Interior Screening: N'Zerekore to Kankan to Mamou

There's a space of time before dawn when the world seems to stop - just to take a moment and breathe - before jumping into a new day.  In sandals and scrubs in the twilight before the morning, I turned off my night-vision headlamp, ignored the chatter from my radio earpiece, and prayed for wisdom.  The whole purpose of this trip is to find surgical patients, but we came with limited surgical slots, a few handfuls of hope to share among hundreds.

Because these hours of dirt roads in between town, a minor inconvenience or adventure for me, are the difference in medical access for thousands.

And they came, as the sun began to rise.  Young and old, wearing their shame under a carefully wrapped lappa or nursing it along on crutches or hidden under a keffiyeh.  There were the cleft palates and noma patients I rejoiced to find, a boldly written MAXFAX across the top of the pink screening sheet.  An alcohol-cleaned finger held out in a prayer that the HIV test would be negative and the immune system strong enough for surgery.  A tentative smile that danced in brown eyes with a carefully held patient card - the golden ticket for a screening slot on ship and a chance at surgery.

And there were the moments that ripped my heart in half again and again and again.  A double line on an HIV test, a plastic surgery desperately needed but no spaces in the surgery schedule and a waiting list already too long, a medical illness with no medical doctors or medication available to help, a brand-new baby in my arms and no orthopedic slots to straighten tiny deformed legs.

 From town to town the schedule steadily filled with the carefully reserved spots I had counted out for each location.  From town to town they came, and the need was great.  My own wisdom could not possibly have been enough to make the choices on which so many lives depended, and I was left in freefall - trusting in the wisdom and guidance that could only come from the One with the power to see and touch every life, the only One who can truly heal.

When Jesus heard what had happened, he withdrew by boat privately to a solitary place. Hearing of this, the crowds followed him on foot from the towns. When Jesus landed and saw a large crowd, he had compassion on them and healed their sick...And when the men of that place recognized Jesus, they sent word to all the surrounding country. People brought all their sick to him and begged him to let the sick just touch the edge of his cloak, and all who touched him were healed. ~ Matthew 14:13-14, 35-36