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1 Let me tell you about our usual day at El Refugio, the ‘old folks home’ in Tijuana. In our missional experience, there’s no such thing as a ‘usual’ day… Cross the Mexican border, green light at customs, onward thru the city. We grind thru the rough roads of south-west Tijuana, hoping our repaired engine mounts hold as we play ‘dodge hole’ thru all the horrible roads. Finally, Colonia Flores Magon and the sight of ‘el Asilo’, the place on the hill. Drop the beat-up Jeep into climb gear, and up the hill-side drive. As we pull in, watch out for the residents creeping by in their wheelchairs! Lori hops out to move a few of them to make a spot. We park and unload, grateful for another US source that helped with this much-needed material for the 90 residents and 20+ staff and children who live on-site. With our arrival, there are warm greetings all around, especially from Vicki, an elderly wheel-chair speed-racer who loves to give sloppy kisses on the cheek. We enjoy the usual lengthy but wonderful Mexican reception, something all US churches could benefit from learning…
2 We ‘load in’ to the small clinic room, and ask “what’s up for today”, assessing the state of the residents. Any new health problems? There’s ‘everyone affected’ problems, like the flu and diarrhea that made the rounds to everyone last month Then there’s the individual changes, like “could you see Alicia first, she had a bad seizure this morning…”. We also evaluate supplies to see what we have and don’t have to take care of people. Mexican Medical ministries sent us some dressings and adult diapers, always appreciated. Last week, His Helping Hands ministry in LA sent down cases of dressing supplies; PTL, we’ve got enough to care for all the diabetic wounds for a good couple of months. Evaluating those wounds are part of today’s usual plan. However, we only have a few packets of diabetic medicines, and definitely not enough for the 40+ diabetics I manage and oversee. Our supply of high blood pressure medicine is also low, another ‘ouch’ since over half the residents suffer with this as well. Refugio has no ‘funding organization’, and I’m trying to find the funding for meds in the United States. Tough to do in the wake of so many disasters in the USA. Lori looks at the level of disaster, stuff strewn around the clinic room, everything-in- a-box donations piled in the corner, and the dust… lot’s needing to be done to make room for caring for the residents. It’s going to be a busy day.
3 So starts the wheelchair parade to the clinic door. The two volunteer workers, Cecelia and Suzanna have a list of those who need, or would like to ‘see the doctor’. By the end of the day, around 25 people will be seen, cared for, dressings changed or other needs attended to. First patient is Berto, who continues to have pain from his fractured rib post slip-and-fall. The check-up at the Government clinic for TB came back negative (PTL), so his pulmonary congestion is reactionary to the injury. It still hurts to cough… Lori is on a cleaning frenzy, and many supplies are already sorted and placed on the shelves. The local handyman, Frank, who speaks fluent English hangs out and talks about building some new storage for the clinic, tape rule in-hand, asking questions. The small clinic room is also Refugio’s office, and the location of the only telephone… when it’s working. Today it’s ringing off the hook, people looking for Pastor Chuy, who is tied up today at the government offices in regards to the burial of two of the residents who passed away. Trying to see patients while others are flowing in-and-out of the clinic for the phone makes for reasons to ‘lift it up as an offering’ and smile with grace.
4 Somewhere in the middle of my fifth patient consult, a complex leg wound, Dr Tamez arrives. The next few hours are filled with his looking in on the ‘tough and questionable cases’ we’re watching. He’s my ‘attending doctor’, the guy I report to, reviews my treatments and helps set directions. Dr Tamez is always a teacher for me; today it’s about how to handle a gnarly situation with a Refugio patient trying to get thru the maze of the government hospital for a needed surgery. He’s reviewed our cases, made a few adjustments but is basically OK with what’s going on. The lunch bell rings, and all the wheelchairs and walkers begins their flow towards the dining hall like a flock of birds. The ones who need help to walk or hobble are assisted by the staff and Lori. Dr Tamez, needing to see people at his clinic in a different part of the city gives hugs all around, and is zooming eastward in his truck.
5 While the residents eat, we continue on to see everyone today. One resident feeling punk all day is now unable to get out of bed. A woman who lives in the neighboring room asks me, “doctor, please come”. I make a ‘room call’ with the staff, a tough thing given the creative smells you’ll usually find there. After a careful exam, I find no new problems (she has many, at 82 years of age), but today is hugely depressed because her family abandoned her and her birthday triggered some painful memories. We pray and minister to her for awhile. She cries, trying to ‘hold out’ on her anger and depression. We open the Word to her about how the Father is with her and for her, even when family fails us. Back to the clinic, more activity as the school-kids come in, backpacks loaded like soldiers on a 30-day hike. Mexican students have to haul their books back-and-forth every day, not allowed to store them in the school (robbery and destruction too common). Lori, who has successfully wrangled the clinic into shape is now gathering the kids of the staff under the shaded area to help with their homework from school. Lori is accomplishing three ministries at the same time: it’s a HUGE break for the staff moms, a great time of ministry with the kids, and finally keeps the kids out of the office/clinic so I can see patients in privacy. The afternoon continues. The long list of patients to be attended to is almost done… but there are always a few last-minute surprises.
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