October 19th and it is still raining...alot. Usually the rains stop at the end of September but this year, thanks to a couple of tropical storms, the rains have continued. The Guatemalans, specifically those in Chiminisijuan where it gets pretty cold when it rains, have taught me to be grateful for the rain...no matter how much mud there is or how cold and wet one might be. I have never heard anyone complain here about rain. It is however, making life a little more challenging. 2 out of the the 3 roads out of Canilla are now completely closed and the third - which is usually a 21/2 hour drive to pavement - is now a 5-6 hour drive. The road that we take to get to our clinic in Chiminisijuan lost a bridge so that is only passable with the four wheeler. So for the last few weeks Duane has driven Armondo and I up on the 4 wheeler. Katie, now in her 35th week of pregnancy is not able to make that ride. So I have worked that clinic by myself - making for really long days. We Fickers, however...particularly the men .... like challenges, especially if it involves mud and vehicles! We have a clinic scheduled for Friday up in Cruz Chich where the road has been closed with a pretty significant mudslide. I am hoping that David will help us get through that with the help of the backhoe!

Here are a few pictures...

Sunday the cleft lip/palate team arrives at the hospital in Quiche from Texas. We have 8 children from our area who will have surgeries. Please be in prayer for good experiences and outcomes for each one. A portion of that team will also come to San Andres on Monday and Tuesday to do dental work. This group came last year and were a tremendous blessing as they not only pulled rotten teeth but filled and repaired - and even did a few root canals. There is a huge need for them here and we are grateful for their willingness to wade through the mud to get here!

September has proven to be a month of change....not my favorite thing.


We said goodbye to Dr. Sherwood and his wife Areli this month. Dr. Sherwood came faithfully every week for two years to help in our clinic here in Canilla. He is currently in Mexico with Areli's family but will return to the US in December. You can follow them at MissionaryDoc.com In his place, Dra. Lindsy has come. She recently graduated from medical school here in Guatemala. She is gentle and very kind and we are grateful for her help each week. Her husband Paul will join her when he graduates as well in January.


Our son Ryan, his wife Katie and our two grandsons Jacob and Joshua left as well this month. They have returned to Illinois and are seeking God's plan for their future. They have left a huge hole not just in the ministry but mostly in my heart. Pray for them if you think of it. Waiting on God is not easy...


Katie Shaw (our son Aaron's wife) is starting her eighth month of pregnancy. Little Ethan will arrive late in November. Please pray for a safe and easy delivery...not in the plane this time as is what nearly happened with Anna! I try not to think too much about clinics without her help. I have e learned that God, in his great faithfulness, always supplies all that we need, just at the time when we need it.


Guatemala passed through the first phase of presidential election this month as well. The second phase will be in November. We had several municipal buildings burned in our area as voters expressed their discontentment with results. Fortunately we had no deaths...at least not in our local area. Living as foreigners, in a country where violence is so close to the surface, is a little nerve wracking at times...especially in election times.


As changing circumstances swirl all around me, and I stress about the future, I find myself looking more and more to the Rock of my salvation. He alone is that safe and secure place where I can find rest for my soul, and my emotions. All else is "shifting sand"....

Psalm 62:2 Truly he is my rock and my salvation: he is my fortress, I will never be shaken.

Last week, I wrote about little Paula who the Lord supernaturally healed. This week I want to tell you about Alex. I got to know 11 year old Alex and his parents several years ago. They moved from Guatemala City because of Alex's asthma. They felt that the air was purer here. We helped him with his medication and often he would come when he was having an especially difficult bout. Last Sunday he was at a birthday party with his friends when his asthma began to flair up again. He finally left the party to go home and use his nebulizer. But the power was out in town that day. His parents borrowed a truck to take him into the government clinic. But they didn't have power or a generator. So they tried to bring him here. This is an election year and last week there were endless parades and parties in the streets in an effort to gain favor with voters. Alex's parents tried to get through town (and Canilla is very small) but they could not. But the time he arrived, he was unconscious. Ryan and Joseph were the only ones at home. I was in clinic in San Andres so they called Duane who ran home as quickly as he could. They began oxygen and started the generator. By the time they started to nebulize him, he had stopped breathing. Duane tried to do CPR and was still working when I arrived many minutes later. I wish I could say that we prayed and the Lord supernaturally intervened. But He did not.


All week we asked ourselves why? What could we have done differently? We have all had sleepless nights. I would like to say that we have had a revelation that has helped us understand. All we know is that HE is sovereign - He knows the beginning from the end, He understands all of our human suffering. And we trust Him - even when circumstances are impossible to understand.


It has always been a dream of ours to open an acute care center - where we could have someone here 24 hours a day to provide care. As I was talking our children though all of this by phone on Sunday, Ryan kept saying with such anguish, "what else can we do Mom?" Unfortunately, for Alex, there was nothing else that we could do. We do not have a hospital, I am not a physician.We do not want it to happen again though. So we are once again asking the Lord to send all that we need to that - physical and financial help.


Show me your way, O Lord
Teach me your paths.
Lead me in your truth and teach me,
For you are the God of my salvation;
On you I wait all the day.
Let integrity and uprightness preserve me,
For I wait for you.
Psalm 25;4,5,21

Paula

Clinics have been so busy in the last few weeks with little ones sick with pneumonia. I have no way of knowing for sure but I think it is RSV - a virus which causes severe illness in children under a year or children whose immune systems are compromised. Since it is a virus, antibiotics
do not work. Two Tuesdays ago in Chiminisijuan, we had 11 children from the same village who all had pneumonia and were so sick. We always ask mom's to take their little ones into the hospital knowing that, especially there, that they probably won't go. So we give them oral medications and pray for them and send them on their way. Rarely do we know what happens to them.


This Tuesday was no different. As Armando and Bob were praying with the people, I noticed a little girl who was breathing about 60 times a minute and appeared to not have enough strength to hold her head up. We brought her in right away and put on the oximeter (a little machine which reads out the oxygen level). Paula was reading in the 60's (normal is above 90). We asked her mom if we could take her into the hospital - but she would not go. Her husband died 7 months ago and Paula was the youngest of 6 other children. There was no one to care for the other children. I cannot explain the sense of helplessness that we felt as we watched this little one struggle to breathe. Kim (a visiting nurse practitioner) and I agreed that we would try to get some IV fluids going and give her the strongest antibiotic that I have through her veins. And we all started praying and didn't stop until she left. She was so weak that she didn't even cry when we started her IV. Over the course of about 2 hours, her oxygen levels gradually dropped down into the 40's. Kim and I agreed that it would be better for her to die at home than in the clinic. We gave mom a bag of food and drove her as far as we could with the 4-wheeler and said good-bye. Under normal conditions, there is no way that she should have lived. But today Tomas called with the good...no, amazing...news that she was "doing well"!!! Now we pray that her mother - who is not a believer - will understand what a miracle God has done!


I will sing about the LORD's faithful love forever;
With my mouth I will proclaim your faithfulness to all generations.
For I will declare, "Faithful love is built up forever;
You establish Your faithfulness in the heavens." Psalm 89:1,2

Yesterday we made our monthly trip up to Cruz Chich. We were greeted by over 140 people...more than we have seen there and way more than Katie and I can usually care for by ourselves. But they were all there waiting so we dug in. We are getting to know many of the faces as people return each month. One gentleman who came 3 months ago for the first time, comes each month now. He initially came with what I thought was pneumonia or possibly lung cancer or both. He had been sick for some time and was wasted and febrile. I encouraged him to go to the hospital but he said that he would not and I was concerned that he would die within a few days. Armondo and I talked with him about Jesus and salvation but he was not too interested. He is a brujo (witchdoctor). So we gave him his medication and asked if we could pray for him. He agreed...poor thing, he felt so bad...any other time I am pretty sure that he would have refused. But we prayed that God would heal him, that he would understand the power of our God to heal and to love. I honestly was surprised to see him the next month but he was there smiling and healthy. He waited until the very end, watching all that was going on that day. I asked him if he realized that God had supernaturally intervened to heal him. He just smiled. Yesterday he was back...and again, waited until everyone left before he came in. Again, we talked about the Lord and His power to save. He just smiles but I know that he is thinking... I know that the Spirit of God is stirring him. So we pray, trusting that as we have planted and watered, that God will bring forth the harvest.

There is a lot of need in Cruz Chich - lots of folks with hypertension and diabetes. We continue to see mostly adults. I know that they do not trust us yet with their children. They are still testing us, waiting to see what we will do....waiting to see if we will snatch away their children to eat them or make soap out of them. I know that sounds so ludicrous but it is a common thought among the indigenous. It began during the war and has continued in these remote areas. Interestingly, it is the same rumor that the Nazis spread about the Jews before and during World War II. The enemy has no new tricks...just the same old lies. So we wait and continue to love and serve these people whom I have grown to love so much...trusting that God will open their eyes and their hearts to Himself.

Wait on the Lord; be of good courage, and He shall strengthen your heart; wait, I say, on the Lord! Psalm 27:14

Jeremiah is the nine month old son of our good friend Tomas. He has 8 older sisters and one brother who all adore him. He is not Tomas's natural son - he was "gifted" to them as they say here. Now, Tomas often does not have enough food in his house, but he has lots of love to give. And when this little baby was offered to him, he and his wife really prayed about it before they took him. He has thrived...and is spoiled rotten!


Tomas called last week and asked if he could bring Jeremiah in because he was sick. He arrived in record time (it is normally a three hour walk) and he was pretty sick with pneumonia. It was late in the evening so we put him on oxygen and decided to keep him here for the night...which means that I did not get much sleep. He was still sick in the morning and I told Tomas that we really needed to send him on to the hospital in Quiche. I am not qualified to care for children that sick without a physician's input. But Tomas has been around enough in the clinics to see God miraculously heal children on many occasions. So when I told him that he just looked at me and said, "No mi Hermana (my sister) I don't want to take him to the hospital. I feel peace with him here. I know he will get better care here than in the hospital." Now, I know that he did not say that because we can actually give better care - but that we will pray and love him. So, he stayed for three days. It is more than a little unnerving in the middle of the night watching him struggle to breath with his oxygen levels dropping. But Saturday afternoon, after 2 sleepless nights and countless prayers, we turned off the oxygen, watched him for a few hours and then sent him home. His parents cried tears of gratitude to our God who cares for and heals His little ones.
He is faithful!


The Lord is good to those who wait for Him,
To the soul who seeks Him.
It is good that one should hope and wait quietly
For the salvation of the Lord. Lamentations 3:25-26

power in prayer

The LORD is near to all who call upon Him,
To all who call upon Him in truth.
He will fulfill the desire of those who fear Him;
He also will hear their cry and save them.
Psalm 145:18-19

Every Sunday in San Andres, we have women who come at the end of our day - when we are tired and ready to go home. We call them "the stragglers". I have learned that many times they are the ones who come for prayer. Yesterday, two women came who I remembered from some months ago. They had come asking for food. They told me similar stories of their lives married to men who drink too much and cannot care for their families. They told me about how there was no food in the house, about men who were angry and violent toward them and their children. We of course, gave them a small bag of food. But more importantly, we talked with them about a God who sees and hears the cry of His children, who had seen the injustice in their lives. As we prayed for them they both cried tears of anguish and pain. We promised to continue to pray for their husbands - that the Lord would open their eyes and soften their hearts to Jesus. I always write down the names of husbands or other family members and take them home to add to my prayer list. So yesterday when they came, they told us about how, since we prayed, their husbands had stopped drinking and how their homes had changed. They - along with another friend that they brought with them - expressed a desire to accept the Lord as their Savior. Their husbands however, had said that they could not until the men had (women are not allowed to lead...in anything here). But they asked that we write down all the names of their family members that we could continue to pray for them.


It is not uncommon for women to come and say that they want to have a relationship with Jesus but that their husbands will not let them. Indignation always rises within me when I hear that. But I have learned that this is how this culture is and to ask a woman to defy her husband only creates confusion. So we pray for a heart change in her husband and we encourage women to begin to pray themselves, for their husbands. Often, we have to clarify that to pray for her husband doesn't mean that she can pray that the Lord will stike her husband dead! So many times we have seen the Lord begin to move in the hearts of these men and as a result, entire families come to Jesus. He truly is "near to those who call upon Him..."