Tuesday, August 11, 2015

"Love is..."

"Love is..." was the theme of our family retreat this year, which we hosted for 31 children with disabilities, their siblings, and one or both parents.  The 6 days we spent together at a campground in the forest were blessed with beautiful weather, a multitude of activities, times of rest, fellowship, and Bible studies. 


On the opening day, we greeted the families with a festive, wedding-like atmosphere.  Many families attend camp year after year and we were definitely excited to see them again.  But for me, it was particularly exciting to have several families come for the first time whose children receive therapy at our rehabilitation center. 


Maxim and his dad participating in morning exercises

Welcoming Mark and his mom to camp

Oksana and her 2 daughters, Tonia and Katya, coming into camp with the help of a volunteer
 
"LOVE" - my group for the week included families with the youngest kiddos!
 
Ivanka and her grandma 
Every year we strive to have a volunteer paired with each child with a disability and their family for the week.  The role of volunteers is to serve the needs of their child as much as possible throughout the week and, by extension, to serve the rest of the family.  I was blessed to be paired with Maxim, a 7-year-old boy with cerebral palsy and deafness who has come to camp for several years now with his mother, Marina, and sister, Dasha.  His father was unable to come due to work.  
 
 

I had a wonderful time serving this family by spending lots of time with Maxim, which included frequent walks in his stroller, sitting together on the big swing, and playing on a blanket during our small group times.  God blessed me with this precious little boy who breaks into a contagious smile or laugh at the sight of a familiar face, interaction with another child, or the vibration of a percussion instrument in his hand. 
 



 
Because Maxim is deaf, he really was a perfect match for me.  I've been in the little kids' group at camp before and my broken Ukrainian is often very difficult, both for them and me.  But with Maxim, my language skills were not a hindrance.  I could use any method I wanted to interact with him and show him love without the concern for whether my words were right...so freeing! 
 
Please join me in praying for this family.  Marina has heard much truth from God's Word over the years that she has come to camp - please pray for her repentance.  Also, I am excited to start rehab with Maxim in September and see what progress he is able to make.  Again, his deafness is helpful for me because it means I can work with him alone, which is something I haven't been able to do with children since I arrived - so I'm looking forward to that.
 
We discussed the retreat theme of "Love is..." more specifically each day with topics such as words, time, gifts, and help.  In the mornings, children and parents had separate small group Bible studies.  This is a really special time for the parents to spend only with other adults, knowing that volunteers are caring for their children.  We had a group for the 4 dads and then 4 small groups for moms.  We are grateful that several of the moms are believers now as a direct result hearing God's Word in previous camps.  Please pray for God's work in the lives of the moms and dads who heard the truth this year.
 


 
 
After Bible studies, we had various activities people could get involved in, including crafts, learning to play adapted harps, games, spa salon, and cooking classes.  Smiles were abundant during these times!
 






 
 

    


 
After dinner each day, we all gathered around the campfire for the evening program.  It was a beautiful setting in the forest and everyone enjoyed this time of singing, dramas, presentations of the groups, games, and hearing the Word. 
 
 
 
Thank you to all who prayed for this camp.  God met our needs in regards to finances, volunteers, weather, health, and all the daily logistics.  Please continue to pray for God's work in the lives of those who attended.  I hope that this week I will be able to post blogs about adult camp and other summer activities, so stay tuned.
 
For now though, I leave you with this beautifully created boy enjoying the beauty of God's creation and I trust and pray that you too have eyes to see our Creator's beauty around you.
 


 


Tuesday, July 7, 2015

Rehab Update

We had a flurry of activity in our rehab center over the last few months and have now officially closed the center until the end of the summer.  This week our team is devoted to making final preparations for the camps for adults and children with disabilities that begin next Tuesday.  After camps, all of our staff has vacation time before we resume rehab at the end of August.  We had many new patients find our center in recent months and the therapists tried to conduct as many evaluations and consultations as possible.  Our current rehab patients all received detailed home programs to work on during the break and we look forward to seeing many of them at camp!
 
Our children's room has been blessed with many new toys and rehab items, some that we ordered and some that arrived in a humanitarian shipment to the church.  My personal favorite is the basketball goal!  Here are some of our kiddos (unfortunately, we didn't manage to get pictures of several of our newest kids):

Ilya on our skateboard-turned-scooter

Anna- Maria working on her hoops skills

Mark loves to draw and play "guess that picture"


Maxim and Sveta working on the stairs 
 
Ivanka using another makeshift scooter

On the adult side, we have several new faces:

Viktor

Taras
 

 
Vasya's spinal cord injury was 2 years ago and he started rehab about a month ago.  His brother drove him almost 2 hours one-way for rehab twice a week.  Expensive, but profitable trips as Vasya has made good progress.  We are particularly excited that Vasya has agreed to come to camp!  Please join us in praying for his repentance.  
 

Miroslava came for a consultation last fall due to progressive weakness in her legs leading to falls and difficulty walking.  We ended up referring her to a neurosurgeon who discovered a tumor on her spine.  She had the tumor removed and returned to us about a month ago to work on her walking.  She is a joyful and kind lady and she's so tiny that she gets to use the pediatric crutches! We are thankful for the progress she made in a short amount of time and look forward to seeing her again in the fall. 

Being able to help new patients is great, but it also presents challenges.  During this last month, it meant that our therapists had to have difficult conversations with some of our long-standing patients who have maximized their potential.  Unlike in America, we no insurance regulations that determine the length of rehab services for each patient, no physician who oversees patient care at our center, and no multidisciplinary teams to discuss and determine each patient's plan.  Sometimes the absence of those things is a pro, but often it's a con. 

You see, most, if not all, of our patients with spinal cord injuries arrived at our center with no realistic understanding of their prognosis.  It has been our experience that physicians in our region are not clear with them about their potential after their injury.  They either tell them exactly what they want to hear..."You will walk," or they fail to tell them the information that we find later in their documentation...that the patient's injury is classified as the most severe, indicating no potential for walking.  As our therapists conduct their evaluations and begin educating patients about the results and the goals for rehab, they often find themselves to be the first voice of reality and "negativity."  They break the news that the patient's leg movements are caused by spasticity and they actually exhibit no voluntary muscle control over their legs.  They have the challenging discussion about the patient's goal of walking and how it is not realistic at this time and may never be, so we will start with simpler, more achievable goals.  Over time, patients often come to understand their prognosis and work hard to progress toward these other goals of rolling, sitting, transferring, and propelling their wheelchair. 

Some of our patients with spinal cord injuries have had rehab for years to achieve their maximum potential and some maximized it in months.  Either way, the topic of discharge is always difficult.  First of all, our therapists have to acknowledge that we don't see more potential, that we can't write any more achievable goals for this patient...that's tough.  Then it can be even more difficult to face the patient and state the honest truth that their rehab potential has been maximized, that their current functional state is probably the best they can expect, and that we are discharging them.  It's hard to be the bearers of this news.  And it's harder still for those patients whose physicians and surgeons have been telling them the opposite.  God was faithful to give our therapists wisdom as they had these conversations recently and He answered the prayer that patients and their families would be understanding and accepting. 

Thankfully for us and our patients, discharge from rehab does not have to mean complete discharge from our center.  This is one pro to being on our own with no insurance regulations.  We have two categories of patients at our center: patients who receive rehab services and patients who receive prophylactic services.  Those who receive rehab services are progressing, continue to have achievable goals, and come 2-3 times a week.  Those who receive prophylactic services are those who have maximized their rehab potential and come 1 time per month.  We have this prophylactic category for several reasons.  First, our center is part of a ministry and our first goal is for our patients to know Christ.  We want to stay in their lives to show them more of Christ.  Second, many of their families cannot or do not perform physical tasks for them like range of motion of their legs or transfers to a wheelchair.  Bringing them to the center lets us keep an eye on their physical status.  And third, it give them an opportunities for activity and fellowship with people outside their home, something that can be very infrequent for some of them. 

Anya continues her rehab

Kolya comes for prophylactic services
Anya was discharged and will receive prophylactic services if she chooses
Anya, in the last picture, was a particularly difficult person to discharge.  I have mentioned her before - she had corrective surgery of her scoliosis and is now a paraplegic.  Her surgeon was telling she and her family exactly the opposite information we were about her prognosis.  Unfortunately, more than 8 months after her surgery she continues to show no signs of muscle activation in her lower body.  She is very independent in a wheelchair and in answer to prayer she and her father accepted the news of her discharge with understanding.  But please continue to pray for Anya, who is only 14 years old.  Pray that her therapists will be able to stay in contact with her and that God would work in her life.

Lastly, please pray for these folks:


With the exception of my mom and the addition of a couple of others, this is our core ministry team.  Please pray as we head into 3 weeks of camp: for love, joy, wisdom, endurance, and the truth of the gospel to go out.  Pray for those attending the camps, helping in the camps, and all the logistics involved when 150+ people are in camp, many of whom have disabilities.  Pray for God's Word to be spoken clearly and for the Holy Spirit's work in people's hearts.

I hope you are all having a wonderful summer and I look forward to telling you all about camps!

Sunday, June 21, 2015

Summer kicks off...

It's been way too long since my last post and so much has happened that it will be difficult not to overwhelm this post with information and pictures!  In mid-May, my mom came for a month-long visit.  It was a wonderful time of getting to introduce her to our lives, our friends, our work, our church, and our country.  She jumped into our daily routine here and even had her own assignments at the rehab center.  But it definitely wasn't all work and hopefully telling a bit about our activities while she was here will give you a better taste of our lives in Ukraine!

We celebrated Kolya's 40th birthday with a surprise outing for pizza, bowling, and a walk in the park. For me, the greatest joy of the day was watching Kolya in his electric wheelchair.  We've known Kolya since 2008, when he first came to rehabilitation following his spinal cord injury. He was depressed and completely dependent on his aging parents for all of his care.  I remember how he learned to do some things independently, like feed himself and work on the computer.  In time, he began attending church, camps, and other activities in our ministry and God granted him the gift of salvation. 

 
Due to the extent of Kolya's injury, he still has very little independent movement...he can't roll, sit up, or propel his manual wheelchair more than a few inches.  Physically, he continues to depend completely on others.  His mother was his primary caregiver until she died a couple of years ago.  His apartment is not wheelchair accessible, so at home he is constantly in bed.  He longs for the opening of the Agape House...and one of the joys awaiting him as a resident of the Agape House is the opportunity to use this electric wheelchair daily! 
 

 
Our ministry has over 40 electric wheelchairs that have been generously donated from other countries..and they will be well-used next month at camp!  But unfortunately, accessibility issues in Ukraine prevent them from being readily used in daily life.  The Agape House will change that for those who reside there and on Kolya's birthday, as we watched him zip around when and where he wanted for hours, we had a little taste of what that would mean.  Freedom. Independence. Joy.  For Kolya and many others!



Our next celebration was a wedding!  Alla, one of our therapists, was a beautiful bride and we all enjoyed celebrating with her and her new husband.

Sveta's mom, Nadia, with my mom

We visited friends, including Sergiy and Natasha Bolchuk, the leaders of our ministry:
Three mother-daughter pairs (plus Sergiy Bolchuk)
We traveled to the village to visit Lyuda (our former roommate) and her family:




We took Julia with us to a replica village outside of Lutsk to see how Ukrainians used to live.
 




We toured the Lutsk Castle, which was built in the 11th century, and walked the streets of Lutsk.
 
 



We traveled to Sveta's hometown of Zhitomir for a weekend with her mom.


The statue of Lenin that previously stood on top has been removed and now a banner hangs with the faces and names of men from the region who have died in the war.
 
 
We drove and walked in the countryside around Lutsk, enjoying the fields of poppies and wheat and the sunny, warm days.
 

 

Mom was a welcomed 4th member to play the harps at church on her last Sunday!


And rehab goes on, of course, but since this post is long already I will write a separate onet soon about rehab.

Our team, minus Vadim.
 
Vanya, pictured above, is a new addition to our team.  He is Katya's husband (she is between me and Vanya) and is now a volunteer at our center in the mornings.  He has expressed a desire to attend our future PT school and join our team as a  full-time therapist.  For now he is learning to work with prophylactic patients and, since he has no medical background, he is also my "guinea pig," letting me test the clarity of the material that we are preparing for the PT school on him.  A male PT for our center is an ongoing prayer request and Vanya seems to be on track to be an answer to that prayer!

The last bit of news I will share in this post is about the Festival of Hope crusade that we attended yesterday in Lviv.  It was put on by the Billy Graham Evangelistic Association, with preaching by Franklin Graham and music by various Ukrainian and American musicians.  Over 35,000 Ukrainians were in attendance at the large soccer stadium built in recent years.  We traveled in 3 buses with people with disabilities who are unbelievers or who brought a friend or family member who is an unbeliever - our group totaled 26.


We traveled 4 hours in the cold rain, praying the skies would clear before the outdoor event.  In Lviv, we were welcomed by Christian family into their spacious home so that people with disabilities could rest for a couple of hours and eat before the event.  It continued to rain all afternoon, but as we arrived and unloaded at the stadium, the rain eased up and then stopped.  There was not another drop of rain until we were headed home!  We brought electric wheelchairs for people with spinal cord injuries and had to go to 3 entrances to find an accessible way to the stadium. 

Waiting to find out if this entrance will work for us
Eventually we not only got into the stadium, but were taken onto the field for the closest seats in the house and an unobstructed view for people in wheelchairs.  During the event the crowd grew and we were eventually joined by many others on the field.  In the end, the report is that around 3,000 people went forward to repent, including two 16-year-old boys who were part of our group.  Please pray for the Ukrainian churches as they follow up with all of these people and for God's continued work in the hearts and lives of His new children. 


I apologize for the length of this post.  I'll try to write soon about rehab, but until then here are a few prayer requests:

- Camps for people with disabilities next month (Adults: July 14-19, Children: July 22-28) - people to accept invitations to come, finances, program preparation, preaching, preparation of group leaders, salvation of people who come to camp, volunteers to staff the camps adequately
- Final 2 weeks of work at our rehab center before camps and vacations - pray for the education of all our patients for home activities during this extended break and that we finish these 2 weeks strong
- People who repented at the Festival of Hope, particularly Anton and Lubomir from our group

I hope you are all having a great summer and I would love to hear about your lives as well! More to come shortly with details on rehab...