Sunday - Church & Managing my own NGO or so it seemed :)

 OK PLEASE remember this is MY journal that I make public to those who are interested. That being said...this was really a "non mission day" and I skipped the Team day but boy...I've got alot to say today so if you're bored & have time grab a snack & a drink & read on :) If not pick & choose the categories that you may like...fun fat of the day, church, or humanitarian or none of the above. It has felt like a LONG DAY with things planned but not fully accomplished I have honestly felt like I was managing my own NGO. I went to bed earlier last night & took some melatonin & slept well EXCEPT for 2 times when I work up with immense cramping in my foot & leg one time the right leg & the 2nd time the left leg. I don't know it I was dehydrated or what but it was painful & after I managed the 1st episode & went back to sleep it was awful to wake up again & have it happen twice??? Fortunately, I did get some good sleep in between and I am drinking LOTS of water today.

So last night after blogging & before bed Eddy the PC (Program Coordinator) sent out the next days schedule (for today Sunday) and since they had the AV issue on Saturday for the education sessions they added it to Sunday morning, plus a visit to the shelter (which I would have LOVED) and the team day to start at noon at a Praise Eco center with a zipline, paddle boats & suspension bridge. I text Eddy & told him I had made plans to go to church and meet with some people I have been talking to for about a month to provide some humanitarian help to people in Ho & asked if I could be excused. I already planned for a ride & thought I could be back by noon for the team day (you will see that was not to be) Eddy graciously approved my plans. Cherish dropped by my room & I told her I was going to church to meet Salam & Pres Ofari & she said she wanted to go. I explained how I got excused & told her to LMK. So this morning she said she would join me & was hoping to go from church to the shelter...mind you she does not have wifi on her phone, does not have Ghana currency- so  at breakfast I shared my concerns & uncertain plans but said she was welcome to join me.....

FUN FACTS: People in Ghana seem to have 4 names??? a given name, an English name, a name related to the month they were born in & I will have to get back to you on the 4th name??? So when a  couple from Missouri called Salam Sister Lydia??? I was confused but it is her English name.

CHURCH  -  I went to the hotel "lobby" at 8 to ask them to get me a Pragia for 8:30. There was one arriving just then so they asked the driver if he would take me & he said yes. I text Cherish that we were leaving now & she came. The ride was $4 US for the 2 of us :) Joshua our driver had the address I had on the website & took us to where we thought the church was...& we knew it could be in an apt building but this was not the place. Fortunately, I stopped Joshua from leaving & we called Salam who told him where we should be & for another $3 we got an extra little tour of Ho & I felt like the entire community were all walking to churches & we must've passed 20 churches on the trip. Joshua was super nice & he got us to the right place where Salam was waiting at the side of the road & there was church signage. I kept thinking small branch in an apartment type complex & expected maybe 12-15 people - was I ever wrong!!! Just arriving and walking into church was a GLORIOUS event that felt like "coming home". There are 3 Branches in Ho & they all meet from 9-11 in 3 different places one is a large traditional multi congregation church building that they have had for about 7 years & the other 2 are buildings they rent and have created in them a congregations room for worship & Sunday school plus they have rooms for the children & teen programs. As soon as we walked in numerous people came up to welcome us & ask where we were from & why we were in Ho & I shared about Op Smile which some knew about. They were genuinely so kind. There were 4 missionaries in this branch - two elders from Utah who had both been out a year & they each have African companions - one from Ethiopia who was surprised when I told him I had been to his country 3 times & another from Zimbabwe. Two of them stay "in town" & 2 of them go to the outlying villages & they all loved being in Ghana. They said there were sister missionaries in the other branch. The meeting was getting ready to start & a couple the Grandon's from Missouri came in & also introduced themselves to us - they have been here for 2 years as member & community support & were going home next week. They said when they offered to serve they put in places they wanted to go & Africa was not on the list but they wouldn't change a thing & have had amazing experience with the people of Ghana. During their time here in Ho the membership began at 1600 and has increased to 2360 helping this areas church structure move from a "district" to a "Stake" and the papers have been submitted & in 6-8 months the change will take place bringing these members more resources :) They both mentioned how the people of Ghana radiate the "light of Christ"

No offense to my Foothill Ranch Ward friends but by the time the meeting started the room was full with almost all 100 chairs filled with young & old & all ages in between. The way they sang the opening song #135 about Jesus with such enthusiasm & conviction brought tears to my eyes.  In one row of 3 chairs sat 3 little children all probably under 6 & I was AMAZED at how they sat there quietly the entire meeting while their mother & father sat behind them. There was a steady stream of members going up to share their testimonies - not a break for a minute. An older man talked about how joining the church in 2005 completely changed his life & how he loves God & the church. All spoke in English except for 2 older people who spoke in Twi (which the congregation all know also). Salam also went up so I felt I know her a bit more after that.  At the end a small choir sang Amazing Grace...powerful! After the mtg Pres Ofari's wife had been sitting the row in front of us & turned around & introduced herself & her 8-year-old son who had a Cleft Palate Repair on an Op smile Mission in 2021 - small lil world of how we intersected thru Op smile. He is still in some speech therapy but was very sweet. Salam introduced us to her 3 children - a daughter 22, a son 19 & a son 14. Her husband is not a member of the church but has fully supported her for the 21 years she and her children have attended. He is a teacher at the "state university". We left there after the sacrament/worship service to go meet Pres. Ofari at the 3rd Branch. that meets at the "real church building". Salam drove us there in her old Chevy Spark with no AC & several dents - having a car in Ghana seems to be rare? She also was skilled beyond measure at avoiding all the hundreds of potholes on the roads. When we arrived at the next building the primary children ages 3-11 were singing their little hearts out & oh how I loved hearing that. BUT...Pres Ofari had left that bldg to go see someone at the 1st Ho branch, so we went into Sunday school which went over by 15 minutes & had over 60 adults in class! Church attendance in America may be down but Ghana sems to be thriving!  And we were definitely on "Ghana Time". After Sunday school as we waited for Pres Ofari, we met the sister missionaries at that building - one from Texas & Sis Gransfield from Vernal Utah -they glowed & said this has been an AMAZING journey for both of them. They invited Cherish & I to a baptism that was happening & Cherish went there while I went in to wait for Pres Ofari...who got there about 30 min later but he works in the lab at the military hospital & planned to first do blood rapid PSA tests on all the men over 40 in the congregation. While he did that I chatted w/ Salam & Savior (yes that was his name) the 1st Counselor to Pres Ofari to get an idea of what they were thinking for the humanitarian needs. At this pint Cherish felt like she needed to get back to the students, so we called our Tuk Tuk driver Josh to pick her up & take her to the hotel & I paid him in advance :) 

HUMANITARIAN: If you are still reading - what a devout follower of my mission trips & if you are starting here Welcome to Sundays adventure with Nancy!!! While waiting for Pres. Ofari I asked if they had any ideas of the greatest needs - they mentioned several elderly and widows in the boundaries of the district members & just wonderful elderly neighbors who truly need food. They also mentioned single mothers with meager resources who needed help. That all sounded great. I TRULY have an ARMY of ANGELS who when I leave for a mission trip send me money via Venmo or drop off cash at my home or discreetly give me envelopes of cash at church or mail me checks or even see my post on social media & ask if they can help & this mission was no different & I came with a good amount of "sacred funds" because of the wonderful, caring, kind hearted humans that I know. I call them sacred fund because I feel like I am sent on a mission somewhere & God has a plan or a need and I am just the conduit of their generosity or goodness. I am diligent in trying to understand what I am here to do with thes funds & this time I was still unsure as we waited & chatted. It was about 1 pm when Pres Ofari returned to the room (remember I started the day with an 8 am ride to church -Ghana time :). Pres Ofari had contacted the 3 Branch presidents in Ho & 4 other Branch Presidents in the outer areas of the district & the 3 "units" in the district some of these congregations are 3 hours apart from each other & not in the direction of Accra. He had pages & pages of notes related to the needs, The only thing this made me think about was we are talking about a lot of people here... They also mentioned young men & women who want to do missionary work (most will go to another part of Africa) & they started calculating the amount to cover a suitcase, shoes, clothes & even in Ghana dollars that was adding up fast. They also mentioned Caroline, the wife of the 3rd Branch President who I met at that building with a lil baby on her back & told me her husband is a nurse I may see at the hospital & they have children 18, 14 & 10 & the baby she had today was abandoned at the hospital & since the social workers there knew her husband she asked if their family could care for the baby as there were no resources to take the baby & it would not thrive/survive in whatever an orphanage system is in Ghana ( which sounds nonexistent). With my passion for children I knew I wanted to help her with the expenses of baby formula, baby cereal, diapers & wipes. But after that Pres Ofari's notes from everyone he had spoken to with pages & pages of needs left me feeling very overwhelmed. My last mission in Brazil by the time we met with leaders they had a plan for a specific number of people who needed help with food & the amount it would cost per family & the little miracle was it was the exact amount I had exchanged at the airport. Here I was worried if I had exchanged enough cash & did I have enough for the things they were talking about & how we would get to a decision. I had a thought & asked Pres Ofari to prioritize & he without hesitation said:  "Priority #1 are 15 Elderly throughout the district area without family and without the means to get food. Priority #2 are 24 single mothers some with multiple children who are going hungry Priority #3 were the missionaries, but we dropped the clothes & talked only about suitcases for them. He said these are the 43 people. I felt a little less angst but we were far from knowing what to do, how to do it or the costs. so we got into the details - food for 2 months for the elderly included: 25 kg of rice, 5 liters of oil, 2 cases of tomato paste, beans, Maize (corn), Geri (some sort of cracker) and they could split a large bag of sugar among all. We added costs that Salam estimated & it turned out to be about $100 US per person. We thought we could use those same numbers for the single moms & it could last them 1-1 1/2 months depending on the size of their family. But at that we were talking $4000 and I was very short of that. When we started "ranking the single mothers needs" and who we would skip I felt sick to my stomach. 5 suitcases would be $300 or 3 families but how do I choose?  2 months for a senior & 1 for a family there were no good answers. At least we had a "sort of starting point" which was the elderly. I handed them all the cash I had exchanged & told them I had more cash in US $20 bills that the money exchanger wouldn't take & I also could use my credit card if there were places that would take that but their intent was to go to the "open market" where all of this would less expensive. Pres Ofari needed to leave & Salam & I decided to go to 2 stores nearby to see about using a credit card & what they had. I seriously needed to feel like I was starting somewhere. At the store they miraculously had 5 of the same suitcases for $60 each so I took that as a sign to buy them even though it was priority #3 & I knew I could use my credit card, preserve the cash & which friends would be happy to know that is where part of their money went. That store did not have any baby stuff but the next one did so I spent $100 on that from a friend in Australia after a social media post asked if she could Venmo me $100. We dropped that off to Caroline on our way back   -she & her husband live in Nurses housing by the hospital - they are small brick stacked buildings that look old & word down. I felt good that I was able to get the baby items they would continue to need and likely could not afford (especially since nearly all mothers breastfeed in Ghana but she could not since this was not a baby she gave birth to. I was sensing a bit of traction but it was also 3 pm & I was tired & spent. Salam drove me back to my hotel & we sat in her car & "literally crunched the $$$'s needed" I told her what I had covered & where we might be short. I asked about the price difference between buying the 25kg bags of rice at the store that took credit cards vs the open market she said we would talk more about it tomorrow. I went back to my hotel room ate some snacks as it had been hours since I had breakfast totaled all we could cover & what would be left & PRAYED mightily. I could easily cover the 15 elderly - DONE & 12 of the 24 single mothers or if we changed the amounts, we could give all of them half. It was a lil tricky, but I covered what I could with what we had and shared with my "Angel Army" all the good we were doing. One spontaneously offered to send another $200 via Venmo (if I could get access to it) & another offered for me to spend more & she would give it to me when I returned & asked me to determine the amount & I came up with what seemed right. A childhood friend also offered to send $200 but when she sent me money it was more than what she mentioned & she sent the EXACT amount of money I needed to cover ALL of the rest of the single mothers. Tears FLOODED my eyes in awe of how God is involved and manages the details of all his children's needs all over the world Ponder on this...someone in Calif. sends exactly what is needed for his children in Ghana and I am again simply the conduit for others good. It's been a long day & we still have ALOT of shopping & logistics. I wanted to give Salam time with her family since I occupied her entire day so I text her the joyous news & she said she will get the other 5 or 6 women leaders from the other congregations to help her use the cash at the market & she & I will manage the items we can buy at "the store that takes credit cards" perhaps after a mission night - maybe tomorrow because we are starting with  "light day" of 12 surgeries. It's not all done but it's in process...MIRACLES still exist & PRAYERS are answered & God is always GOOD!  

But quite honestly, I am exhausted & surgeries start tomorrow. It is 10 pm here & I am going to bed - up at 6 & leaving at 7. All my clothes are laid out. I drank water while I was blogging so hopefully, I sleep without leg cramps!!! I know tomorrow will be an AMAZING DAY as we give some little ones new smiles or needed palate surgeries & improve their lives...it's what keeps me going!!! 

GOOD NIGHT FROM GHANA - Nurse Nancy   

Saturday - Screening Day #2, PACU Set Up & a few surprises!

I slept pretty well for being on a hard bed & very overstuffed hard pillow, but I did last night put my own pillowcase on the pillow & believe it or not that makes a difference - a little bit of home here in Ghana! It rained here ALOT last night - no lightening like there was in Accra but a similar loud storm with lots of rain. I suppose that is why it is so green here in this valley. Normally I love the rain, but I am not sure if it will make it even more humid? I was up by 6:15, at breakfast by 7 and the first person on the bus before it was to leave at 7:30 even with a side trip back to my room to get scrubs since we will set up the PACU today :) 

I still started my day with my hair down & thought I would see how long I lasted before ponytail mode! Surprisingly at the hospital the sun was not out & it was cooler & less humid than yesterday - so grateful! There was only about 12 patients waiting when we arrived & we set everything up for screening pretty quickly. There were a lot fewer patients than yesterday and it was much slower paced for sure -but still so many cuties!!! There was a 4-year-old girl who was the sister to a patient & she was a very active lil girl keeping all the students busy & she had the cutest smile. We colored together when I was in between screening patients. There were also a couple of sad stories. The first was a teeny tiny baby I thought was maybe 3 months old but she actually was 7 months & had a cleft lip. She & her 16-year-old mom traveled over 24 hours from a mining town north of Ho - they have been involved w/ Op Smile & seen their nutritionist to try to help her gain weight, but she just isn't "thriving". She can sit up & grabs for toys so is meeting some milestones but also has no hair on the back of her head so perhaps is laying down much of the day. I asked Clover whether she thought the baby would be eligible for surgery & she did not think so because she won't meet the weight for surgery requirement even though she meets the 6 mos. age requirement. he has no caloric/energy reserves for the stress of surgery and the calories needed for recovery put her at too much risk,,,it's such a catch 22 to be in & her mom is so young :(  The 2nd little girl had her lip repaired but still had a cleft palate & a "syndrome" of clefts -her fingers on both hands & toes on both feet & her ears. I am unsure if all these areas were developing & impacted the same way in utero bue she was cute & ran up to me & hugged me whenI was by the play area. 

The surprises...Surprise #1 Vida the Clinical Coordinator came up to me & said since you are the "PACU Nursing Team Leader" I need you to make the on call list Monday to Friday with names, phone #s & rom numbers (which is typical) & since you have Provisionally Credentialed Nurses you would have to come in with them if we got called in....so much for not being in charge...I had no idea I was the PACU Nursing Team Leader & was happy to defer to Beatrice who was happy to be in charge but now that has changed - I am unsure if as the Educator/Trainer I am in charge cause Beatrice is also training or if its because I am on my 20th mission? I took Mon & Wed to be on call & did get all the nights covered. Beatrice will take Friday night since I think I will be heading back to Accra to get my 9 am flight Saturday morning & that airport required you to be there 3 hours before your flight? Fortunately in my previous 19 missions I think I have had to go in or stay overnight 4 or 5 times so I am hoping there will be no callbacks or late nights - if you are the praying type - pray for that please :)

We did go set up the PACU. Op Smile has moved to getting supplies in country instead of flying in cargo like they used too & we would get boxes & boxes of supplies but they would keep them in the are for numerous missions. Today we had ONE black storage box (the kind with the yellow lids) with VERY MINIMAL supplies..."just the basics" is saying it nicely. since all the other nurses are from Ghana they were unphased but my oh my - my brain was buzzing with...we don't have....about 20 things at least. I tried to remember they have all done missions here & medicine here is much different than in the USA - so I am going to have to fix my brain on that too.... We also checked the emergency boxes & at that point I did intervene - if we didn't have exactly what was on the list they wanted to leave that supply out...so a if the list said 3 cc syringe with a needle & we only had them without a needle they were going to leave it empty so I said - "If we have an emergency & need to draw up medications we need syringes & we can have the needles separate"...so there will be teaching opportunities & as an educator that is why I am here. 

Surprise #2 was when we got back to the hotel for the "education day" they had trouble with the AV so we skipped the general session & went into our specialties. some of the PACU nurses were slow to arrive & in my experience the PACU MD has always run those team mtgs. One of the local nurses went up to him to see if her wanted to join us to talk about his preferences & routines & he said that the PACU Nursing team Leader leads that meeting & he would be in the meeting with the physicians!!! So I was also unprepared to lead that discussion but did it anyway talking about my experiences with how to make things run smoothly, working as a team, if ANYTHING bothers you say something, rotation of taking patients etc. We went over the charting, available medications we have, OP Smile Standards for how long patients stay & emergency responses...but it was very "off the cuff". I asked all of them for their preferences on missions, best & worst experiences & that we all will work together for the kids. Beatrice did want us to all review the Operation Smile Academy PACU Pathway for training & we made a PACU Whatsapp group chat & she sent the content to all of us..I have a lil reviewing to do before Monday!!!   

Church Update: Lots of texts today with Salam & Pre Offari - he was in Accra all day - I don't think that is where he works as its 2-3 hours away without traffic? Perhaps he was there on church business? Anyway, he was not returning until late & I THINK I can go to church at 9 am tomorrow in Ho which is his Branch & Salam goes to a different Branch but she will meet us at the Ho building at 10 am. I am very excited to meet with them & talk t them about how we can help humanity in Ho :)

There are MANY churches her in Ho & were many in Accra - I believe Ghana is a very religious country & in fact all day yesterday & today they played what I would call Ghana Gospel music loudly in the screening area on a large blue tooth speaker connected to one of the team members phones. I LOVED IT!!! some of it was in the Twi language & other songs in English. Often times many of the team members were singing along :) songs of praise, songs about Jesus, songs about loving others. 

Funny Moments & Ghana Info: Two of the local nurses came up to me to tell me that they "loved my style" how I tucked my shirt into my trousers & it looked so "stylish & smart". Mind you I am wearing high waister wide legged jeans & an old Op smile T shirt from a previous mission. I simply thanked them thinking that I would always tuck a shirt in with these jeans...then I looked around & not a single other person had their T Shirt tucked in...I would have never noticed that....perhaps I will start a new trend in Ghana or at least here on future missions! 

I did not realize until this morning that they want you to give them your room key when you leave in the morning? They must have a "master key" as my bed has been made each day so they came to my room??? I do recall doing this before in Africa. Problem was I know where my room is but couldn't remember if I was 122 or 123 so I had to have them look it up on the paper Op smile room log. 

FYI there are 2 traffic lights in Ho - one works & one does not. I just didn't notice it yesterday when we drove to the hospital perhaps because the light was green & we just drove thru it?

It is not unusual to see girls fighting girls in Ghana - often pulling hair. Oddly I saw a few from the bus in Accra & didn't think anything of it then this morning at the hospital everyone was looking in one direction & I asked "what's going on" & was told casually  "girls fighting" & sure enough they were. I really need to understand this more???

That's all I've got for today...calling it an early night. I had my peanut butter sandwich for lunch at the hospital because lunch (from the same place & same meal) came at 3 pm. I did take one to eat a bit of dinner in my room but I REALLY want to get to bed early tonight as I am already feeling just a little tired & surgery week hasn't started. I am excited to take my "Tuk Tuk" to church tomorrow & worship with the people here. It is so AMAZING that 7500 miles from home I can go to church and will have some of the same experiences I would going to church at home just with a "Ghana twist" to it :) Worldwide church experiences. LOTs of LOVE  Nurse Nancy 

Screening Day #1in Ho

 I feel like this will be a long post so I am dividing it into "General Mission", "Humanitarian" and "Stuff I want to Remember" so you can pick & choose or read it all if you have time :)

GENERAL MISSION:   Another GREAT day in Ghana with one slight challenge...I got up at 6:30, got ready & had a call with Doug & headed to breakfast about 7:10 planning to eat & be on the bus at 7:30. SURPRISE!!! The bus left at 7 am???? There were still about 30 team members at breakfast to take the 2nd bus at 8:30 but nurses were supposed to be on the 1st bus...I was beside myself stressing out...in 20 missions I have never missed a bus...and the paper schedule said 7:30 & I thought that is what they said last night at the team mtg. but I guess it was 7 am. Unfortunately, I had the audio on my WhatsApp turned off (too many messages yesterday) otherwise I would've seen the message they were leaving at 7:15 instead of missing it. I know that getting set up for screening is ALOT of standing around but I still felt awful & asked if I could take a taxi but we are too far out & Princess (name of one of the coordinators) kept saying "don't worry its fine". So I took some deep breaths & reminded myself that I'm in Ghana and as we saw yesterday time is sort of relative but not usually on missions so not my finest moment...there were 24 of us on the 2nd bus including my trainee Abagail & Livingston another nurses, Clover my Anesthesia friend, and the Medical director of the mission - so I was in good company :) It was only about a 15 min drive to the Ho Teaching Hospital Campus down from the big hill where we are staying. Ho is fairly large but much smaller than Accra-less busy, less stands, (only a few open this morning), fewer people out walking, lots of churches 

I got their & they were set up for screening but were just starting patients. I was helping take Vital Signs & SOOOO MANY cute babies needing lip repairs were there with sweet mamas. I will post some photos on my social media. There were also quite a few palates & some older teens/adults. If we do 60% palates that could be 35 or 7 a day which could make for long nights - we will see!!! They do have a patient shelter here and some families have traveled 14 hours from the northern part of Ghana to be here. seeing transportation options, I am certain for many it was a difficult journey. With so many at the shelter a small bus would bring about 30 patients at a time & drop them all off with their parents where they would then start the screening process getting registered & going thru 12 stations that probably took them 3 hours minimum. Then about 2 hours later they brought a 2nd group. We stayed very busy from 9 am-2 pm between vital signs & getting a height & weight on each of them. There were a couple of sad cases an almost 2 year old with a tumor on her tailbone that of course Op Smile can't help but people hear there are free surgeries not know its a specific type & of course seek out help for their child :( We were able to give them a very solid referral for The Mercy Ship which will be here in early August.  

There were SO MANY things I had forgotten about Africa...the hospitals are a bunch of buildings with open windows, maybe fans for air circulation & all connected by outdoor walkways with outdoor grass & benches where family members sometimes wait. So I expect it may be a walk to get to the post op unit. I also forgot how humid & hot it is even in early June - I lasted about an hour before I put my hair in a ponytail. I also forgot that we are in a high Malaria region...they may have suggested prophylaxis but I may have ignored it because other than my 1st mission to Kenya I have never taken it but tonight Clover mentioned she needed to take her Malaria medicine because she forgot yesterday & I said "do we need it" to which she said "Absolutely" even though I haven't seen any mosquitos here. So little blessing for me Cherish got a prescription with 30 pills so she gave me 10 & I started taking them tonight. 

Two of the "Tribal Chiefs" from the area came by to see what we were doing as members of their tribes were here as potential patients. They were in tribal fabrics tied over one shoulder...very interesting - no photos taken the last thing I need is to make a tribal chief upset. They do have a local language "Twi" that many families spoke as do the local nurses. 

Mission lunches are always interesting - since I declined one yesterday Princess was insistent, I go get lunch today...3 choices a vegetarian, a spicy fish (head or tail still on) & chicken. Several others had eaten the chicken & the meals were in a nice container & a bag from a local restaurant with a handwipe & silverware, so it seemed legit. There was enough rice for a family of 4 & a chicken leg/thigh combo. I pulled off all the good chicken meat & ate a little rice to the satisfaction of others concerned about my eating & kept my peanut butter & bread in the bag for a sandwich tomorrow :) 

There was a lot of confusion over who should be trained for credentialing in PACU as one local educator canceled at the last-minute leaving Michael without a trainer & another local volunteer Sarah came & needs another credentialing shift. This was way over my decision making so I emailed Karina the Op Smile Academy Director letting her know what was happening & asking if I could train 2 people. She emailed back right away, put me in touch with Eddy the Program Coordinator on the ground here & long story short come to find out Abagail already had 2 successful trainings in her last 3 missions & should have been marked as "provisional credentials" only needing a skills check off that the Clinical Coordinator can do but her on line file was not up to date. Michael & Sarah both need 1:1 training & I can only do one at a time. So, I will train Michael & Sarah will have to be an "observer" which is heartbreaking as they are taking time away from work to be here. The missions here are 1-2 times a year so it can take a while to get credentialed. Had we not gone down this rabbit hole I would have been with Abigail who did not need another training mission & Michael would have been here planning to train without a trainer.  It all worked out as it should have :)

By 3:30 we were done screening 59 patients but 24 were still in the queue to finish some stations - since we were "Station #3" & done we packed up our stuff & came back on the 1st bus. Tomorrow we will actually leave at 7:30 (so up at 6:30) screen until 1:30 then come back to the hotel for the education session from 2-5 pm

HUMANITARIAN/CHURCH: I have continued to text Salam (Sis. Kassah) and Pres. Offari and about 2:30 during a lull and after the credentialing chaos Salam came to find me. she is a CRNA (nurse Anesthetist) at the hospital & said she that while she is not part of the mission, she will likely see me each day as she and I will be near one another in the operating & recovery areas so that was a fun surprise! We chatted about the needs they have discussed - several elderly in the community who need food support as well as some single mothers. I gave her examples of needs in other countries & told her to determine the needs & my "tribe of angels were ready to help". We will likely get together tomorrow night or Sunday. She may have the couple missionaries pick me up as I have no transportation options. I introduced her & Cherish & Cherish brough some water purifiers to give away & other items. AS we sat & talked I told her "I don't know what is needed here - that is for you & Pres. Offari to determine but of all the mission options I had this was the only one that worked & that I was selected for so I know I have traveled 7500 miles to Ghana for a reason- anxious to understand what that might be...

A local Op Smile employee Kofi Takorah from Accra came up to me and asked if I belonged to the LDs church & said he goes there too. As we talked, he mentioned growing up in an evangelical church talking to missionaries on the street and going to church with them & "feeling Jesus there". He knew the Bishop and wants to get baptized but part of his job is to travel to remote areas on the weekend to find children with clefts to come to missions for help & he has been busy preparing for this mission and not able to go to church but he will be going every week when he returns to Accra & will then be baptized. He was so nice & we talked a lot about Jesus.  

STUFF I WANT TO REMEMBER

A few Ghana "fun facts" 

After getting back to the hotel I was sweaty & desperate to shower - my room has a tub & then a shower handle that attaches to the wall pointing out of the shower. The "climb" up into the tub is honestly 2 feet high & there is no shower curtain. I had 1 bath towel & 1 hand towel, so I decided to sacrifice the hand towel to become a bathmat in order to not slip & fall or slip stepping 2 feet down on a wet tile floor out of the tub/shower. All was well.

In Ho there are not Ubers but they have the small Tuk Tuk motorized  carts that can carry 2 people that are in many 3rd world countries (here they are called Pragias?) After much deliberation several of us decided we could perhaps try to find a ride on one of those down the hill but were not confident we would get back up so we skipped that idea & ate dinner in at the hotel. 

Sadly, yesterday as we drove more thru the city of Accra as we stopped there were still the "street vendors" but also darling children smiling at us in the window & begging for money...it is typical in a 3rd world country I know but always so heartbreaking

Their version of "public transportation" in Accra is there are TONs of very old vans (normal size) with 5 rows of 3 seats across (including the driver's row) so 15 people & everyone with their big bags are squished in these vans. From what I was told they are at the side of the road & have a planned route depending on who gets in & then when they are completely full (I have not seen a van with less that all 15 seats full) they start their drive & drop people off - not sure if they add more riders along the way - it is wild & according to Ruben my hotel drive very inexpensive but miserable...I am sure it is better than walking though?

That's all for today - I feel & appreciate the prayers & good thoughts from 7500 miles away more than I could possibly articulate. So grateful for friends & family.

More Travel Than Expected - 8 hours we later Arrived in Ho, Ghana

 Happy Thursday from Ghana!!!

Despite the storm that was loud a good part of the night I really feel like I got some good rest last night which was very helpful! I had breakfast at the hotel and was grateful for eggs as most of the Ghana premade dishes were not ones I was ready to choose - so scrambled eggs & toast was perfect! An Op Smile Volunteer sat down & said hello Nancy? she apparently knew we were both at the hotel Her name is Clover from South Africa & she is the Anesthesia team leader - she was very nice & became my first team friend :) I also recognized a man in an Op Smile shirt & he came over - his name was Mark & he was from Cairo where we had been on a mission together & he is the dentist for this mission. Another friend! 

We were supposed to be ready in the lobby at 9:30 to leave and poor Elvis the bellboy was working again & got to help carry my bags down 6 flights of stairs :)  Clover & I had decided that we would be on Op Smile time & even thought it was a 3 hour drive it would probably take 4...we were fooled it took 8 hours! We started on time from our hotel in a small 24 passenger van/ & bus & 6 of us in it. We then began to pick up others on the way. The students Anisa from NJ & Elisa from MD & their sponsor Cherish from TX were at another hotel (more on Cherish later). There was quite a bit of traffic & we were on paved roads but the dirt roads were muddy from all the rain. We passed Black Star square & arch commemorating independence in 1957 - I'm going to have to read about that. As we got closer to downtown Accra there were larger government bldgs but still "stands" all along the road. There are LOTS of lil churches here & we also were on the coast of Ghana & saw the Atlantic Ocean. By 11ish we were 90 min into our travel time & had just arrived at Korle Bu hospital to pick up more team members & that's where we really got off schedule. We all moved over to a larger bus, but we weren't leaving...I may have dozed off a bit and when I woke up we were just getting ready to leave & it was 12:30..so 3 hours later we were still in Accra. We had been waiting for someone to finish making lunches for everyone's travel meal. That was my "mission reminder" that I am on Ghana time not USA time...and as always I just needed to "go with the Ghana flow". Lunch was rice, noodles & maybe chicken - I opted for a Trader Joes protein bar. We also picked up more locals at the Accra mall & then were finally on our way to Ho about 1 pm.

There was a big "traffic jam" of trucks & cars in this 2 lane paved road so our bus driver & lots of others just went "off roading" on the wet muddy dirt road next to the paved road -no big deal but then  both were congested & again the crazy driving!!! About 45 minutes later we found the cause..a broken down "commercial truck" just sitting in the lane...it stayed congested and we at times off roaded some more - even once in the median when we got to a divided road! At times when we had 2 lanes going in our direction there were actually 3 lanes of cars going in that direction with lots of horns honking - it was an experience.

We passed a grass area where I did see 3 malnourished white cows & I have see chickens & goats off the roads. I did TOTALLY miss a photo op there were 2 Orangutaun monkeys walking on the side of a road - I do have other witnesses!!! The streets are lined with hundreds of these "stands" which may be lean-to on the dirt, just a cart, a table, or even a woman on a plastic stool with her basket of things to sell. A few back from the roads have roofs some flooring & I think are also where the people live, In the rural areas you can tell some live in the lean-to. Many are selling food - fruits, breads, grains - and some even stack the fruit for "presentation". I had to wonder are they there all day? who stops to buy and with all the stands selling the same stuff do they have "regulars" or how much do they hope to "earn" in a day $5 US. Moms with babies, men too. It's clearly the life they know but so hard it seems. There are also larger places selling, wood, wire, cement, and several selling caskets - which is also sad.

We stopped at the "famous" Adomi bridge to stretch our legs & also take a photo - it is a cool bridge & even some of the locals from Ghana had never seen it. On that stop I met Victoria - another student volunteer but she is local from Accra & had a cleft lip & palate herself. She was very quiet & sweet & since it was both of our first time over the Adomi bridge we took a photo together! There was a little boy probably 7 or 8 on the Adomi bridge who had caught fish all less than a foot long & was planning to go sell them. As we drove thru the towns kids were walking home from school - I don't know why but it made me happy to think that some of them are going to school -I don't know if it costs money or the specifics, but they were cute! ...At that point we were an hour or more away from Ho. 

As we drove to Ho it got more & more rural & there were hills & elevations. Less people, less cars, less stands and more people walking to wherever their destinations were, also all roundabouts no traffic signals. As we got closer to Ho there were some stands but not as congested as in the larger towns. As we drove by I saw on my side a sign for the "Church of Jesus Christ of Latter Day Saints" in front of a small building & later down the road a few missionaries were walking that direction :) That also made me happy. We continued to climb the hills here & got to our hotel - 8 hours after leaving the other hotel this morning. I am concerned now about my travel back for my 9 am flight (have to be there 2 hours ahead) but I will ask about that later in the week no need to borrow trouble now. 

This hotel appears to still be under construction in some areas. It is a typical mission hotel - same cooling as last night but no need for you room key it will stay on, 2 twin beds but having my own room mine are pushed together to be a king. There is one overhead light that might be 60 watts??? & a light in the bathroom same wattage & that's all - so the room was fairly dark since it was dusk when we arrived, I'm sure it's fine during the day - problem is I will never be here in the daytime :) You do have to turn on the water heater to get your water warm for the shower & there are only 2 outlets in the room both together & one outlet in the bathroom so I had to move a table around to maximize my plug options. I do look over the valley that we drove thru & it's a nice lil view. I was simply happy to be at the hotel - fully unpack & set myself up - stuff I take to the hospital each day in one place, my food area etc. and now I feel settled for the next 9 days.

We had dinner here at 6:30 & a team mtg at 7. I went into dinner & sat with Cherish the student sponsor since she wasn't with the students. She had been on an Op smile Mission as a high school student & went to Honduras & we talked about that as I had been on a mission there. Then she said "I also lived in Honduras for 2 years after that.....when I asked, "what brought you back there" she hesitated & said "I was doing missionary work" of course I asked "what church" and she said "The Church of Jesus Christ of LDS" a little sheepishly. I said, "That's MY Church" and she hugged me & said she was feeling a little lonely already. I said I was concerned myself & LOOK - God is in the details of our lives & sent us both here to be together - what a tender mercy!!! This is her first time as a student sponsor - she has 5 boys at home the oldest is 13 & her youngest are 4-year-old twins. She owns/runs a private Jr High/Highschool outside of Houston. I told her about my church leader contacts & she was so happy - I was too!!!

We had the standard team meeting - it was amazing to hear that this is their 4th mission in Ho & they have 3 other mission sites in Ghana. When they started missions here 12 years ago if you looked at the team photos it was 90% International volunteers & 10% Ghanaians being trained. Now this mission photo will be 90% Ghanaians & 10% internationals & they welcomed us here to continue the training. We then divided into groups so I got to meet Abigail who I will train - this is her 3rd & final training mission & it sounds like she has already had good experiences so my job should be easy. There was already a clear "Recovery Room Nurse Leader"...which also makes me happy - I just get to be a "worker/trainer nurse" and love on those babies & families. It is going to be a palate heavy mission - 60% palates & 40% lips (because they have been here & done so many lips on earlier missions) but with the volume lower on this training mission I hope there won't be too may late nights. 

I came back to my room to blog & get ready for bed & my phone rang - it was the front desk - Cherish wanted my room # & they called to ask my permission. She came in & said she was a lil lonely - that the teen students were chatting themselves & she hasn't had alot of experience with teenage girls & she ran out of data on her plan for the day & couldn't call home. We talked about how to engage the girls, she was worried because they knew nothing about the church & she thought her explanation was "bad" even though she had been a missionary  - I told he rot just love them & be their friend...this is day #1 & she will have great experiences with them the next 9 days & they will also have life changing experiences. We shared a prayer together & exchanged numbers & she went back to her room. While I was so excited to meet her at dinner & find our shard bond of faith...I also recognized that we seem to be here for each other & again...no coincidences -God is in the details :) Perhaps she is here for me & I am here for her...and we will all have a wonderful time serving the people of Ghana together. I also called the District President Sis Kassah - she will be working at the hospital tomorrow & will come find me at screening-I am very excited to meet her :) My water should be warm by now so ready to shower then go to bed & up at 6 am for 6:30 breakfast....let the Ho Ghana Mission begin & see what unfolds. Blessed to be here    

Travel Day - Made it to Accra -

 I am in Accra & right now it is majorly storming/raining so loud outside!!!

Travel went well the 3 am drive to LAX was easy & my gate was close so I had just over an hour before boarding. The flight to JFK was uneventful...I took a lil nap & fortunately I was 8 gates away from where I landed to my next gate - but it seemed longer? (I guess everything is bigger in NYC). The flight to Accra wasn't bad - I was in the center section of 4 seats & it was only me on the aisle & a guy on the other aisle so essentially, we each had 2 seats. I did end get a few hours of sleep among the 10 hour flight & we landed at 6:30 am. I presented my "on arrival visa" and all was well. I found out that an Op Smile rep Ruth was going to meet me which was great because me actually finding a shuttle would have been a disaster-hundreds of taxi drivers & others trying to convince you they can help - I simply said "my friend is coming" and after Ruth & I connected the hotel driver Ruben met us there & Ruben my driver became my first friend in Ghana. All my "knowledge about Africa" came rushing back to my mind - CRAZY drivers - minimal traffic lights, lots of roundabouts, crazy people on scooters, women (mostly) in the streets balancing gian baskets on their heads - some full of 30+ water/soda bottles! or trying to sell you fruits, bread, dried nuts, even soccer balls & rags. With the drivers here you always feel like you are playing a game of chicken with the other drivers to see who is the most gutsy!!! Not my favorite pastime. Also lots of stands and people walking on the streets, kids in uniforms walking to school people sitting on the curbs

I had exchanged $50 at the airport but was told to go the a "charter bank" Ruben said there was not one nearby, so he took me to a "money changer" (which friends had told me about) but they didn't open unit 8:30 so we went to the hotel & I checked in...at the "Crystal Palms Hotel" it's not as nice as the name but not bad...however I am on the 6th floor with no elevators. I was so proud that I packed only in a carry on & a "personal duffle bag" but they each were likely 40 lbs & the young bellman Elvis who weighted all of 100 lbs himself would not let me carry one. The room was really warm so Elvis also setup my AC (really a fan on the wall) I changed clothes & could feel it starting to cool a bit and didn't want to take my room key out & stop the "fan" so I did what any wise person would do & left my AAA card in so the room would stay at its "cool 72 degrees" & not heat up when I was away. It is also very humid here so I am hoping for pore cleansing with all my sweating! I went back down so Ruben could take me back to the "money changer". It seemed a lil shady but was legit - receipt & all!!!

I told Ruben I wanted to go see the Accra temple from my church & could I pay him to drive me there - he said that was up to the hotel & they needed him for errands so I took an Uber. It was a 20 min drive & about $5 US. Raymond ws my driver but here most people don't own cars not even Ruben) so the ones who do have cars will  "rent them to Uber drivers" & then take 25% of what the driver earns. I am not sure if Uber takes money too :( So my ride was 54 Cedi ($5) & if he is busy  & drives 12 hour a day he can earn 1000 Cedi a day & keeps 750 or about $65 so he earns $5-$6/hr. It was later morning & we passed SO MANY food street vendors - none of which I would ever go near!

It was so peaceful to walk around the temple grounds. The local Missionary Training Center & Accra Church offices were on the same property so there were alot of people around & they were all so kind. After being outside for maybe an hour I decided to just go into the lobby of the temple even though I was in sweats & sweaty!!! The sweet woman at the desk said "sister if you have your recommend we would welcome you in" and since its digital I did have it, went in borrowed white clothing & got to spend a little time inside. It was such a special opportunity that I will never forget. I felt so much peach there & it is built EXACTLY like the Newport Beach temple so felt a lil familiar. 

After that I got an Uber back to the hotel. ON this drive back we went by "the circle" which was a really crazy marketplace that is open 7 days a week - it was chaotic even just driving by! By the time I got back to the hotel the jetlag was kicking in so I took a 90 min nap in my cool room. Just as I got up my hotel room phone rang & it was the front desk saying Ruben had finished his shift & thought I wanted to talk to him. When I returned after the temple, I had asked the young girl who was a "hotel security guard" about where I could get some diet coke. she said I would need to go to a market & it was a bit far. I casually said "maybe Ruben could take me" & she told him & he called me. Unfortunately, he couldn't drive me as the car belonged to the hotel & he doesn't have a car. So he said we would get a taxi...but several taxis didn't want to go "that way?" I suggested we Uber but he said we could start walking & then get one. We went about 3/4 of a mile then got in a "taxi" and I use that word VERY LOOSELY...it was maybe a 1980s Chevy Spark - windows & door locks didn't work. We did get there but even Ruben agreed I could get an Uber back which was less $ than what the taxi guy gouged us for because I was a tourist!!! We did accomplish my mission though &b I got 12 bottles of Coke Zero - one per day!

I finally showered, better organized put all the food in my luggage with my drinks an extra bag I packed, showered off the dirt & sweat of a travel day & decided to stay in & eat stuff I brought rather than go downstairs. Then the hour long rainstorm started & I did my blog :) Its 8:30 Ghana time so I think I can sleep & sort of be in the right time zone. Tomorrow breakfast is at 8 & we load the bus at 9:30 to drive to Ho. I haven't met or seen any team members at the hotel yet & the locals arrive in the area tomorrow I think. Ruth said there are some students from the USA plus students from Ghana & I always enjoy when they are in the recovery room so that will be nice! 

Day #1 done (or really 2 days it seems!) Feeling SO SO GRATEFUL to be "back on a mission"

Nurse Nancy

Here today & tomorrow off to GHANA - Operation Smile Mission #20

 

I cannot believe it has been 2 years since my last mission. I had received numerous emails with mission  opportunities and each time I was SO DISAPPOINTED I couldn't reply & say - "pick me-pick me!" There have  been many things going on at CHOC that kept me tied there (opening the new CVICU 1 year ago, supporting a  leader on a one year medical leave etc) and really important family plans that didn't match with the mission  dates I was offered. 

Back up 4 months to to January 2026 when I received an email from the Operation Smile Volunteer office with 4 upcoming needs for Recovery Room Educator Credentialed Nurses. The first 3 I had conflicts for & the last one - Ghana in June was one that could work. I immediately emailed back saying I was only available for the Ghana mission and would love to be considered. The international volunteer coordinator said she would forward my "interest" to the Ghana headquarters & see what they said....and 2 weeks later they offered me a role on the team :)  I am so excited to get back to this work that fills my heart and spirit and helps children and families. This time I am doing it FAR AWAY....Ho Ghana to be specific 7500 miles from home according to Google.

I will have a VERY early start tomorrow morning - 2:30 wake up alarm & at 3 am Doug will drive me to LAX to arrive about 4 am for my 6:20. While the travel is long - A TOTAL OF 16 hours flying-I do have a pretty direct route- LAX to JFK (5 1/2 hour flight) 2 hour layover at JFK then JFK to Accra Ghana (10 1/2 hour flight). I will arrive in Accra at 7 am on June 3rd - then find my way to the shuttle to take me to the "Crystal Palm Hotel". I will stay overnight there with other volunteers and then on Wed June 4th we will travel 175 km (about 3 hours) to Ho Ghana the site of the mission.  

This is ALL POSSIBLE today because my VISA from the OSI leaders in Ghana just arrived THIS MORNING!!!! There was a lil underlying concern over the weekend but it was in my email when I woke up this morning. Talk about lots of last minute prayers answered! 

I am serving on this education focused mission & my role as a recovery room nurse will be more of a “trainer” for local Ghanian nurses. Getting the details has been slower this time & I just received the "Team Packet" last Friday...I always look to see if there are any other volunteers on the team list that I may know from past missions with but this time I was surprised to see I am the only USA volunteer...the majority of volunteers are from Ghana or other parts of Africa (DRC, Ethiopia, & 2 from Egypt) and ME!!! All the trainees are from Ghana & I along with a credentialed nurse from Ghana will train 4 new Recovery Room nurses. At times like this I always wonder...for what purpose (aside from the mission) am I going to Ghana? I always feel that I end up going where I am supposed to be on these missions and there are no coincidences 😊

As I always do I did reach out to the local church leaders there letting them know I was coming & that I hoped to connect with them & help church members & others in their area. There are small branches of the church in Ho & the District Women's Society President Sister Quaye replied a few days after I sent my email & said that she was aware of the mission and works at that hospital the mission is being held at - my heart felt immediately comforted that perhaps I would have a "friend" at the hospital - which meant even more after I found out I was the only USA volunteer.  Just a few days ago the District President Benjamin Ofori emailed and he is a Public Health Officer with Ghana Armed Forces Medical Services at the Artillery Unit Hospital in Ho. (I am unsure if that is the hospital we will be at?) He also told me they were "ready to receive me and would stay in touch" I think I will phone then once I arrive in Accra. I have friends who have served two church missions there so they have given me some help as I prepared.  I have done 6 other missions in Africa - Ethiopia x3 (East Africa), Kenya (East Africa)- my very first mission 15 years ago, and Morocco x 2 (North Africa)  This time I will be in "West Africa" & there is a 7 hour time difference 

The "Wikipedia" information I have on the area of Ho is that it is in the Volta Region  with a population of 180K and is supposed to be one of the cleanest cities in West Africa - so that's a plus! It has a tropical savanna climate (translation the weather app says it will rain a part of every day). The primary ethnic group there and language is the Ewe...more to learn once I get there...

As always my blog is “my journal” I share with you on these trips so it may be a bit boring 😊 but I will update while I am there & 14 years later I have not yet figured out how to fix the way it posts on Facebook??? I really need Tech Support!!!! As you can see I had an issue with this first entry...no idea about the formatting that is showing.

I would be immensely grateful for your prayers & positive thoughts as I begin my travel on June 2nd and the throughout the time I am in Ghana until I return late in the night on June 13th. A mission trip  always brings some uncertainly that I acknowledge - and I can be BRAVE - but I have to admit I am a bit more insecure thinking I am the only USA volunteer. I know it will also be a wonderful opportunity to make MANY new friends from Ghana. 

Lots of Love,  Nurse Nancy

 

Monday 4-8-2024 A day in Porto Velho post mission

I have an hour before we leave for the airport, so I decided to try & complete this blog post now as when I get back I have work and travel to Utah next week. While it is fresh in my mind I wanted to finish up. Yumi & I slept in until 8:40  -it was glorious! We went to breakfast at 9 am & for the first time I notices a “Panini maker” that they use to make toast – and they serve ham & cheese in addition to ALL the Brazilian fare that I did not eat. So, I decided to make a panini breakfast sandwich & mix it up a bit 😊 We saw the team who was still here for the day & who all fly out tonight. Different people were making plans for the day. Yumi headed out to go shopping with a group . I made my 2^nd trip across the street to get some Coke Zero & get Yumi a Moster as she manages her travel tonight. I was happy to come back to the room, put on some music and catch up on my blog and begin packing.

I am on GOL Airlines for my return flight & go from PVH to BSB (Brasilia where I have a 4 hour layover them from BSB to Orlando where I have about 2 hours to get thru customs & catch my flight to LAX returning there at 10 pm tomorrow night. GOL has a bad reputation in airflight, poor reviews and are trying to file for Chapter 11 – not too encouraging. Last night I was able to find my reservation & see that I have assigned seats but it was too early to check in. Today I get to the same place & then they cannot locate my reservation & I can’t check in. It is the same for the majority of people flying on GOL…and I have tried multiple times today so I am counting on it all being fine when I get to the airport. Several others are on my same flight to BSB & 3 or 4 others are on my next flight to Orlando so I will be nice to have company as I travel.

At 1 pm Sister Rosemary picked me up on her lunch break. She works very close to the hotel & is in finance for car companies? After she got me we picked up the sister missionaries & then drove about 20 min out of town to a grocery store that she said had good prices. Sis. Gabriella & her 16 year old son met us there & we ended up buying 200 1Liter boxes of milk so that each food basket will get 4 liters. I asked if there was anything else & they said: “the children love chocolate” so we ended up buying 50 containers of “chocolate” to go in the milk – like Nestle Quik. The 16 year old was the muscle to load the car - we took a few photos said our good byes. Sister Rosemary dropped me at the hotel – we took a few more photos & hugs & then she was taking the sisters back & going back to work. She text me later “Again sister please share our deep gratitude for everything you and your wonderful friends are doing for the families of Porto Velho -Rodonia -Brazil”. They plan to put all the baskets together this Saturday & deliver them over the next week :) I had an hour to finish packing before we needed to meet in the lobby for our boat ride on the Rio Madre de Dios – River of the Mother of God. The river was pretty brown & I am sad to say there were exactly zero pink dolphins spotted. It was a nice lil cruise though with music and a snack bar & visiting. The captain even let me drive for at least 2 minutes – for a photo op at his insistence! There was a beautiful sunset over the river as we docked.

After the cruise we went to a place called Barto for hamburgers-they were actually quite good! And I visited with Carlos a plastic surgeon who I have probably been on 4 or 5 South American missions with. He is a nice man. We just got back to the hotel  -showered to be fresh & clean for our flights & are finishing things up (like my blog) before we leave for the airport.

It was a lot of travel & I have just as much in front of me but even with all the travel if asked I would do it all over again. The ability to meet faithful members of the church & see them volunteer with the  same “Helping Hands” vests that we wear at home helping our friends and neighbors was touching, the miracle of the 50 food baskets and the generosity of my friends is something I will never forget. The sweet children and their families reminds me why I became a nurse & the opportunity I am given to use my talents for good. My connecting with the 10 missionaries in this zone reminded me there are AMAZING young people in the church willing to serve & parent who have prepared them (I forgot to mention that the one elder from Spain was a professional soccer player there & made a decision to give that up & come  on his mission) He was great & would find me every day & say “Sister Nancy are you okay”. Understanding the commitment of and feeling the love that these stake leaders have for all people who are in their boundaries was touching & recognizing the environment that they serve in is so challenging – reminded me how grateful I am for all who serve in church callings.  Meeting people like Yumi I also know was also not happenstance…I was scheduled to be with a different person but the debacle of the room assignment when I arrived turned out to be something wonderful. Doug & my family support of these endeavors is so important to my ability to make these trips & my team at work who know that these trips fill my bucket & touch my core. So as the mission comes to an end I am simply GRATEFUL for the uncountable blessings that have come my way over the past 8 days. I am so blessed. Ready to head home first flight in 4 hours at 1:15 am. Praying the travel angels accompany me!