What’s new at Guinebor II

The Weather?
Well now we have been here for a year so the weather reports may start to get repetitive .The heat is back again and we are sleeping out on the veranda, it seems we may be a little adapted or is it really cooler this year Still at times we are totally drenched and need seemingly gallons of water to drink.

Ward and Mona?
We have new arrivals living opposite Ward and Mona have come from the States for 6 months. Ward will work on finance and administration with Ndilmbaye and Mona is a nurse/midwife so is helping around the hospital and learning a little Arabic , it’s good to have neighbours again and to share ideas and plans.

The Nurses ?
Two are new as we have made some changes in the nurses working pattern. This means we now have a nurse anaesthetist who also oversees the wards and a fixed nurse in charge of dressings and emergencies. Two nurses consult each day and slowly but surely things are taking shape. We are still busy and had our first twins 5 days ago we were also excited to have a little boy go home today. He weighed half as much again as he did when he arrived suffering from dehydration and severe malnutrition and he walked home instead of being carried.

The President?
There were elections last month but nothing new there, the president was re-elected in the first round with 82% of the vote. Most people seem quite happy and a big celebration in town passed off peacefully.

Marching?
This time Mark managed to walk down the presidents’ road for a march for May day he even managed to wear the correct material, it went well and watermelon from the back of a cart, coke and sandwiches just rounded things off.

Our first Easter celebrations in Chad?
On Good Friday we showed the Jesus film in Arabic at the hospital it went well despite the dvd not working initially and Mark consulting until the last minute. We gave out peanuts dates and coke (narrowly avoiding giving it to the Diabetics). Easter Sunday celebrations at church started at 5.30 am with a service and then later in the day an outdoor celebration which was apparently a first- all groups were invited to sing and we sang with Ndilmbaye and a few other English speakers for the multilingual part. Later we even had some chocolate eggs which had to be eaten straight from the fridge. They were mini ones. The handmade ones for sale in the Café in town seemed a little incongruous and were out of price range especially as they risked not making it home.

Our new home?
Our house is coming on well with a roof and plastered walls and even the wood frame for the ceiling. It is fun to see our plans working out well. Mark does regular quality control checking that the plans are followed. The doors and windows are now in the right places. He spotted that the ceiling was sloping in the girls bedroom, but was inclined to let it pass as he didn’t want to be too fussy. But then Ruth spotted the same error. When measured one corner was at 2.90m and the other 3 corners at 3.00m. It looks better now.
All that is needed are windows, doors plumbing and painting so still a bit to go! All the same it’s getting exciting and we are looking forward to moving in.
Kittens and Horses?
Yes more kittens three this time, I think we need to find a vet quickly or we will be running an animal hospital. We even have a pet Chameleon who lives on the bush outside the front door and looks after himself. Ruth and Rebecca enjoyed their first horse ride in Chad last week at an open day for the French riding association in Chad, they hope to ride again at a farm owned by a Swiss lady and her Chadian husband. The bare backed riding display was impressive but I don’t think they will take it up !

Flying Doctor?
Mark has always had a secret desire to be a flying doctor and he had his chance. He didn’t get to fly the aeroplane but at least he sat in the co pilots’ seat on the flight out. He flew to Mondou in the South of Chad to accompany a sick medical student. He enjoyed the flight although it was a bit bumpy on the way back as they flew at a lower altitude. The patient subsequently went to Europe and is well.

So thats what is new with us, what about with you?

We’re singing in the sun

It’s 8am the 7th of March and for those of you who don’t recognise the date it’s the day before International Women’s Day . As usual we didn’t quite get organised, we had started several weeks before to try and get material and register the hospital to march in town but here we are no material and not registered suddenly its all action and before I know what’s happened everyone decides we can walk in our nurses uniform s and we can somehow still register.
By lunch time we have an official programme and several nurses go of to hear Madame the President speak about the right for every women to an education and training. The banner is organised and the after walk feast too. Somehow everything in Chad has to be last minute to work.




The next morning the girls are looking hassled as an endless stream of complications with uniforms that are not ready or available a banner that hasn’t arrived and Gislaine who can’t squeeze into her new dress mean they risk to be late for school ,eventually everyone is crammed into the car and we set off.


Apparently its fine to arrive at 7.30 not 5.30 am as the information said and which I was glad about , we change into our uniforms in a corridor behind the Mayors office only to be told that’ Sante’ is meeting down the road outside the new Mother and Child hospital with its 7 as yet unused ambulances parked outside ,we move on rapidly and eventually find some more nurses all ready to march- for what exactly -well maybe just to have some fun together and show that women can have qualifications too. Not a bad thing in this country where many of our patients are only allowed out of the house when fully covered and if their husband allows.


After a long wait being entertained by a man
dressed as a pregnant monkey dancing and given emergency sugar cubes to keep us standing by the Red Cross .We are off and ‘Mind you don’t take off’ is the cry as Gislaine and Beatrice struggle to hold on to the banner saying Hopital de Guinebor II eventually attached to its poles and with paint nearly dry. We parade past the Presidents wife along the smartest road in Chad finished just in time for the 50th anniversary celebrations. A never ending stream of women’s groups appear down the road in their Chadian women’s day material , the hotels, the police, the vets with chickens and eggs, the teachers singing a song which basically says without us you wouldn’t have any of the other professions (the midwives thought they came first) the women from the bank in a different material again specially made for them!! School children too all smart in uniforms .

After the march the speeches about how its good to be a woma in
Chad , well maybe we can help with that as we care for patients and show the importance of all ,but by then we are at Anastasies house for a sort of Chadian fish and chips with whole fried fish and potato salad and a French loaf each not to mention the essential coca cola much needed after the walk in the sun.

Back at the hospital the men have managed without us and there’s a kind of festive we can cope against the odds atmosphere even though they had to limit the number of patients!! Maybe next year we’ll manage to walk in the right material and be a bit more organised but for now it’s been a good day and maybe just a few more women will have heard of Guinebor Hospital now.

P.S. For more hospital news click on the link top left for an article on the BMS website

A day off at last

Ruth and Rebecca are in the midst of their mid term break . Two weeks set aside so that those who want to can go skiing! Well perhaps some of the teachers have gone. We are still in Guinebor II with temperatures slowly creeping up past 40 degrees at mid day as the hot season approaches. It not only hot but also dusty with an almost continual wind blowing off the desert to the north

To say that Andrea and I are busy would be a definite understatement as we are now the only doctors for the hospital. Since we opened two and a half months ago, the clinical work is increasing each week, up to 60 new patients to be seen each day and about a dozen inpatients. There have been about 40 babies delivered and we have one planned operating list each week during which Andrea and I give anaesthetics to each others patients. It is great to see the hospital developing a good reputation so quickly and being able to witness to the love of God as we bring affordable health care to the local population.

With the medical cover being solely our responsibility the mobile phone network is a real advantage as we can leave the hospital in the hands of the nurses and midwives and still be able to give advice and if absolutely necessary return. This means that we get to church each Sunday and then……….

We have decided to set aside one day a month when we will go out as a family and do as little hospital work as possible. Today is the day off for February and so far it has been fantastic. By ten o clock the hospital work was finished and we set off for a pottery museum on the far side of Ndjamena. I wasn’t too excited at the thought but as you can see from the pictures it was much more than that. It was a real surprise to see the whole of the centre of the village with vividly painted walls and the museum was housed in the restored Sultans palace, a mud built building that is about 3 centuries old. It was full of artefacts, photographs and documents including some very large pottery urns, that were traditionally used as coffins. I forgot to ask whether they were buried or simply left outside the front door of the house with a lid on. I am pretty sure it was the former but then again some people keep ashes on the sideboard so I can’t be for sure.

Having visited the museum we toured the village which seemed to have been given over to the production of pottery. It was amazing to see the skill as the big pots were hand made from a mixture of clay from the ground and some cow dung. They are fired for four hours in a pit covered again with cow dung as a fuel. They are then used as water jars, every home has at least one and the central aisle at church has several. They are either set in the ground or on a metal stand and being only partly glazed they are permeable and as the water gently evaporates the remaining water is cooled.





We have just returned home to check on the hospital all is quiet and if it remains so we plan to go out for a pizza at a small restaurant. It is an overgrown bungalow in the middle of town with a wood fired oven with tables arranged under a veranda in the garden. All my patients are fine and there is only one woman progressing well in labour. We will only be 15 minutes away, let’s hope we are not needed.

Hopital de Guinebor II is officially open

For up to date information and pictures please search for BMS World Mission , there is an article and pictures on the home page ( for the next week). Later can use the BMS search, put in Chad, and you will also get articles on our carbon offset eco project and other background info for Chad, including a job advert for doctors and nurses. Please feel free to apply.

A time of Jubilee is coming

The steady throb of lorries
rolling passed the hospital has now stopped.
The new road in front of the Presidential palace complete with parade ground with transplanted palm trees and triumphal arch is finished. The sound of the lorries has been replace by those of the Chadian Air Force practicing flying a flight of 5 attack helicopters in tight formation, and a pair of ground support jets pulling impressively tight turns as they arch over the city. Ruth and Rebecca were late for school yesterday stuck in a traffic jam behind some slow moving tanks. They have seen troops mounted on horses and camels parading past their school and even a military band. Next week three days of public holiday will be used to mark 50 years of Chadian Independence, with the main parade on the 11th January. The President is proud and wants to celebrate with the people and the world. We hope it will be a great day for all.

A man, Isaiah the prophet once spoke of another way of celebrating a jubilee; Jesus used his words at Nazareth to explain his ministry.

“The Spirit of the Lord is upon me,
Because he has anointed me
To preach good news to the poor.”

We too will be doing a bit to celebrate this Jubilee. The official inauguration of the hospital will be on the 4th day, Thursday 13 th January. This is purely coincidental and will give us some organisational problems but it will be good. The Minister of Health is the Patron for the day, Bert Oubre ,CEF President, is coming from the USA, many officials’ village chiefs and missionaries are invited. The American ambassador will be there, representative from Exxon Mobil; and even the British High Commissioner to Cameroon is prolonging his stay after the 50th anniversary celebrations.

So these are the plans for the coming week, but what of the past month. The hospital has been open in a low key way. About 25 outpatients a day, 8 babies delivered and a few mainly children as inpatients each night. Last night this peaked at 11 a third of our capacity, so word is getting around. We also did our first two operations yesterday and both patients are doing well one gynaecological and one general surgical.

Actually I missed most of it, having fallen ill with typhoid on the opening day, 9th December 2010, I spent most of the past month in bed and the responsibility for running the hospital and doing 80% of the on call has fallen on Andrea. She has been amazing running the home, organising Christmas for us all and looking after me it mainly in bed. The initial treatment was working well but I relapsed and required to be in one of our hospital beds on a drip for 2 days followed by 14 days of intravenous antibiotics which finished last Tuesday. I am now back at work since Wednesday working at 100% already which is amazing.

So much good news, something to celebrate.

Happy New Year to everyone.

No news is good news?

Two weeks is a long time to wait for news especially when something momentous is happening. So here it is an update on our news, is it good news? We’ll leave you to decide.

The rest of the staff training went well, and a really encouraging 15-20 people at each mornings pre work prayer meeting ( 20 mins before the staff meeting) We did start to see patients on the Thursday morning but actually not quite as planned. The Wednesday evening the staff decided that they were unhappy with their lack of bonus on top of their salary. We were unable to reach agreement and so separated for the night with an uncertain future. Next morning we found a compromise, a profit sharing bonus will be paid, it was always planned for the future but as there are not yet any profits and none likely for a few months,. Anyway as a short term solution we will have a low flat rate start up bonus for 3 months after which time it will be truly linked to profits. A good outcome especially as the works reps have signed to agree that it will be an equal shares for all, irrespective of hierarchy, gardener to head nurse all the same. Also although it sounds horrible all the discussions were conducted in a very amicable manner. All these things are good principals for a Christian hospital.

So 2 hours later than planned we opened , and it was as if nothing had happened, everyone as nice as usual. Between us we saw 25 patients, I mainly went around organising as did Andrea, and then we mucked in at the end to help our Roy and Michaela who were flagging. It was 2 pm, I was shattered, couldn't see why, had a sandwich and then an inhabitual siesta.

Next morning I had slept very badly, woke up vomited and got back into bed. Had to get up at 9 am to go and see the local Health Director. He decided it was time for him to visit especially as we were open, and so we drove him back and showed him round. He was most impressed, he had never been before! despite being in post for 4 years and yes I did invite him previously, in May, but you can't be chasing up people all the time. I went back to bed, not vomiting but unable to eat and by now had a low fever. I have been in bed ever since eventually as the fever mounted Andrea diagnosed Typhoid. Since last Wednesday I am on treatment am responding and convalescing

Any way thank God for his guidance to Andrea to the diagnosis in he minimum of time, and for the fact that though still convalescing I am now well enough to write this.

The hospital is seeing 20-30 patients a day and has a steady trickle of emergencies. We still await our first baby, will it come on Christmas day? There are plenty of antenatal patients so it shouldn’t be too long.


At least we are ready now The freight arrived in
Ndjamena eventually 2 weeks ago. It then took 9 days
before being cleared for release by customs but all 175 kg arrived 4 days ago and that's great. It is unpacked, Andrea finished it on Saturday morning.

One perspective on the news from Mark, Andrea's would be different. I hope that was worth waiting for but was it good news?, Next time we will try to have even more Good News, it is after all what we are here for.

A Time of Waiting

As I write the sun is shining from a clear blue sky and although at the moment it is a pleasant 24 degrees by lunch time it will be in the high 30s and too hot to work outside. It is hard to believe that there is ice and snow in England and shops full of Christmas decorations. Advent is however here and we wait the coming of Jesus again and consider which of the many ways of celebrating Christmas we are used to we will have here .It somehow seems inappropriate to fill the house with more things when so many around have so little but we do need to celebrate this great event.

For Mark just back from England after an urgent visit for medical tests we are glad to say that the time of waiting was short and the outcome good. Keep taking the tablets is the answer now and he is well. Marks unexpected visit to the UK delayed things by 2 weeks and has caused the official inauguration to be postponed the to the New Year

Tomorrow the waiting for the hospital starts to be over. The nurses and midwives laboratory and pharmacy staff begin their induction training. There are about 20 of them. It is exciting, after all we have been here since April, but also slightly daunting. Despite the delays, there are still things to be done, sterilisation building to finish-nearly there but our mason that knows how to tile has just had to go off to his village for a visit -so more waiting. Toilets and triage room and entrance walkway also to finish.

In addition contracts, paperwork and ministry visits need to be organised soon now Mark is back

Finally equipment and drugs that have been ordered for a few weeks need to arrive by air from Europe- It is unclear why they have not yet been dispatched. More waiting and praying that it arrives soon before our opening date of the 9th of December.
We need patience, we need enthusiasm, we need energy and we need wisdom we need as we wait on God to fulfil all our needs Psalm 138 v “The Lord will fulfil his purpose for me; your love, O Lord, endures forever- do not abandon the works of your hands.”

Pitures showing the changes in the

operating theatre/maternity