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  A letter from the Stan and Mia Topple in Kenya  
             
 

Advent 2003

Dear Friends and Partners in the faith,

The year 2003, going, going, almost gone. Not quite. As we write we are headed home to Montreat from Cameroon in time to catch Thanksgiving and then be enriched by the warmth of the Christmas season. A time to greet all of you with this letter and pray a joyous celebration of our King’s first coming. “Peace on earth, good will to men.” Let’s join the angels in trumpeting it to the peoples of this earth.

During the past year Mia and I have had the privilege and exciting experience of spending a month or more in five mission hospitals, outposts of grace and healing, located in three African countries and representing four different families of the Christian church. As long-term volunteers for the Presbyterian Church (U.S.A.), we have been offering an assessment, training, and equipping program for orthopaedics and dermatology in various mission hospitals.

 
             
  Mission hospitals are islands of hope in a sea of despair.
Mission hospitals are islands of hope in a sea of despair.
 
             
 

Though in rural settings, these are sizeable hospitals of 200 beds or more, and they are well established, with many decades of outreach. Each institution has its own unique program of serving the rural communities by village health workers, identifying and serving the disabled, rural dispensaries and community enrichment programs—all with a witness to that life that can only be found in Christ Jesus. We find that our experience in these communities of healing is stretching and inspiring. In addition to professional input, we go as missionaries who have seen our own share of bumps and turns, and we would like to believe that we often are able to give encouragement to those who are holding the line in these difficult, isolated situations. God willing, the new year will allow our return to several of these hospitals, bringing appropriate books, other teaching materials, and equipment.

One of the exciting things about missions is the opportunity to serve with other members of the family of God. Barriers that too often create jealousy and isolation can melt away in a sea of great need and opportunity for the gospel. Bridges of ministry to pain, deformity, and sickness will frequently cross into areas otherwise separated by politics, tribalism, sectarianism, and language.

Disease and injury can be found anywhere man inhabits this planet. Unfortunately, the greater part of that expanse is in areas where transportation and communication are difficult and money is very scarce. The amenities we consider normal for the poor of the West, such as paved roads, electricity, and running water, are usually absent for the average man in the Third World. During the past 15 years the poorer countries have been getting poorer, so the term “developing nations” may be a misnomer.

Where does the farmer with his child who has burning fever and other signs of malaria go for healing? How about the woman who has been in obstetrical labor for 48 hours, now weakened and sinking, find delivery (in both senses of that word)? And the boy who has fallen high out of a mango tree with bone of a broken tibia projecting from his leg? Meet the old men who have become unable to urinate due to huge, untreated prostate enlargement. Consider the old grandmother who has watched her breast cancer finally break through the skin to become a suppurating, odoriferous millstone to drag her to the grave. There are those who have adverse, even life-threatening skin reaction to their malaria drugs. Consider AIDS victims racked by tuberculosis and a host of other opportunistic infections. The list could go on and on. People in great need who are far from the city and outside of the mission hospital may be at best finding a little one-room clinic operated by a marginally trained attendant.

The typical mission hospital has 100 to 250 beds. One or two missionary doctors and nurses as well as national physicians, nursing and other ancillary staff, typically staff these outposts of rescue. Usually there is an X-ray machine, ultrasound, and a laboratory doing basic tests. Oxygen may have to be extracted from the air by machine. Often intravenous fluids are manufactured on the site. Prices are stringently low to allow services to the poor but hopefully meet the operating cost of salaries, utilities, medical supplies, and food. Capital costs such as buildings and equipment usually come from donors. Maintenance may be a luxury to be postponed.

Our children and their families have faced the usual stresses of heavy schedules, trying to make a go of small business, raising small children, and job hunting. There is nevertheless much to give thanks for, and most particularly that quality of abundance that Jesus Christ promised His followers. Contact us for details and digital photos!

Joy and peace in the Source,

Mia and Stan Topple

The 2004 Mission Yearbook for Prayer & Study, p. 55

 
             
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