Sunday, July 11, 2010

A Simple Game of Pitch and Catch


Daniel's Poem for Jake

Posted by Susie Dowdy Butler at 11:39pm on June 5th, 2010
A simple game of pitch and catch
That was his invitation from the thatch
We struggled from five years off
knee deep in a tide pool trying to toss.
I threw too slow and he was too fast,
but it was the best saved for the very last.
He was gone before that week had past.
Had I known I would have thrown
every day without stopping.
Keep catching, boy, don't go away.
Without you, there is no play.
There will be no day.
The sun won't rise.
Just tears circling in my eyes.
Silent absence still rebuke
Pain so intense you have to puke.
Not this; this I cannot take;
All my earth-days without Jake.
So You let him back in, around and through.
He is very near me, alive and true.
He said it once, in a kind imperative tone,
"I will not let you go through this alone."

Burned Beyond Recognition

From Daniel on June 25, 2010
Has it been a year? For some of you, ten or twelve of you at least I guess, it has. 12 months since I began to write these almost daily epistles (one could hardly call such long communications e-mails) At first I was writing these because I could not respond to each person individually. The Great Sorrow was so deep. My son’s death and passing was so fresh, too near. Each time a person called, wrote or e-mailed (there were quite literally hundreds) I wanted to respond because each one touched me deeply, but each response forced me to dive back into the depths of self pity, loss and despair. The dreams of catching my Jakey, falling with him, watching him fall and being paralyzed and powerless would begin again. I realized that I could not physically, mentally, emotionally or spiritually remain in that realm any longer or I would surely perish. I knew somehow that sympathy, empathy and pity mixed with well-intentioned southern casseroles, anti-depressants and sleeping pills can kill a man out right.

 I realized the truth as C.S. Lewis spoke it to me, “That I shall ‘get over this’ like a man with an amputated leg recovers from the surgery which removed one of his legs. If the stump heals properly without infection, there will still be pain, some severe and some will seem to originate in the leg that is no longer there. He may learn to walk on crutches and then perhaps learn to walk with a prothesis or a peg leg, but he will walk on or perish. But each morning for the rest of his life as he pulls on his trousers, he will be aware of his loss. He will understand that he shall always be a monoped.” (from “A Grief Observed”)
I knew that suffering was part of the plan. That my Boss was “a man acquainted with great sorrow.” He knew when He said, “Follow me” that He was calling me into a world of hurt but also a world of bliss, unspeakable pain and inexpressible beauty. I became aware of the fact that I had to surrender my perfectly pierced heart and allow it to be totally broken before it could ever be replaced by a new heart so that He could “renew a right spirit within me.”

So I began to turn to His word every (well, almost every) morning to be immersed and have the dead parts of me hacked away like a badly burned patient in Intensive Care during debridment has the burned epidermis sliced off with scalpels. With these patients, the ones the news would described as “burned beyond recognition,” taking off the dead tissue is the only way for the new tissue to grow and the doctors cannot anesthetize the patient at all or the patient will die because they cannot breathe well enough yet. I witnessed this years ago as an x-ray tech on the evening shift. The muffled screams and almost inhuman wails of the patient during this process are something that no intern, resident, nurse or even janitor will ever forget. The smell of the burned human flesh cannot be compared to any other scent. Any person with the least bit of compassion had to ask as I did thirty-five years ago, “What in God’s name are you doing to that man?” The Head Resident who sat, utterly drained outside the patient’s door, lowered his mask and with tears rolling down his cheeks looked me square in the eyes and simply said, “I’m saving his life, asshole.”

I always had to bend over this man and gently lift him to place a hard metal encased film under his back after his debridment and take a portable chest x-ray of his lungs as they filled with fluid due to his inability to stand the pain of coughing. Each night I would look him in the eyes and beg his forgiveness for the pain that even gently lifting him two inches would cause. I watched over the weeks and months as that patient received skin grafts from loved ones and unknown donors. I saw him go from an almost featureless sort of humanoid looking thing who was unrecognizable to his closest loved ones to a new man with a new face living in a new skin. But looking into his eyes I knew who was. His eyes never changed except to become deeper and, other than the sounds which came from him, his only means of expressing himself. I saw him struggle to take painful step after painful step in rehab until one day, I saw him walk out. Less than five percent of his level of burn patients ever did that.

And now I understand why. Now I’m beginning to see who held that scalpel, who lifted him up, who coaxed him forward and who whispered gently in his ear, “I’m saving your life, asshole.”

Thank you for letting me wail. Thank you for forgiving me when I cursed in my pain. Thank you for being my “skin donors.” Thank you for laughing with me through tears of joy at the sight of a big brother kissing his baby brother or the sound of dove cooing on a branch at dawn. And Boss, please dear Boss, use this to nourish somebody, anybody...for your glory, but not my will, but...

June 25
Receiving Yourself in the Fires of Sorrow from My Utmost for His Highest
“… what shall I say? ‘Father, save Me from this hour’? But for this purpose I came to this hour. ‘Father, glorify Your name’ ” (John 12:27–28 ).
As a saint of God, my attitude toward sorrow and difficulty should not be to ask that they be prevented, but to ask that God protect me so that I may remain what He created me to be, in spite of all my fires of sorrow. Our Lord received Himself, accepting His position and realizing His purpose, in the midst of the fire of sorrow. He was saved not from the hour, but out of the hour.
We say that there ought to be no sorrow, but there is sorrow, and we have to accept and receive ourselves in its fires. If we try to evade sorrow, refusing to deal with it, we are foolish. Sorrow is one of the biggest facts in life, and there is no use in saying it should not be. Sin, sorrow, and suffering are, and it is not for us to say that God has made a mistake in allowing them.
Sorrow removes a great deal of a person’s shallowness, but it does not always make that person better. Suffering either gives me to myself or it destroys me. You cannot find or receive yourself through success, because you lose your head over pride. And you cannot receive yourself through the monotony of your daily life, because you give in to complaining. The only way to find yourself is in the fires of sorrow. Why it should be this way is immaterial. The fact is that it is true in the Scriptures and in human experience. You can always recognize who has been through the fires of sorrow and received himself, and you know that you can go to him in your moment of trouble and find that he has plenty of time for you. But if a person has not been through the fires of sorrow, he is apt to be contemptuous, having no respect or time for you, only turning you away. If you will receive yourself in the fires of sorrow, God will make you nourishment for other people."

Tuesday, June 29, 2010

One of My Favorite Patients


Wilma is 7 years old.  Her family was very concerned about her.  She had fever, a hot swollen mass under her jaw that resulted in a lack of interest in food.  She had been to several doctors in Belize City, Orange Walk and Chetumal.  She was not getting better.  But she was still smiling.  A careful bimanual exam of where the swelling connected up inside revealed a blocked and infected submandibular salivary gland...sialadenitis!!!...Am I claiming to be a medical genius?  No, I am claiming to care about giving patients the same thoughtful care that I would want my family and friends to have.  Am I claiming to have an especially kind heart? No, my heart requires constant renewal.  I am claiming to want to love because He loves me.  Also Wilma's beautiful smile and gentle manner make it very easy.

Saturday, June 19, 2010

The "Grandmaster" of Rap Poetry Graduated from jacob's Farm


From Daniel who has week-daily sessions with the residents based on his training in YMCA's Restore Minitries:"One of my clients at Jacob's Farm just stepped out on the water that is the "boisterous" waves of the world. Yesterday, Leroy Young graduated from the program. 123 days crack-free. This Sunday, he is going to celebrate his first "Father's Day" with his 20 year old son and 17 year old daughter. I was there for their reunion 60 days ago. They had not spoken in 11 years. There were tears, frowns and smiles. It was miraculously joyous. There was forgiveness. There was an incredible embrace of roles that had never been fulfilled or 'played out' before. For the last 63 days this little fractured family has been communicating daily and a miraculous healing has been unfolding before my eyes. Give God praise and glory and gratitude for this little family. And lift them up this Sunday for the best 'father's day' ever. There will be waves and storms, but pray that Leroy and all of us, keep our eyes fixed on the source of all calm." (Leroy went down for the altar call and gave his life to the Lord 9 weeks ago at Central Assembly of God in Belize City when Daniel and the residents went down for the Sunday service.)
(We do not receive any financial support from Belize Project or Christ Presbyterian Church but we have received generous donations from many members of Christ Pres.)

Sunday, May 9, 2010

Our Jobs in Belize; Save the Clinic


     I fear that I have made many of my postings on the esoteric side and people won't have a clue about what we are doing and about the needs down here. Just wanted you to know I am not lolly-gagging around here writing sonnets and taking photos.  We are in need of some financial assistance for the sake of many villagers and employees! We are working hard in heat above 100 degrees and are seriously wanting to continue. PLEASE READ ABOUT WHAT WE ARE DOING AND SEND A TAX DEDUCTIBLE DONATION TO THE GLOBAL FOUNDATION,  P.O. Box 58328, Nashville, TN 37205 with notation 'for the Butlers' or "for Noah's Workshop."  We, the Butlers, are Noah's Workshop, under the umbrella of Global Foundation; (PLEASE DO NOT SEND OUR DONATIONS TO THE BELIZE PROJECT-we were under their umbrella only for short term work)
    The Medical Clinic in Patchakan, Corozal District, Belize was started in 1993, the dream of Tom and Helen Lacey.  Many long-term and short-term nurses and doctors have provided quality care for Patchakan and many villages in the area.  People are now coming all the way from Corozal and even Orange Walk for medical care here.  This is somewhat astounding as the largest government medical center in Northern Belize is in Orange Walk.  I am the only full time doctor here now.  When full time docs go away, the patients gradually dwindle but now the daily load is picking up.  Though I was originally invited to be here long term by Dr. Wiley Smith, this visit I was told by MTW that I could stay at the clinic until the end of June but when they saw I was able to do the work and they saw that they had no MTW docs coming they invited me to stay.  They want to know if I can stay until the end of July and want to know long it will take me to raise more funds to return quickly.  At a staff meeting last week a portion of the board stated that the clinic would close after I left.  There are thousands of open patient records.  So many would be left without medical care.  Also very importantly,  some wonderful staff would be without jobs.  I am working on some possibilities that would allow me to be here much of the time but to have some cross coverage. Also, delightfully, several patients have offered without request that they would donate to my being able to stay.
      I am seeing a wide range of patients and problems:  hypertension, diabetes, rashes-mainly scabies and fungal, worms, acute respiratory infections, asthma-especially with the dust and cane burning the way it has been, wounds-dog bites,  failure to thrive in infants, tabino fly bites with allergic rxns, a drunk man who said he was “stoned in battle” (sounded better than he was drunk and a rock slashed his lips deeply and I did some pretty good plastic surgery :)  ), tooth pulling accident resulting in torn gums, boy who fell from tree and gashed his head,  typhoid fever, dengue fever,  urinary tract infections, sexually transmitted diseases,  diabetic ulcers, depression,  one bipolar dual diagnosis patient, internal and external otitis, bronchitis, etc, etc.   Currently, I am seeing about 16 patients per day.  It would be good for me and assistants to see about 40.  Pastor Arturo Ku is available in the waiting room to help people deal with spiritual and family matters, and I am able to follow up on these as patients come on in to see me.
     I learned how to use the ultrasound machine also and checked a pregnancy-taught by our great nurse Estela.  This is rewarding work. I love this work more than any I have ever done.  Yes, I am called.
    I am generally at the clinic from 7:30 until at least 1:00, often 2:00 or 3:00 Monday through Thursday,  except on Fridays when they just do a half day and beginning yesterday I also been working on Fridays.  I have also gone on home visits with Anita in the afternoons at times. 

     I have also done a training session at the prison on suicide and self mutilation.  I have consulted on issues and seen patients from Jacob’s Farm.  So this is a more than a full time occupation for me especially considering the after hours emergencies with which I deal.
     I have also done a training session at the prison on suicide and self mutilation.  I have consulted on issues and seen patients from Jacob’s Farm.  So this is a more than a full time occupation for me especially considering the after hours emergencies with which I deal. 
     I have spoken at Help Age which is basically like our YMCA/ Senior Centers in the U.S. My talk was on recognizing Alzheimer’s in a loved one. It was very well received and brought at least one new patient into the clinic. The situation for residential care for dementia: non-existent except for Ladyville.  My Belizean friend in Nashville, Carla Jenkins Hausepian, is a psychiatric nurse, who has been trained in care of Alzheimer’s patients and trains caregivers. She is working with the center in Ladyville.  She comes down intermittently and has the npo, Bridging Belize. We have been discussing what more can be done for dementia patients and their families. 

     Daniel has definitely been working more than full-time also, doing daily (weekday) groups in Restore Ministries from the YMCA program based in Nashville with the men at Jacob’s Farm Rehab.  He is called throughout the day to assist Ismael with needs and emergencies of all kinds.  He is teaching two of the men how to use a computer.  He has also done chapel/assembly for Cornerstone.  All the while, he is trying to keep up with doing videos for Jacob’s Farm and “Farming God’s Way” with Alfonso Vallejos, an amazing man and the oldest brother of Ismael, who farms using the old organic Mayan techniques.  He and Pete have learned some of the farming techniques by assisting Don Alfonso with his watermelon patch.  I love to sit and talk with Alfonso about Mayan medicine in which he began his training with his grandfather, who was a Mayan doctor, at age 12.  Unfortunately, he never was able to finish because his grandfather passed on. 
     Pete has been doing home school.  He is just about to finish the Narnia series.  He is reading "My Time with God" as his devotional.  He has started the Russian language and has pasted the Russian names of things on them which looks very nice with the Spanish shower curtain.  He is working on some pre-algebra and geometry.   God ordained the perfect friends for him, an 11 yo and 6 yo brothers whose 12 yo brother died about 1 month after Jake.  He has gotten to be the big brother he has always wanted to be and use the kindness and rough housing he learned from his big brothers while Christian and Rylan have had a big guy to get them active again.  Pete is also in charge of watering the horses, handed down by the Arends, a missionary family who left 2 years ago, not his favorite thing as it is strenuous carrying heavy buckets but he is getting muscles. 
     A last word:  I have located some original Belizean artists and would like to put together a Mayan feria (fair).  The Mayan arts are being lost at an alarming rate.  Hope we get to do this sometime.  
 [The photos below captioned (left to right): Me enjoying a day at the clinic; Front of the clinic; Denny & Bonnie Scharine; Antonia's Birthday Party- Pete,  Daniel & Alfonso;  Fellowshiping with the Scharines, Pete, Anita, Mrs. Lacey, Hilario, Marcela; Rylan, Pete & Christian caught playing soccer in the hallway; Pete studying; Patty-the receptionist, medical records keeper, & PR person & me in the clinic; Diana Chan, mother of Christian and Rylan, with her niece; Chan and Vallejos family; field trip to the clinic; Lucy-the cook, Marcela-the housekeeper, Hilario-the handyman and nightwatchman, 
Estella-the RN and midwife; Pamela-the director, Patty, Dr. Marc (a short term, 1 wk doc), Pete, Hilario; the first and third place winners of the national high school race at my/the clinic's first aid station; Hilario and Daniel; Denny, Pete, Bonnie, Garry; Fighting wild fire next door; Patients on a cold day (60 in am) at the clinic with Mareya, the nurse tech and pharmacist with Dr. Marc; Anita and Mrs. Lacey;  Pete with Chris; Junior and Amigo; Me, Mareya, Anita and Dr. Mark at the pharmacy.]

Monday, April 26, 2010

             
                              

 Sonnet to the Living






Alabaster cattle, living tombstones
grazing milpa-covered Mayan moundlets.
Scholars speak of bygone glyphs, mystic tuns.
Clever theories; drought, war, pestilence met.


Name spoken little more, Jacob Keegan
Resonates in head and heart while he sings
his intercession to our sing’lar Holy One
We daily don his love, a portion of the King’s.


Let the dead bury these unlucky dead,                                                 
Men of science and worldly scoffers deem.
Digging with ill machinations of the head,
Time and Love limited, n’er washed by the Stream.


Where have all the Maya gone; long time, no?
Where has my Jakey gone, long time ago?


More vibrant than human breath, living near us
Yet on Holy Ground, still felt by some of dust.   
                 

Sunday, April 11, 2010

Some Co-Workers for Christ

(from left to right: Pamela Patt, Clinic Director; Patty Nah, receptionist, medical records, PR; Pete Butler, mascot, Helario, night guard, Dr. Mark, pediatric oncology fellow and volunteer for one week at the clinic)  We took this photo to remember our time of bonding in a vicious game of Mexican Train.

Wednesday, April 7, 2010

Bananas in the Backyard

 
We have 4 banana groves in the backyard. They are ready to come in on the porch to hang as green bananas when the stalk has turned black.  They hang until they are yellow and then are ready to eat.  There are also grapefruit, avocado, orange, sour orange and tangerine trees.   Really one can live on the produce growing wild in the backyard and we often do.  We just freeze them all and blend them up in to a smoothy.  This page shows a "siamese" baby banana.

Sunday, April 4, 2010

Presbyterian Day School

The history of Presbyterian Day in Christo Rey Belize and their current needs; a video done by Daniel.
http://www.youtube.com/user/simplydanielb#p/a/u/1/EXmsKqbwQ0o

Video of Presentation Daniel and Residents from Jacob's Workshop Done at Orange Walk HIgh School

http://www.youtube.com/user/simplydanielb#p/a/u/0/owivMtFOgyk

Great New Friends Came in the Second Week of March

Sometimes you meet a new family whom you would want to always have as neighbors.  Sometimes they are only neighbors for one week.  The Reimers are such a family: Godly, fun, knowledgeable in so many areas.  Pete had a great time with Chris and also playing games with his older sibs, Rachel and Ben.  I enjoyed working with Dave and talking with Marion.  Daniel enjoyed talking with them all.  We miss them!

Friday, April 2, 2010

MANNA: UT & Vandy Students Work To Build Jacob's Workshop
























 Students from UT & Vandy associated with Manna Project International teamed up with Jacob's Farm & the Belize Project to build another dorm for residents at Jacob's Farm. Manna's vision is to establish a global network of Manna Project communities where young adults live and work alongside one another in underserved communities to initiate positive change.  In early March they came for supper at the Blue House of Noah's Workshop.  When they had finished their week here and virtually finished the dorm, we all celebrated together at a Mayan pig roast at Jacob's Farm.













Sunday, March 28, 2010

Jacob's Farm


from L top: Bozo the puppy; Alfonso Vallejos making suggestions for Jacob's Farm; Pete and Nikita, Bozo's sister with chickens in the background.

Jacob's Farm is a rehab farm started in 2006 where men with addictions can go "to wrestle with God" as Jacob did in the Bible.  It is a great group of men with whom Daniel is enjoying working as a Restore (YMCA) group counselor.  Most are believers and everyone, believers and non, are struggling.  It's an interesting and diverse group.  We really enjoy going out there; it's about 2 miles from our house.  Nikita, the puppy, as you can see above has a large abdominal hernia.  It may be umbilical and disappear with time but I have discussed with the guys what to watch for.  Obviously, Pete loves the puppies.

Learning Organic Gardening the Mayan Way

Ok, so maybe we do have more to learn from the Mayans than they do
from us.  I guess we knew this before. We just wanted to help them remember their value as brothers and sisters in the Body.  Don Alfonso Vallejos has the most beautiful black dirt I have ever seen. He is in constant communication with the Lord about how to care for the land and there is no doubt that he is "Farming God's Way." He treats the earth with care, explaining that one can only burn once and that ash will provide useful nutrients for the soil, but that further burning would damage it.  Never plowing because of the loss of moisture it causes, he uses very simple tools.  He plans his crops in the area of the natural fertilizer of the washim tree; it provides nitrogen and potassium.  Over the years, many environmental groups have come to him for wisdom regarding farming.  We are fortunate to live next to his many acres and he has been teaching us and allowing us to help him.  We have begun with watermelon planting.  Holes were dug and soil loosened in rows, with the holes being about 5 feet apart.  When this was accomplished, the holes where filled with water one evening then again the next morning.  That evening, 5 watermelon seeds were planted in the walls of each of the holes.  The holes were then lightly covered with adjacent natural "mulch" so the "babies" would not get too hot.  Everyday without rain, the seeds were watered.   After about 3 days, we began to see the first little leaves popping through and then removed the topping mulch.  They were watered daily until they were about 1 1/2 inches tall then the topsoil was replaced around them.  They continue to thrive. (Photos L to R: Don Alfonso, Daniel & Pete; holes for watermelon seed; washim trees-2 photos; Daniel and Pete loosening dirt for holes.)