About Barki's

Our family is embarking a new adventure we feel God is calling us to. We have accepted a volunteer position with Mercy Ships that carries a minimum two-year commitment. Mercy Ships is an organization that delivers free medical care aboard a traveling hospital ship to the poorest parts of Africa. The ship is a state-of-the-art facility that offers clean water, reliable electricity and care centers. Many of these patients are truly hopeless, afflicted with disfiguring and immobilizing conditions. Often viewed as cursed, family, friends, and entire villages want nothing to do with them. Through God’s healing touch, Mercy Ships offers a chance at a new start and a picture of hope and healing that Jesus offers to all. Brian will serve as the anesthesia supervisor. In addition to taking care of patients and providing leadership to the anesthesia department, he will also be helping to educate local healthcare workers to improve the quality of care being delivered in the host countries. Jamie will be doing administration in the hospital. Brandon, Maya, and Hannah will attend the accredited academy on board. Jamie and the children will also be able to help with other ministries, such as orphan care, and with the patients on-board. We will be docked in Madagascar during the first year. Our destination the second year is not yet known.

National Geographic Update!

Exciting news for those of you, especially in the US, who have been waiting VERY patiently for the National Geographic series on Mercy Ships. It’s now available to stream online!

You will need a cable/satellite provider.

Enjoy, and if you watch Episode 2, please do your best to disregard my funky Friday attire. I’m not always that ridiculous!

Go to https://www.nationalgeographic.com/tv/surgery-ship/.

Happy streaming!

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See You Tomorrow!

Hey Tulsa Friends!

Just a reminder that we will be at the Church at Battle Creek tomorrow (Tues, June 19) from 6:30-8-30pm. We hope to see you there!

Teaching to Fish

You know the saying.  “Give a man a fish, feed him for a day.  Teach him how to fish, feed him for life.”

I’ve always been a little hesitant when it comes to fishing.  I think it all goes back to my first fishing experience, when I went to a trout farm as a young boy.  I was told that we were guaranteed to catch a fish every 5 minutes.  3 hours later, nothing.  While everyone else was reeling them in, I didn’t even have a single nibble.  I think a little teaching could have gone a long way.

This year, I’ve had the privilege in Cameroon to do some teaching with our Medical Capacity Building (MCB) program.  The goal of this program is to increase the capacity of the medical systems of the countries we serve.  In other words, teaching people to fish.

When we first decided to join Mercy Ships, I admit that MCB was not the reason.  I wanted to be a part of the amazing surgeries.  After all, aren’t we all drawn to those stunning before and after photos?

Now I’m not dismissing the importance of the surgeries we do on the ship.  They truly are life-saving and transformative for the patients we serve, but they are the giving of fish.  With MCB, we have the opportunity to come alongside our African colleagues and empower them to use their God-given talents.

Our MCB programs have been growing each year.  We train surgeons, anesthesiologists, nurse anesthetists, OR nurses, PACU nurses, ward nurses, ICU nurses, sterilizers, biomedical technicians, physical therapists, and even farmers.  Why farmers?  By improving agricultural practices, we can improve nutrition, which leads to better health.

Anyone who has seen my gardening skills knows that I am in no position to teach about farming, but I do know a little about anesthesia.  This year, we trained 6 Cameroonian anesthesiologists and 12 nurse anesthetists on the ship.  I am so thankful to our short-term anesthesiologists that put in the extra effort to pour into our local doctors and nurses.

In addition to our usual anesthesia mentoring, I was also able to do some extensive teaching in ultrasound-guided regional anesthesia.  This is a type of anesthesia that uses ultrasound to inject medicine around nerves in order to make a part of the body numb.  These injections may be used to decrease post-operative pain, but can also be used as the sole anesthetic in certain situations.  It can be an extremely valuable tool in high-resource settings, but also in low-resource settings when the ability to give general anesthesia or pain control may be limited.

I trained several local anesthesiologists and nurse anesthetists through a series of lectures and hands-on workshops where they practiced on both artificial and live models.  They also performed nerve blocks on some of our patients on the ship.

The most exciting part for me was to spend several days with our course participants at their local hospitals in order to help them start regional anesthesia programs and reinforce the training that we did earlier.  Thanks to generous donors around the world, Mercy Ships was able to donate an ultrasound machine to each of their hospitals.  These machines each cost several thousand dollars, but are invaluable when it comes to regional anesthesia.

This was the first time I was able to spend a significant amount of time teaching in local hospitals.  Let me tell you that it has brought a different kind of satisfaction to my work with Mercy Ships.  I’ve always loved the feeling of taking a person’s pain away and easing their suffering.  Seeing someone else do this, someone that I taught, was incredible!  Not only seeing their patient’s pain melt away, but also seeing the passion for regional anesthesia come alive.  And when I say passion, I’m not only talking about the anesthesia personnel.  The surgeons got on board (pardon the pun) quickly as did the OR nurses.

At one hospital, the Chief Medical Officer, an orthopedic surgeon, thanked me many times for the training that was provided.  He said, “You have changed the culture of our OR.  We now know what is possible.”

At another hospital, an OR nurse was asked what the best part of the MCB program was.  She could have said any of the dozens of programs we offered.  I would have thought she would have said surgeon or nurse mentoring.  Or perhaps biomedical or sterilizing mentoring.  Instead she said, “Regional anesthesia.  It is cheaper for the patients and the hospital.  It is safer, and the patients are also much more comfortable after surgery.”

It’s always sad leaving a country at the end of a field service, but I do feel that because of the MCB program, of which regional anesthesia was only a tiny part, we have left Cameroon a better place and their medical professionals better equipped to use their talents to continue the healing long after we are gone.

I truly thank God for this chance to teach regional anesthesia and the friends I made along the way.  And also that He didn’t ask me to teach actual fishing.

 

 

Tulsa Get-Together 2018

Hello Tulsa Friends!

We are back in the US for a little break, but unfortunately we will only be in Tulsa a few days.  We’d love to see as many of you as possible, so we are having a get-together a week from today, Tuesday June 19th from 6:30-8:30.  We’ll be at the Church at Battle Creek (3025 N Aspen Ave, Broken Arrow, OK 74012) in room S1.

We know it’s short notice and that you all are very busy, but we’d love to catch up.  Hope to see you there!

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Brandon’s First Blog

We asked Brandon to write his first blog.  It’s only been about 3 years, but we thought it was about time!

First a quick update about the end of the field service:

The last scheduled surgeries of the Cameroon field service have taken place.  The hospital closes next week.  It’s been an awesome, but long 10 months.  We do need prayers in particular for one patient that will need ongoing care at a local hospital.  Please pray for continued healing for him after the ship leaves.

And now, for Brandon’s blog!

“On board the Africa Mercy, while the adults are working hard, the children attend the school. It is normal school for children ages 1 to 18, except that they do a few different activities. Field trips to the beach, going to an orphanage, and swimming at local pools are just some of the many activities that the children get to do, but on this occasion, the children in 6th to 12th grade got to shadow a department on the ship.  While doing this activity, there are many job options and you have to choose. Some options include engineering, teaching, and supply.

This year I had the privilege of shadowing the communication department. They are in charge of marketing and publicizing Mercy Ships. Jobs in this department include photographers, videographers, writers, and media liaisons. Over the course of three days, I followed two photographers, two writers, and a media liaison.

My first day was spent hosting a group of Dutch donors. My second day I got to shadow a photographer. On that day I learned how to edit and process photos. My third and final day, I went to the patient recovery site called the H.O.P.E. Center where I followed a patient and took pictures for a little bit. Then for the rest of the day I was with the writers, and interviewed crew for stories that are posted online.

I really enjoyed photography (I had already been interested in it before) and editing pictures in LightRoom. During this job I also realized how important the communications department is to the ship and organization.”

Some pictures of Brandon and pictures that he took and/or edited:

 

Conquering Fear: Fanta’s Story

It’s hard to work if you’re a teacher who’s afraid of children, a jockey afraid of horses, or even a nurse afraid of surgery, like 44-year-old Fanta. Despite working in the medical field for over 17 years, Fanta was too frightened to undergo surgery to remove a 10-pound Lipoma tumor under her right arm. For nearly 10 years, she learned to strategically hide the tumor under draped shawls while she worked, refusing to have surgery to remove it.

“How can I expect people to respect me as a nurse and not be scared themselves when I am too afraid to do anything about my own problem?” Fanta said.

Since she was a young girl, Fanta saw nurses at her local hospital in their uniforms taking care of people, and she knew she wanted to be a nurse, too. But, after hard work and a long journey to achieve her dream, her watermelon-sized tumor made it hard for her to wear the uniform she’d longed to wear as a girl. As the tumor grew painfully large, she knew something had to be done. However, working in the local hospital only heightened her fears of having surgery.

“My colleagues told me I would die if I tried to have it removed, and that I had left it too long,” Fanta said. “I see the surgeries, I see the blood, and I hate the thought of not being in control of my own body.”

When she heard about Mercy Ships through her hospital, she was filled with hope instead of worry. During her consultation with Mercy Ships, she felt more at ease than she had ever felt before.

“The nurses at the ship are so compassionate and loving,” Fanta said. “They kept reassuring me that everything was going to be more than okay, and something in me trusted them!”

It only took a three-hour surgery onboard the Africa Mercy for Fanta to realize how much her fear held her back for the past decade. Her lighter arm and brighter smile made her wonder why she’d waited so long.

“I can now lift my arms with ease! I will be able to dress like the other ladies at my hospital,” Fanta said. “My husband has already bought me some new fabric so I can make more dresses that show off my arms!”

For patients like Fanta, Mercy Ships removes more than just tumors. After her free surgery, Fanta’s fear and anxiety were dispelled as quickly as her hope was restored.

Story by Georgia Ainsworth
Edited by Karis Johnson
Photos by Saul Loubassa Bighonda

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To avoid scaring her patients, Fanta strategically hid the tumor under draped shawls while she worked, refusing to have surgery to remove it.

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44-year-old nurse, Fanta, was afraid to undergo surgery to remove the 10-pound tumor that had been growing under her right arm for a decade.

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“The nurses at the ship are so compassionate and loving,” Fanta said. “They kept reassuring me that everything was going to be more than okay—and something in me trusted them!”

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“I am so thrilled to be out of surgery I can barely believe it. My arm is so light,” Fanta said. “As soon as I can, I am going to wear strappy tops to show off my new arm!”

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Since she was a young girl, Fanta saw nurses at her local hospital in their uniforms taking care of people, and she knew she wanted to be a nurse, too. But, her watermelon-sized tumor meant she couldn’t fit her arm through the sleeve of her uniform. Now, she wears her scrubs with pride.

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Her lighter arm and brighter smile made her wonder why she’d waited so long. “I can now lift my arms with ease!” said Fanta.

On Top of the World (at least sub-Saharan central and western Africa)

Last weekend, we had the the opportunity to climb Mt. Cameroon, elevation 13,255 ft (4,040 m).  According to Wikipedia, “It is the highest point in sub-Saharan western and central Africa,[5] the fourth most prominent peak in Africa and the 31st most prominent in the world.”

One of the other fathers (Captain John) and I began planning this adventure several weeks ago.  I initially thought Brandon and I would represent the Barki family on this trip, but Maya asked me if she could join.  How could I say no?  After all, Brandon and I had climbed most of Pikes Peak (14,115 ft, 4,302 m) a couple summer’s ago, and only had to turn back because of inclement weather.  I thought Mt. Cameroon would be relatively easy.

I was wrong, but more on that later.

We managed to amass a large group of 17 people, all from the ship, and what an incredible group it was!

The trip would take 3 days, and we were asked to each pack a small backpack with snacks and sunscreen.  All of our bulkier items that we needed overnight needed to be packed in 4 large backpacks that our guides would carry.  The guides would also carry all the water we needed as well as other food and supplies.  Did I mention we had a group of 17??

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Brandon and Maya trying out 2 of our larger packs.  They were glad our guides would be carrying these!

We left the ship at 6AM on Friday, and after a car ride and some paperwork, we were hiking by about 10AM.

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Group photo before starting our hike.  We still have our sweet smiles and sweet smells!

We started off in an area that was mainly farmland.  The heat and humidity were stifling, and most of us were drenched in a matter of minutes.  This was despite the fact that we were each only carrying our day packs.  Interesting how our guides weren’t struggling at all.

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We then entered a beautiful rain forest, which was also very hot and humid.  Thankfully our guides gave us frequent breaks, or else I would have been done in a matter of hours.

The rain forest then opened up into a savannah that then transitioned into a volcanic landscape.  Did I mention that Mt. Cameroon is an active volcano?

Now I mentioned earlier that this was a difficult hike.  It was much more difficult than Pikes Peak.  The heat and humidity that we initially encountered weren’t exactly pleasant, but it was something else that would really challenge us the whole weekend.  You see, evidently the trail blazers/makers or whatever you call them, didn’t believe in switchbacks on Mt. Cameroon.  Most of the trail felt like it was literally straight up the mountain.  And to make matters worse, after the savannah, the terrain was made up of loose, sharp, volcanic rock.

Going up was quite the cardio workout.  There wasn’t much talking among the 17 in our group.

Of course the guides were fine.  They would sing and talk and ask us if we needed any help.  Need them to carry a backpack?  No problem.  How about a person?  Evidently that’s no problem either, although thankfully it never came to that.  These guides work incredibly hard, going up and down the mountain 2-3 times per week carrying people’s gear.  Watching them bound up and down the mountain with such ease was both awe-inspiring and frustrating.

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One of our guides looking after Maya.

The first day ended with us climbing the most difficult part of the mountain, called “The Monster.”  This area was especially steep.  Our reward for climbing it was arriving at our resting spot for the night, the Phako Mountain Lodge.  It was a welcome sight after hiking for 7 hours, but it was cold!

At this stop, there was a small snack bar and even some cottages.  How did those structures get built?  One of our guides told us that people would hire them to carry up construction materials.  One example, a 110 lb (50kg) bag of cement!

Our group slept in tents, some more sturdy and warmer than others.  We were fed a nice hot meal of spaghetti, and we were all in bed by about 9pm.

We were up the next morning at 6am.  Our guides prepared breakfast for us, and then we were off again.  This time for the summit!

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Eating breakfast at the outdoor kitchen.

The terrain on day 2 was not quite as difficult (although still plenty challenging), but the altitude did start to have an effect on some of us.

In such a big group, we naturally divided up into smaller groups.  I stayed with Maya, Deddy, and Emilie.  We referred to ourselves as “The Caboose.”  Once we started getting close to the summit, we had to take frequent breaks.  Emilie would go ahead of us about 20 steps and scope out a place for us to take a “breathing break.”  After several breathing breaks, we would reward our selves with a “sit-down break.”  I will say that the faster people in the group did a great job of waiting for us to catch up and cheering us on each time we arrived.  There wasn’t even a hint of anyone becoming impatient.  As a father, I was so appreciative of that.

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An attempted selfie.  I have some practicing to do.

As we approached the summit, it was extremely windy.  Clouds raced by us, and it was difficult to hear anything besides the wind.  In the video below, that “hill” in front of us is actually the summit!

Our guides told us that the youngest person that had made it to the summit was about 13 years-old.  Brandon made it up before us, since he was part of a faster group.  He later told me that as an 11-year-old, he had to savor the few moments of being the youngest person to summit Mr. Cameroon before his 9-year-old sister arrived!

When we finally made it to the top, the rest of our group had already been waiting there for quite a while.  They still welcomed us with cheers and smiles, even though I know they had to have been freezing.  What a feeling to reach the top!  I was so proud of Brandon and Maya.

After savoring a few moments at the summit, it was time to start our descent.  This was a different kind of difficult.  On one hand, it was a relief to finally be using different muscles, but on the other hand, I think my toes were cursing me for organizing this trip.  Those toe nails can only be smashed into the front of your shoes a few hundred times before they start to complain!

On our way down, we did pass the site of the volcanic eruption that occurred in the year 2000.  We also got to pose with a big boulder that was thrown by the eruption.

I kept hearing that going down would be harder than going up.  I can’t say I totally agree. I found that we were able to talk more on the descent, so perhaps it was less strenuous on the cardiopulmonary systems, but the toes were definitely feeling it.  It was also a lot easier to fall on the way down with the loose footing.  Our guides told us that every time our rear ends hit the ground, we had to buy a chicken.  This became a running joke.  If we heard someone even stumble, we would yell, “Chicken!”  By the end of our 3 day journey, we had accumulated 26 “chickens” as a group.

Day 2 ended where it began, back at the Phako Mountain Lodge.  Maya, Deddy, and I were the last to arrive around 5:30pm.  Another long day.  This time, our guides fed us some chicken with peanut sauce over rice.  It was delicious!  I think everyone was in bed that night by about 8pm.

The final day began at 6am again.  We packed up, ate, and headed off.  We hiked back down the Monster, which was the source of many more “chickens.”  We continued down the mountain until we were back in the rain forest.

We finally arrived back to our starting point around 2pm, each of us feeling absolutely drained, but also incredibly blessed.  Here we were, a group of 17 people from all around the world, with varying ages and physical ability.  All of us made it to the top and back down again without any major injuries–only a few chickens.  Thanks be to God!

We had people in the group that have hiked all over the world, including Nepal and Kilimanjaro.  They said this hike was just as difficult, if not more so, than anything they’d done in the past.  I was so proud of our group, and really proud of my kids.  It was a much-needed escape into nature since we are usually surrounded by the concrete and shipping containers of the port.

I hope they will remember this the rest of their lives.

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Yes, we’re still smiling, but the sweet smells are long gone!

Of note, there is a race every year up and down Mt. Cameroon, called “The Race of Hope.”  It is the distance of a marathon, but with a mountain thrown in there for good measure.  The race took place the week before we hiked.  The winning time?  4 1/2 hours.  That’s crazy!  It took us 3 days!  And yes, it’s an extreme physical challenge running up the mountain, but how do you run down a steep slope littered with jagged, loose, volcanic rock?  I mean, I could do it, but not without rolling an ankle, or breaking an arm, or face, or neck.  Much respect for those racers!