Shanksteps #168

It is rare to have a Christian wedding. Muslim weddings are common here. Animists (“traditional” believers as they call themselves) may just go the market on market day, and grab a girl and take them home. Or it could be a planned day between two families that have agreed. If this is the case then sometime after midnight the guys friends go find the girl at her house and steal her away to his house, and the rest is history.

From my understanding, the reason Christians don’t often have a ceremony, or just have a small one at their house with the pastor and family, is that it is expensive. To do a “proper” Christian wedding it takes two services and quite a bit of money. One service is in front of the Mayor, who is the one who performs the civil wedding. He generates the official paperwork of marriage. Many people attend, and all expect to be fed and given soda afterwards. Then next is a church wedding. After that, anyone who attends also expects to be fed. So in a place where there is never enough food, EVERYONE, who is remotely related or interested, attends. And little boys come in by droves afterwards to clean up residual soda in the bottles, food, crumbs, empty plastic bottles, everything!

So yesterday we attended the first part of the wedding of Avava and Valantine. It was to start at 10:00. So we arrived at 10. There were about 8 people there before us, as of course it was not starting at ten, but at ten African time. Sarah, Aud and I borrowed a moto and with both of them sidesaddle, we arrived “early”. With time a loaded car brought 8 or nine women, the first family members. The men gradually showed up on motos and the car came and went several times, and others walked. The hospital pickup arrived loaded with workers, waving hands, yelling yayayayayayaya, with some fists pumping the air (about 20 people). Eventually the groom came with his close friends, and last to arrive the bride with her friends.

Early on, people started taking seats in the meeting room. It is the only large meeting room in this government building. It is a white concrete building with a tin roof and yellow trim. Windows are slats of glass. The meeting room had wooden school tables piled in the back, slat windows and a raised platform with a desk and chairs. The remainder of the room was filled with white plastic lawn chairs. The most interesting thing was the signs up front to encourage people to get the free treatment for filarial worms. It encluded a poster with writing in French and pictures of elephantiasis of the legs and huge scrotums!

Each took a seat early, because only those there early (before the service started on African time) would have a seat. The rest stood outside or along the edges. We were seated right at the front with the families, as Audrey is best friends with the mother of the bride. Much talking ensued as we waited for the bride to arrive. Finally she arrived with the car horn constantly announcing her arrival. She and her groom entered unceremoniously and took the front two seats. As the mayor entered everyone stood, then reclaimed his or her seat.

The marriage took about an hour. The mayor happens to be a Christian, so I suspect could be different than others, however there are certain things that need to be defined in the service and recorded on the wedding certificate. There is a father or a family representative of the father in the front, and two other men that have been chosen as witnesses. The mayor asks questions like; First, is there any girls that are opposed to this marriage? Has Avava made any promises to any young girls? Anyone that contests this marriage? These three questions are repeated numerous times at the beginning and end of the marriage. Other questions included: Why do you want to get married? What about him attracted you? How do you plan on managing your money, separate or joined? Do you want to have one wife or many wives (monogamy or polygamy)? When difficulties arise, as they always do in Africa, how are you going to manage them? Avava, when your wife is sick and at the hospital and can’t cook and clean, and till the garden, and you cant afford to pay someone to help in the home, what will you do? – take another wife? Leave her? To each response that the crowd agrees with there is an outbreak of women yelling their approval, especially when the man chose to care and cook for his wife when she was sick (unheard of here) Once they have each answered these questions to the mayors satisfaction, the papers are signed by the couple, fathers, and witnesses. They stand and embrace and perform long, rotating, suck your face, kiss as only seen on TV, making everyone feel uncomfortable at seeing public affection. Then the sugar coated roasted peanuts, small donut appearing things, roasted peanuts, and sodas are distributed. First to the ‘important” people up front, and then the left over’s to the crowd, inside and out. Within minutes all is gone and people go outside to get pictures taken with the couple. Chaos ensues as each tries to be in the picture. Eventually a family member organizes who will be in the pictures. When they are done, the couple gets in a car and slowly drives with horn blaring, to their house. Many motorcycles, also with horns blaring, lead the way. We return to the hospital to do a prostatectomy that has been waiting. G

Shanksteps #167

I awake at 5AM after only a few hours of sleep. Audrey and Sarah are already up. Sarah slept till 5PM yesterday and couldn’t sleep the night. Our bodies are about 10 hours off the time zone here. I awaken and hear Allah… being sung over a loud speaker. It’s the Muslim call to morning prayers. About the same time I hear about four other mosques start their morning call to prayer too. We are back in Cameroon! about a half hour after that the roosters start crowing and the world is awakening.

The trip here was rather uneventful. All our planes and connections were on time. In Addis Ababa, Ethiopia, we checked and all our six pieces of luggage had made it that far. Boarding our last plane to Chad, I started getting more nervous. We hadn’t been harassed about our carry on luggage weight (15lb limit, and ours was 35) in Addis like usual, and that was a relief. But there is the constant worry of what will happen in the customs of Ndjamena, Chad? Even thought we just pass through, we often got harassed about opening boxes, checking documents… to try to find contraband or get a little extra pocket money. Now there are X-ray machines there that they can “see” what’s in your bag. So I thought it would be worse. We got ALL our luggage without much problem. Then went through the X-ray machine, gave our papers to the customs officials, and 30 sec later we were on our way out the door with all our baggage. WOW, what a relief! Our taxi driver, Adama, was amazed at the number of pieces we had brought, even though he was forewarned and it was the least we have ever come with. He had a little Toyota four door to pick us up in (he used to have a Toyota wagon). So three large pieces went in the trunk and three in the back seat. Leaving one seat in the back for two people and one in the passenger seat! My wife and daughter squished in the back seat for the 6 hour ride.

The road is brutal. It would be better if it WERN’T paved. It has trucks going over it that are about 100tons overweight and this creates huge potholes in the pavement. so its a few seconds of acceleration then slam on the breaks to go 2mph through a hole, then repeat 5000 times! At every police barrier, toll booth, or stop for our driver to do his Muslim prayers; we had the usual swarm of boys with their wares for sale. We call it the mobile market. Some had packaged cookies, water bottles filled with questionable water, juice in a used bottle, boiled eggs, meat on a stick, a metal bowl- asking for a handout, or just a request for 10Francs! At one of the stops Adama filled the car with gasoline. He stopped, and a boy ran up with a funnel and a jug of gas, filling it with 40 liters. Of course it was Nigerian gas because it was in a bottle and not a station. Anyone with jugs under a tree has Nigerian gas. Finally we made it to the meeting point with Yves.

Oh what a beautiful sight! There was our old truck, with Yves, Jacques, and Hawadak! We had a joyous meeting then started the hour long drive on the sandy, dusty road. It was getting very dark. But we still had to swerve to avoid the goats, sheep, kids, dogs, and a hedge hog. The road wanders through a desolate area near the Nigerian boarder that I have always worried about bandits, but we arrived safely at “home”. They put us in our previous house, to our delight! Ngatsbi had prepared a meal for us and there were about 15 of the workers outside waiting to greet us when we arrived. There were many hand shakes, embracing three times, and exclamations of joy at our meeting again. Now at 10PM we were wasted but couldn’t sleep yet. So we unpacked our things and separated out hospital items. Somewhere around 1AM we fell asleep. Three days of travel, FINISHED! Greg

Shanksteps #165

I sit here in the Dulles airport with some trepidation, anticipation, and fatigue. We left home yesterday, driving to Portland to fly out last night, headed to Cameroon. it has been a year and a few months since we were there. I look forward to being at Avava and Valantine’s wedding. I look forward to doing surgeries that will help people that may not get help otherwise. I want to see my friends. The trepidation comes from getting there. Will the customs agents hassle me? Will all of our luggage make it? All but 1 1/4 pieces are hospital supplies. There is some much needed lab equipment in the check-ins. Will the police stop us along the road asking for money to let us pass? When we leave US soil it is with all these emotions and more. We will be there a few weeks. We also look forward to seeing our missionary friends in Chad, because we think we may be able to!

So as we (three of us) start this trip we ask for your prayers. That God would make us useful for the population we will serve both medically and spiritually. We are taking over items that many of you have either donated or helped purchase, by donations. Thank you again, on behalf of the Koza Adventist Hospital and the population it serves. Sincerely, Greg

Shanksteps #164 much delayed

There are some of you who are wondering what has happened to the Shanks and their newsletter. As you know we left Koza and have returned home to be with Sarah and nearer our parents. In August, 2010 we spent the month with family then put Sarah back in school at UCA. During September and October we interviewed for positions around the Northwest. We also did a locums (temporary job) during that time frame. After much thought and prayer we decided to move to a small town on the west coast in Oregon. We moved here in January of this year.

This year has brought many changes: As far as work: western medicine, with western disease, seeing patients only with my area of expertise, doing the same procedures over and over, screening for diseases, electronic medical records, concern of frivolous lawsuits, ability to get a CAT scan, MRI, nuclear medicine scan, PET scan, ultrasound with a report from a radiologist, well developed X-rays that can actually see body parts well, lab work that if not done here can be sent to Portland, Seattle, or around the globe for a result, and most annoying, endless paperwork! For living: Now living in a neighborhood with mostly Caucasian neighbors, cut grass, flowers, garages, trees, and rain! Oh how we miss Pierre and Isaiah. Pierre, who in Koza fearlessly “protected” us while asleep on our front porch and pulled the grass in the front “yard” dirt to keep it “clean”, ignoring the countless plastic bags blowing around from the market across the soccer field. And Isaiah, we miss his constant whistling a happy tune, preparing our meals for whenever we were able to return from the hospital in the evening, starving after a day of work. And tirelessly ironing each of our articles of clothing to kill the fly eggs that could be deposited on them while hanging to dry outside (to avoid the …………..worm)? Tumbu larvae? For getting food: Go to the grocery store and pick up whatever kind of fruit, vegetable, meat, cereal, flour, dairy product you want to make whatever is planned for the evening. Or maybe go to the Mexican, Thai, Chinese, Subway, McDonalds…fast food or local diner you want to go to. For travel: If we want to go to a town “nearby” (maybe 30 miles away), we get in our car and drive down paved roads at high rates of speed to get there quickly. If it is many states away, we may get in an airplane and go. Now an airplane: the ones here do not require paying off the head of the airline at the airport to get a seat aboard, you can pay your ticket with an agent, online, or by phone. Then just show up with time to get through security and get on your assigned seat! No running to get an available seat and the remaining people standing have to get off and go another day. No more bike rides to the market, motorcycle taxies, minibus taxies with 18 people inside before they are willing to travel to their destination! We now walk for exercise, but not to get to work, go to the market or visit friends. For church: a building with heat and air-conditioning, a paved parking lot, a congregation that is primarily elderly, mildly ethnically diverse, sings to organ and piano music, a amplified sound system, special music, listen to a sermon in only one language (English) and understand every word. For society: to be impressed by some superficial friendships (which we easily fall into), the materialism, the desire for something for doing nothing, the apparent entitled feeling many Americans have, the seeming mockery of elders wisdom, the “obeying” of laws and traffic signals, the lack of corruptness visible in day by day interactions with authorities, Youth: who mock teachers, text while talking to adults, and revere pop icons and wish that Justin Beiber lived next door, and dream of a future major take with some new internet business, shun physical work, have no apparent work ethic yet their parents work two or three jobs to pay for their schooling, and “know more” than any previous generation yet can’t pass math, spanish, but make an “A” in computer science. (Maybe hoping that “texting” will be a new major in college, so they can pass through easily).

We are missing the simplicity of living life day by day, moment by moment! Fortunately we will not miss it all this year. We are planning on returning to Koza in a few weeks. We hear that the hospital is functioning with two new Congolese graduate physicians that have been there for six months or so. The administration with the help of the two doctors have kept it running since our departure. We appreciate those of you who continue to help Koza. Your prayers, financial support continue to support the medical care in that rural area. With your donations we are taking lab tests to Koza to replenish their machines, provide suture to do surgeries, supply multivitamins to malnourished children. In addition to these we hope to take infrared temperature probes, surgical towels, sterile gloves, and whatever else we have kept since years past that hasn’t made it over there yet. As usual we will have suitcases full of medical supplies and very little of our own gear. Guess we may have a little more of our own this year as we don’t have clothes there any longer, need insect repellant, deodorant, and other personal supplies. So we thank you for continuing to think of Koza. Though I do not know who of you donate directly to the koza hospital fund at the Summersville SDA Church, I appreciate it very much. May God continue to bless you.

Life is very different now. It makes us wish for rural African life, but also thank God for the blessings we are fortunate to have in this country. Greg