to be thankful this past month. On November 23, we celebrated the five year anniversary of our move to Kapsowar! Dominic has been cruising through his school year, and is scheduled to finish his SonLight Grade 4 curriculum this week! Kris celebrated the graduation of 12 students from the School of Theology, and we also celebrated the graduation of about 30 students from Serge's Chronologic Bible Storying course. 

And, we're getting ready for a visit to the US. For the first time since 2019, we'll be spending the holidays with our families in Washington and Montana. We would LOVE to get to visit with all of our friends, family, and supporters, but the reality is that this trip is too short to see everyone. However, we do have some needs while we're in the US, including for winter clothes and maybe a vehicle. If you think you would like to help, please visit this website (www.sokindregistry.org/30486) to see when/where we need help. Thanks so much! Looking forward to seeing you soon!

All in a Day's Work

October is a "special" month in our household. It's special, because every year in October, Gladys (our housekeeper) takes her annual, month-long leave. So every October, our family picks up all the routine household chores like doing laundry, washing dishes, baking bread, preparing all the meals. I know, I know - we're really suffering :)

But before you judge us TOO hard, please remember - we live in rural Kenya, where our incoming power and water are unreliable, so laundry (although we have a clothes washer) has to be done on those auspicious days when both power and water are available. Our laundry is hung on a line, and when rains come in the daytime, it has to be rescued from the line or left out to dry another day. We can buy something like Wonderbread at the local shops, but for a less highly processed loaf we make our own. Our milk comes from our neighbor's cow, so it has to be boiled, cooled, and put in the refrigerator. Again with our unreliable power, meal making may involve using the InstantPot or pulling food out of the fridge to microwave it, but we always need to have a backup (non-refrigerated, non-power operated) option in case the power is out. Of course, we do have a dishwasher. His name is Kris ;)

Our local "Wonderbread" came in a pumpkin shape this week! I assume this was a coincidence, but it made for a fun school lunch!

Gladys helps keep everything running smoothly in our household - food on the table, clean clothes in the cupboards, dishes washed and floors cleaned, milk properly processed and refrigerated, fruit, veg and eggs "sanitized" before we eat them. She makes it much easier to host visitors and meetings, because she can help us prepare food, and we can feel confident that the house will be clean and there won't be underwear hanging on the clothes line outside our front door when we welcome strangers into our home and community for the first time. When Gladys is away for the month, we miss her, and when she comes back from her leave, we are very grateful.

Before you think I'm really pitying myself, let me count our blessings. Kaylea, our intern through Serge, has been helping us with teaching Dominic since August. Having someone outside our family to help with education has really been life changing for us. Kaylea has also been helping another family with their curriculum for part of the day, so Dominic has time to sit in a classroom with other kids and has been learning a lot from the way other kids approach school.

School Lunch

In the last month, we've had multiple OB/Gyn visitors as well as multiple requests from others to come to Kapsowar. In fact, we've had so many requests that I've had to ask people to adjust their requests because we have too much help! As I said to them, after being in Kapsowar through "the Covid years," I never anticipated having so many volunteers that we wouldn't have enough work for them all! What a huge change in perspective!

OB Team

So, with all that in mind, our day on Monday looked SIGNIFICANTLY different than it would have looked in October 2020. Here's how the day went:

6:30am: Kris and Dominic left the house for basketball club

6:30am: I (Kim) woke up to a power outage, so I put coffee on the stove in the Moka pot

7:00am: Breakfast

7:30am: Washing dishes, putting clothes out on the line (washed in the machine the night before). The weather was looking pretty suspicious, so I hung everything that would fit on the back porch under our awning - it dries much slower in the shade, but doesn't risk getting a "bonus rinse" from the rain.

8:00am: Hosting Psalms and Prayers at our house. Kim led the reflection on Psalm 123, including a couple of songs on our new piano

9:00am: Kaylea takes over school with Dominic at our house. Kim - Walking into the hospital with two new visiting physicians. Quick meeting with the OB team (currently 3 OBs including myself plus our clinical officer) before running up to theatre to do a c-section. I wouldn't normally do a c-section when we have two other visiting OBs - but this is actually my third delivery of this specific patient in my nearly 5 years in Kapsowar, and so I wanted to deliver this baby (her fourth and final) myself. Kris - heading into the School of Theology to prepare for class.

11:00am: Guiding the two new physicians on a tour of the hospital and Kapsowar. It's always fun to see the hospital through a first-time visitor's perspective.

12:30pm: Run home to put on lunch (soup and homemade bread) for the "school kids" - Kaylea and Dominic, plus four other kids who Kaylea is also helping during the days. While I'm home, wash dishes and put away what laundry has dried. The power is back on, so I can boil water in the electric kettle to do the dishes, and move the fresh milk from the stove (where Kris boiled it earlier in the day and left it to cool) to the refrigerator.

1:30-6pm: Back to the hospital for afternoon clinic, answering phone calls and emails, and meetings. I'm still working on the call schedule for November - with multiple visiting doctors for the first half of the month, as well as some learners, it is pretty complex. Kaylea and I also meet to go through her work permit application again - we're still waiting on a response from Nairobi about what type of permit she qualifies for.

6-8pm: Homework with Dominic, supper (leftovers), and bedtime.

8-10pm: Walk in to the hospital to check on a patient - the "remote access" link for the hospital is down, so I can't check her lab results or nursing notes from home. Check in with the night-time nurses before heading home. The water supply is low, so we alert our neighbors to be on water conservation efforts and don't put in a load of laundry tonight.

As we always tell people who ask about our life in Kenya - the only thing that's predictable is that things are always changing. We're entering some new territory in our daily rhythms here, but one thing is sure - we'll be glad to have Gladys back at work tomorrow!

A few of our favorite things

Meal preparation in Kapsowar is a little different than meal preparation in North America. When the power goes out, plans for using ingredients out of the refrigerator, or using kitchen tools like an InstantPot or blender are also out the window. Basic ingredients are available in Kapsowar, but most "easy" or "ready-made" groceries have to be purchased in Eldoret. Add that to the unpredictability of an OB/Gyn's schedule, and you start realizing that a lot of flexibility and contingency planning are required. On the other hand, because our housework is labor-intensive, we have Gladys working in our home 5 days a week to help us with all of that work. She does a lot of our baking, some cooking, and a lot of meal prep and shopping for us.

Over the past five years, I've been building up a small repertoire of recipes for these various occasions. Chances are if you have joined us for a meal, you've sampled Bean and Cheese Enchiladas (with homemade enchilada sauce and guacamole), Pumpkin or Potato Curry with Jeera Rice and Gladys' Chapati, or Vegan Sloppy Joes with biscuits and coleslaw.

Over the past year or so, we've also had several members of our long-term community join us or be diagnosed with gluten and dairy allergies. Now I'm adding vegan and gluten free recipes to my mental cookbook. I've realized that cooking vegan or gluten free isn't actually as difficult as it sounds, but I had to adjust my approach. Instead of thinking of my favorite thing to eat (maybe pasta with alfredo sauce) and then trying to adjust the recipe to suit a gluten- or dairy- free diet, I've started making note of recipes that I cook that happen to be gluten- or dairy- free (or close to it) already. For example - making a chocolate cake gluten free is tricky using local or pantry ingredients. But making Monster Cookies or Oatmeal Bars gluten free is super easy, requiring no adjustment at all, or just a small amount of gluten-free flour. Most curries are already gluten free, and a lot can be made dairy free just by cooking in oil instead of butter.

Another note about meal prep in Kapsowar. In North America, I used to spend a lot of time running to the grocery store for missing ingredients while trying to prepare a meal. In Kapsowar, I've learned a lot about substitutions and eliminating ingredients. It's been really freeing to just cook with what's available, instead of making sure that I have every single ingredient and spice. I'm not saying my cooking tastes good all the time, but I hope that I'm improving over time!

After all that preamble...a few of my favorite recipes for dietary restrictions (adjusted to Kapsowar ingredients, etc) 

Paneer Makhani (Gluten free, serve with rice; freezes well)

3 T butter, divided

1 large onion, chopped

2 tsp ginger (I use the prepared refrigerated minced ginger and garlic to save time and washing dishes)

3 garlic cloves

3-4 roma size tomatoes

1 tsp salt

1/4 tsp cayenne pepper (increase to 1 tsp if your family tolerates spice)

1/2 tsp tumeric

3/4 c water, divided

1/4 c whipping cream

1 tsp garam masala

1/2 tsp sugar

2 cups cubed paneer - I fry this in oil to give it a little more texture. Paneer is pretty simple to make, but I usually buy it and freeze it, then pull it out as needed. The paneer can also be replaced with rehydrated soy chunks (called meal maker in Indian grocery stores) or probably some type of meat :)

Fresh cilantro to top

In an instant pot, saute the onion in 2 T butter for 3-4 min, then add the garlic and ginger. Add tomato paste, fresh tomatoes, salt, cayenne, tumeric, and 1/2 c water. Cook on high pressure for 3 min, natural pressure release for 5 min, then quick release the remainder of the pressure. Add 1/4 c water and blend with an immersion blender. (I often double the recipe, and remove half at this point to freeze for later.)

Add 1T butter, cream, garam masala, sugar, and paneer, then heat to simmering (I use the saute function for this). Serve with rice, cilantro to top.

Layered Refrigerator Salad (Can be made dairy free or gluten free by adjusting the ingredients, but I wouldn't attempt to eliminate the eggs. Mayo is dairy free, so eliminating the dairy is actually pretty easy)

Layer 1: 3c green leaf or romaine lettuce, washed and shredded (I use 2 heads of romaine or salinova(

Layer 2: 1.5 c small pasta, cooked, rinsed, and drained

Layer 3: 3 hard boiled eggs, sliced, sprinkles with salt and pepper

Layer 4: Red and/or green pepper, diced, one total (I've also used cucumber or shopped snap peas in this layer)

Layer 5: 16 oz frozen peas, thawed

Layer 6: 1c mayo plus 1/4c sour cream (I substitute an ingredient called Mala, which is basically plain yogurt) plus 1/4 c chopped green onion plus 2 tsp Dijon mustard

Layer 7: 1c cheese, shredded (I use gouda, cheddar, or something called "everyday")

Cover with plastic wrap and refrigerate several hours, up to overnight

Pineapple-Star Anise Sorbet (Gluten Free, Dairy Free)

(An ice cream maker makes this recipe much more convenient, but isn't strictly necessary. You can do a freeze/mix/freeze/mix process if you don't have an ice cream maker. The star anise in this recipe adds a nice contrast to the pineapple, which can otherwise be overly sweet.)

650g fresh pineapple

50mL water

200g sugar

1.5 - 2 pieces star anise

3T Lime Juice

Zest of 3 limes (if you're using fresh)

1 Tbsp Vodka (optional, prevents crystallizing)

Combine fresh pineapple, water, sugar and blend. Place blended "juice" and star anise in a pot and heat until the sugar dissolves, stirring occasionally. Turn off the heat, and place the lid on the pot. Leave for 40 minutes to cool and for the star anise to infuse the liquid. Remove the star anise, add the lime and zest if using. Place in the fridge until chilled (I usually do this overnight). Once chilled, churn in an ice cream maker or using your favorite method (I put mine in the KitchenAid ice cream maker attachment for 25 minutes). Freeze for at least six hours, overnight if possible.

New Things!

 August has been an extremely busy but fun month.

We went to Eldoret and stayed at an AirBNB to do some shopping, and to watch the Olympics!

I (Kim) flew to Nairobi for a day. I arrived at 8:30am, met my driver (friend of a friend) who took me around the city to visit two used piano stores, and then back to the airport by 2pm (see below). After trying out about 20 pianos, I put in an offer on one, and it was delivered to our house, installed, and tuned just 5 days later!

Picking up Kaylea, our new intern, at the airport in Nairobi

First Day of School with Miss Kaylea!

Thankful that Dr. Allan is here helping with OB/Gyn while we get Kaylea settled!

Our hospital laundry has been "benefitting" from extra rinse cycles during a particularly wet rainy season. We're grateful that the sun has come out the last three days, and we've had dry laundry AND hot showers.

Meanwhile, work at the hospital is ramping up, as it usually does this time of year. We're grateful for the short-termers who help relieve some of the work load and call responsibility. Kris is getting ready to start a new school term, and Dominic is now doing most of his school work with Miss Kaylea (just a few subjects to add back into the schedule next week). As a new school year begins in N America, we hope your Septembers are full of new, fun things too!