A Kitchen of Chickens, Goats, and Cookies

(Bogota, Montería, Colombia: June, 1997:) Our first stop was way out in the mountain jungles in a township called Guateque. From Guateque we traveled the muddy, washed-out roads to El Oscuro township. Because of the nearly daily downpours of rain, the roads were impassable except via donkeys, horses, and four-by-four rigs. The soil was a red clay that was very sticky and slick when mixed with water, and there was no gravel or decomposed granite base under any of the roadways. So where large amounts of water were running across the dirt roads, there was likely not to be any bottom to them.

In El Oscuro we assessed a very rural clinic. Across the roadway was the farm of one of the leading villagers. The dirt-floored, thatched-roofed house had no doors or windows but had plenty of chickens, ducks, turkeys, and pigs running through the house. The walls of the house were papered with pages out of old magazines in an apparent effort to keep the dust from blowing through them during the dry summer months. Large sheaves of rice hung from the rafters to dry. Before we left the primitive farmhouse we were served—and were expected to eat—some fresh coconut pudding and coffee, which I was dead certain were both made with bad water.

San Isidro was our next stop on our mountain tour. Rebecca Lupes is the township health-care provider and midwife. She is not a doctor or a nurse but does run the local clinic, except when the traveling government doctor comes around on Tuesdays and Thursdays. The clinic serves well over three thousand people and is very busy. Project C.U.R.E. can really help out just by sending a dental chair and a dental X‑ray machine. If those were in place, Rebecca felt she could get a dentist to periodically come to the township to help.
 
Other than the terribly obvious things needed in San Isidro, Rebecca requested first-aid kits for the other villages in the township, weight scales for children and adults, and a battery-operated megaphone of some sort to announce to the villages when the doctor was to arrive. There are no medical supplies, no oxygen facilities, no intravenous supplies or equipment, no medicine, and no sutures. They desperately need medicine to treat parasites, lice, ringworm, skin diseases, respiratory problems, and diarrhea. Other than having nothing, they are in great shape.

Our delegation stayed in San Isidro, and Father Bernie performed Mass for the township. The little chapel was packed out, and Justin and I had to sit right up front facing the congregation after being introduced as Project C.U.R.E. people. Rebecca, her mother, and her entire extended family prepared food for us to eat before we left to drive back to Montería. I took a picture of Rebecca in her kitchen preparing rice, yucca, soup, and a garden salad for us. Again, the homes had no doors, windows, or walls … mostly just thatched roofs and privacy walls around some of the bedrooms. The outside wall of Rebecca’s kitchen was a low fence. On the other side of the fence was a muddy pen where pigs, chickens, and goats were all sloshing around. The water used in the kitchen was caught from the roof in a moss covered concrete container. We all sat down and ate the food and drank the coffee. I prayed a lot!

On our way back to the city, we made one more rural stop. A young couple with a house full of kids was doing a grand job of running a farm of banana trees, passion-fruit trees, maize, guava, and other crops. We went into the kitchen, where the young mother was making cookies. I watched with amazement. She was rolling out the dough with an old, slender bottle.

There was a fire on the dirt floor right in the kitchen area. She had a big black kettle sitting on the floor, with three logs burning, one on each of three sides. On the floor next to the logs was a piece of sheet metal with another fire going on it. She would cut out the round cookies, place them side by side inside the kettle bottom, and then pick up the piece of sheet metal with rags and leaves, being careful not to get burned by the fire burning on the sheet metal, and place the sheet metal, fire and all, on top of the big black kettle.

I stood in awe and disbelief as in a few minutes she removed the sheet metal and took the cookies out of her makeshift oven. The smoke was hanging heavily in the kitchen from the unvented wood fire in the middle of the floor, but the smoke never bothered the hens that were lying on their nests along the inside kitchen wall, and the smoke certainly never interfered with my sampling some of the best-tasting cookies I have ever eaten. That was well worth the whole day in the mountains of Colombia, South America.
 
From Canalete we traveled north to the coastal town of Los Córdobas, and then north and east following the Caribbean coastline to Puerto Escondido. There are great numbers of refugees taking flight from the neighboring state of Antioquia. That state includes Medellín, the center of the drug-cartel trading business. There is so much violence and abuse of power in that part of the country that families actually leave their farms and flee to towns across state lines for safety and protection of their families and possessions. The drug-cartel thugs simply come to the rural farms and demand chickens or anything else they desire. If a farm family resists they are shot. If they supply the drug cartels, then the government troops come and demand what they would like. If the farmer resists, the troops tell the farmer they know he just gave chickens to the drug lords. That is considered aiding and abetting the enemy, so the troops shoot the farmer and take what they desire anyway.

Not being able to live in a situation like that, the fearful farmers simply abandon their land and buildings and become refugees in their own country—but in a different state.
 
At all the medical clinics in Colombia, we saw signs that said CAMU, which stands for “Centro de Aténcion Médica de Urgencias” or “Center for Urgent Medical Attention.” We found such a sign at the Puerto Escondido clinic. The clinic serves a population of fifteen thousand and has only one full‑time doctor and one and a half nurses. (I hung around to see what the half nurse looked like, but she never showed up.)

There are ten smaller “clinics” out in the remote rural areas, but most of those never see a real doctor inside their clinic walls.

Puerto Escondido needed an X‑ray machine, all kinds of simple medical supplies, blood-pressure cuffs, thermometers, a birthing table, and lab-analysis equipment. The nurse asked me if I could please find some electric fans to help cool off the one-hundred-plus-degree temperature in the small labor-and-delivery rooms to help mothers in the delivery process.

The kind people at Puerto Escondido offered to prepare us lunch, even though it was about 1:30 in the afternoon. We certainly accepted. While they were busy fixing lunch, we walked down the cement steps to the undeveloped beach area on the shores of the beautiful Caribbean Sea. After lunch we piled back into our Daihatsu four-by-four and headed out again across the magnificently beautiful countryside of Colombia.
 
On our way from Puerto Escondido to Los Córdobas, the nuns began singing. Soon everyone was trying to sing along as we rode through the countryside. The nuns, Sister Corina and Sister Maria Teresa, were an absolute hoot. At estimated ages of sixty and sixty-five, respectively, they reminded me of a couple of teenage girls on a bus heading to summer camp. They laughed and joked and sang, and I thoroughly enjoyed trying to join in even though I couldn’t understand 95 percent of what was going on.

The clinic at Los Córdobas was the last clinic we visited today. It was getting late in the afternoon, and Father Bernie was making the Daihatsu go just as fast as possible up the hills and across the rough roads in order to keep an appointment he had set for us at 6:00 p.m.

We all were dirty as pigs and windblown from our long day’s journey, but there was no time to go back to the parish house to freshen up. So we drove directly to our appointment with Bishop Molina, the head bishop of the Diocese of Montería.

Next Week: Mission Accomplished in Colombia

Jumbo Jets to Colombia

(Bogota, Montería, Colombia: June, 1997:) Project C.U.R.E. is experiencing growing pains. It is so exciting to try to obediently walk through all the opening doors as quickly as they open. Just a few brief years ago, entrance into most of the countries into which I am now traveling would have been very difficult. However, I have always subscribed to the notion that there is no such thing as a closed country if one is willing to go in and not necessarily come back out. And yet the process of going into these countries and coming back out again safely has been miraculously smooth. I have envisioned the hand of God moving in situations, providentially opening the appropriate doors and dramatically shutting the doors through which I should not pass.

Almost every day I feel the pressure of increasing our efficiency in gathering the lifesaving medical materials. I also know that I must discover new supply sources. It really has become a delicate balancing act of keeping three major areas of the Project C.U.R.E. operation moving ahead at the same time. Whenever I go to a performance of the Moscow Circus in Russia, I readily identify with the crafty fellow trying to keep all the dinner plates successfully spinning on top of the spindly poles. In Project C.U.R.E.’s case, I, of necessity, have to spend about one-third of my time performing Needs Assessment Studies outside the US, one-third of my time trying to secure donations of medical supplies and equipment, and the other third of my time raising money to cover all the costs involved in the operation. The problem seems to come when another third of my time is needed for shipping and details of logistics … and another third of my time is needed for recruiting and developing necessary volunteers around the country … and another third of my time is needed to cultivate partnerships with other missions groups involved … and another third of my time is needed to establish strategic political contacts in New York and Washington, D.C. … and a full half of my time is needed for me to be a good, well‑read Christian, husband, dad, grandfather, and friend.

In order to keep it all in focus and ranked according to priority, I have simply confessed to God that I need to give back to him all the tasks, all the time slots, all the expectations, and all the results and depend totally upon him to give sufficient wisdom to adequately fulfill all those things possible in his view, and then ask him to send to Project C.U.R.E. the dedicated people necessary to help accomplish the rest.

I have to continuously recall the night I was lying in bed in a cold sweat, staring at the ceiling, fretting about all the places I had visited and promised to send medical goods. “What if I cannot gather enough goods to send to all the places I’ve committed to?” I wondered. Then in the panic of the night hour, God’s assurance came into the bedroom along with his announcement, “I will always give you just a little bit more than you can ever give away.” I rejoiced and took courage in the darkness of that night … and I do so now on almost a daily basis.

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The involvement of Project C.U.R.E. in Montería, Colombia, has a very interesting twist. Following Project C.U.R.E.’s trip to Old Saigon, Vietnam, Colonel Benjamin Pieczynski from Peterson Air Force Base in Colorado Springs and I were introduced, and we began planning a strategy for using US Air Force C-130 cargo-transport planes, based in Colorado Springs, to take our humanitarian medical supplies to our targeted areas. After much negotiation and red tape, it was ultimately concluded that the colonel would fly our goods free of charge into any areas of accessibility, as long as he and his crews could fly out of Colorado Springs, deliver the cargo at the designated location, and fly back to Colorado Springs all in one weekend. So we drew a little circle on a map designating the circumference of the area to be serviced within the weekend time frame. It basically included the area in the Caribbean and the northern tier of countries of South America.

At one of our meetings with the colonel and his staff in Colorado Springs, I was introduced to Andrew Pisini, a mission director for the Catholic archdiocese in Denver. Almost as a favor to the colonel, I was asked if Project C.U.R.E. could include one of Mr. Pisini’s missions projects in Columbia, South America, in our plans. I told the colonel I would be more than happy to work closely with Andrew, especially since the colonel would be flying our medical supplies to South America via US Air Force C-130 cargo planes. That willingness on our part seemed to cinch the deal between the colonel and me. Thus began the relationship between the archdiocese and Project C.U.R.E.

Another interesting factor went into the mix for the Colombia trip. Earlier I had agreed to take with me on my Jamaica trip in June a young man by the name of Justin Mouttet. Justin will be a senior at Colorado Christian University this fall and has been elected student body president for the coming year. He had heard me speak at a CCU chapel once and determined to not only get involved with Project C.U.R.E. himself but to also help get CCU students and staff involved. Justin was aware that I had taken David Sattler from the CCU administration with me to China and was very anxious to be a part of a Project C.U.R.E. trip. I decided to take Justin Mouttet with me on the Colombia trip. I also invited Khanh (pronounced “Con”) Hoang, a young Vietnamese Catholic priest to travel with us.

Saturday, June 28

The flight to Bogota was, as my friends in jolly old England would say, “delightfully lovely.” Colombia is so very green and lush, and Bogota lies nestled up against the high, tree-covered mountains. Especially from the air on our approach to the landing strip, Colombia looked like a beautiful green emerald with sculptured city and rural scenes on each sparkling facet of the gem.

We traveled from Bogota to Monteria where we met Father Bernie, who has now been in Montería for about six years. It didn’t take long for all of us to get acquainted and begin working together very smoothly. I really did not sleep well last night. I was sleeping under a flimsy, yellow mosquito net that Justin helped me rig up with ropes and clothespins. The beds they had set up for us were canvas stretchers that kept collapsing. Justin and I stayed in the same small room, which had no provision for hanging up any of our clothes and hardly any room at all to unfold a suitcase.

Mosquitoes and bugs were everywhere. Father Bernie gave us an atomizer hand pump filled with some kind of terrible-smelling spray and showed us how to hand-pump the mechanism to fog the bedroom with mist in an attempt to clear out the mosquitoes. We had to stay out of the room for at least ten minutes so the spray would not harm our lungs.

The parish water well had been condemned earlier, and they had tried to hook on to the terribly unsatisfactory town water system. Sometimes there was water; sometimes there wasn’t. Father Bernie informed us that if we decided to shower, we shouldn’t let any of the water into our mouths, and he also requested that we use only a very small amount of water to rinse ourselves off.

Morning finally came, and I climbed out of my mosquito net and off my canvas stretcher and got my feet on the floor. I must admit, the places we visited all day today made me feel ashamed for feeling disadvantaged by my parish amenities. Things sort of went primitive from there. Father Bernie, Andrew, Justin, and I left the parish house in our little white Daihatsu “jeep” and stopped by a convent to pick up Sister Corina and Sister Maria Teresa.

Next Week: A Kitchen of Chickens, Goats, and Cookies

SEASON TO BE GRATEFUL

Miracle to share: 

On October 26, 2016, a delegation of Project C.U.R.E. staff and board members traveled to Pennsylvania for the inauguration and ribbon cutting ceremonies of Project C.U.R.E.’s new Mid-Atlantic Distribution Center, located in West Grove, Pennsylvania. The warehouse and office complex consists of about 60,000 square feet of space and will serve the critical needs of Project C.U.R.E.’s expansion into the east coast resource market.

The facility, which has access to strategic international shipping ports, will begin serving manufacturers and wholesale venders of medical goods, and will immediately begin working with over 60 regional hospitals in the Philadelphia area.

Project C.U.R.E. has become the world’s largest handler of donated medical goods into over 130 developing countries. It now has large distribution facilities in the metropolitan areas of Denver, Colorado, Phoenix, Arizona, Nashville, Tennessee, Houston, Texas, Chicago, Illinois, and now Philadelphia. It additionally has collection warehouses in nine other cities across the U.S.

A generous grant from AmerisourceBergan, one of the largest global pharmaceutical and biotech manufacturers headquartered in the Philly area, allowed Project C.U.R.E. to acquire needed transportation and collection equipment for the new Philadelphia operation. Other medical and charitable organizations are stepping up to help Project C.U.R.E.’s new Mid-Atlantic endeavor.

When we started Project C.U.R.E. in 1987, I never knew that it would grow anywhere outside the borders of the country of Brazil. But God had other ideas. We start our 30th year of collecting and distributing medical supplies and pieces of medical equipment in January, 2017. It has been an awesome adventure and fortunately, each one involved is convinced that it has been the divine wisdom and engineering of God that has brought it all to pass. None of us is smart enough, strong enough, or gifted enough to take credit for that which has been accomplished.

With a dedicated force of over 25,000 volunteers in just the U.S. Project C.U.R.E. stands on tip- toe with eager anticipation as we look to a future of delivering health and hope to the desperately needy people around the world. Forbes magazine ranks Project C.U.R.E. as one of the 20 Most Efficient Large U.S. Charities and we are the recipient of the GuideStar Exchange Platinum Seal and the Charity Navigator Four-Star Rating.

Now is the season to be grateful. Now is the time to thank God for his miracles. Now is the occasion to reaffirm our vision and rededicate our efforts to help other people become Better Off. We are all a part of the great new miracle of Project C.U.R.E.’s Mid-Atlantic Distribution Center in Philadelphia, Pennsylvania. I am so grateful.


An Adventure of Hope and Pride

Congo: Wednesday, February 4, 2004

I was up at 5:30 a.m. and ready to meet for breakfast with all the medical doctors and hospital department heads. It was good to also be traveling with the president of Congo’s Covenant Church and the medical director of all the northern part of the Democratic Republic of Congo. 

Our touring part of the assessment took us until 12:20 p.m. Following lunch, I had group and individual meetings with the leaders of Karawa. The Karawa Township had about 350,000 villagers tucked away down jungle pathways. Plus, people traveled on foot for many days to get to the Karawa hospital for help. There were five doctors stationed at the facility along with 35 nurses. Only about 50% of all the patients could pay any amount of money toward fees for their help. Some patients' families stayed at the hospital to work to pay off their medical bills. The Congolese government paid nothing to support the hospital or the 48 rural health clinics that fed patients into the hospital. In fact, the government would send its soldiers to Covenant Church clinics and hospitals in expectation that the church would cover all their expenses. 

The Karawa hospital was the largest of the hospitals I visited but was totally pathetic. Again, as with the hospitals in Loco and Wasolo, they were trying to make their own IV solutions out of poorly filtered water that was in no way sterile. They desperately needed a new 20-kw, electric generator to cover their “current” needs. They needed almost everything for their surgery room and there was not an EKG machine, ultrasound, defibrillator, sterilizer monitor, ventilator, centrifuge, cauterizer, working x-ray machine, lead apron or gloves or good microscope anywhere in sight. They were washing all the surgery gowns and contaminated surgical drapes and sheets by hand in an open tub. I thought, as I viewed, “my God, we have so much excess and these people have absolutely nothing!”

But I knew down deep inside me that God loved those village people as much as he loved my successful sons and it was imperative to help them in their need. They had an old autoclave someone had given to them. But it had not worked. So, the maintenance people had stripped everything from the outside of the autoclave down to the pressure tank, then adapted it so that they could set it in a pit of hot charcoal to get it hot enough to steam. It did not thoroughly sterilize even the operating room instruments. 

When I had walked the halls and different wards I noticed a four-year-old boy whose shirt had been ignited by an open cooking fire. The shirt had stayed on him and burned him. He was sitting upright in an old dirty bed with no sheets underneath a makeshift mosquito net. His mother was sitting close by trying to comfort him but the hospital had absolutely nothing to treat a burned child. He would probably die in a few days from infection. The mosquito netting would certainly not be enough. 

Another teenage boy was in a filthy bed. They threw back the covering over his lower leg. He had a tumor below the knee. His lower leg was as big as his thorax and almost impossible to move. “He is not strong enough for us to try any kind of surgery so it just keeps getting larger,” said the doctor who was with me. 

At one time the Karawa compound had been a thriving community. Then wars came and even people like the Gustafsons and many of the medical staff had to leave the country. Now they were returning, including Keith and Florence Gustafson, to try to help strengthen the needed facility. That was why Project C.U.R.E. was there. 

As I returned to my mosquito-net-enshrined cot and my rusty water and plastic dipper, I reflected on my experiences at the three different Congo hospitals. Nowhere else in my 17 years of Project C.U.R.E. had I seen hospital beds so disgustingly filthy, or walls, floors, and ceilings that so desperately needed paint to cover the dirt. 

There had not been one working monitor in all of northern Congo. All doctors, nurses, and medical staff personnel were indigenous workers who were discouraged to the bone. The only defibrillator I had seen was a monstrous contraption that looked like an electric execution machine out of a Cambodian torture prison (fortunately the thing did not work). 

At my final meeting with the doctors and head nurses, I made them promise that if I sent them pieces of medical equipment for their hospital they would be trustworthy in throwing out all the old “prehistoric” pieces of equipment that had not and did not work. Together we would start on an adventure of hope and pride and together we would push for excellence and significance at the Karawa Hospital. They loved it! The president of the Covenant Church of Congo, Rev. Luyada, the medical director of the zone, Dr. Mbena Renze, and the hospital chaplain all appreciated it immensely! 

Thursday, February 5

I was up at 4:30 a.m. Sam and Rod, our MAF pilots, would be ready after breakfast to take us on our long airplane ride back to Kinshasa. Keith Gustafson stayed at Karawa so our first flight segment back to Gemena was to drop off Rev. Luyada. At Gemena we picked up two paying passengers who needed to get back to Kinshasa. They were two US embassy workers who had been out to Gemena studying the possibility of placing some grants and loans for development in the area. 

We flew another seven hours in our cramped Cessna 206 jungle flying machine, stopping once to refuel at a MAF base. 

At the Kinshasa airport I met up with another MAF pilot who had helped me on my previous trip to Congo. After hanging around with the pilots while they refueled their planes and tied them down, just outside Kinshasa’s main terminal, the three of them took me back to their headquarters office. It was in the same building where Larry Sthreshley had his office. As we drove up Larry came out to greet me. He had insisted that I spend the night with his family before going on to Cameroon. 

However, Rev. Mossi and Mr. Ndimbo, my official Covenant Church hosts, said that Martin had stayed home from her law school classes all day to prepare dinner for me. So, it was agreed that I would go to Rev. Mossi’s house for dinner then they would take me to Larry’s home to stay the night. 

The Sthreshleys and I stayed up into the night discussing my previous visits with them in Denver, in Younde, Cameroon, and Douala, as well as Kinshasa. 

I can’t tell you how nice it was to sleep in a house with some cool air, clean sheets on a regular bed, and real lights and nice warm water from a pipe in the clean shower stall. It all felt so good. 

© Dr. James W. Jackson

Permissions granted by Winston-Crown Publishing House


A Burning Desire to Help

Congo: Tuesday, February 3, 2004

Wasolo was an area of about 50,000 villagers, and the Wasolo Hospital had 11 different outlying health centers feeding into the main hospital. There was no water system for the area or for the hospital, but a public well was close by. Tuesday morning, I met with all the doctors and staff people of Wasolo Hospital at 7 a.m. The hospital, over the years, had earned a strong and positive reputation and drew from a much larger catchment area than just the main town. I discovered that throughout Congo a lot of the surgeries such as caesarean births and appendectomies were performed not by doctors but by the attending nurses. Nowhere did I see a functioning anesthesia machine. Surgeries were performed with local injection or nothing at all.

Dental services at Congolese clinics or hospitals consisted only of extraction procedures. Deadening was only used occasionally if available. 

The illnesses that most often affected the villagers were malaria, acute respiratory diseases, meningitis, diarrheal diseases, sleeping sickness, TB, HIV/AIDS, anemia, whooping cough, measles, and many varieties of intestinal parasites.

At 11 a.m. Tuesday, the MAF plane met us at the grassy runway and whisked us off over the jungle floor to bounce us into the medical zone of the Loco hospital. Once again we were met by scores of common villagers wanting to welcome us to their area. We needed to work swiftly because we needed to fly on to Karawa before it got dark. 

As we made our way in the back end of a pickup truck to the Loco hospital from the landing strip, I really struggled with how in the world those remote jungle hospitals could even continue to exist. There were 14 health centers or rural clinics that fed into the Loco hospital, but it had been ten years without the use of even the most simple x-ray machine. They had no dental facilities, almost nothing in their surgery room. They had never known an EKG machine, a defibrillator, suction pumps, or an anesthesia machine. 

They were even trying to make their own sterile IV solutions out of a simple series of fabric filters. One of the nurses told me they knew if they had not done a good enough job on filtering the IV solutions because the children would get the “jerks” while receiving them. 

There was no such thing as a continual electricity supply. Patients simply waited throughout the night and a small generator was used if there was a “drastic emergency” for the operating room but the high cost of diesel fuel prohibited much use of even the small generators. 

Just our “showing up” brought great encouragement and hope to the tired doctors and nurses. You could just feel the surge of excitement and enthusiasm pulse through the hospital as we walked the halls and talked to the patients, the department heads and nurses. No other groups had come alongside those remote jungle hospitals. Hardly anyone else knew them. Hardly anyone else came. The desire to help those needy people burned a hole right into me, and I could hardly wait until they received the first shipments of Project C.U.R.E. donations. 

The hospital at Loco had been built by the Belgians as a leprosy hospital, but it had never been finished or used. Then in 1963 a Covenant Church doctor by the name of Dr. Carlson traveled to Congo and began working among the people. He was shot to death by warring soldiers, and later the government honored the request that the facility be given to the Covenant Church as a permanent memorial to Dr. Carlson. It was a fine facility as far as Congolese medical facilities would go, but oh my goodness, it needed everything! 

In the late afternoon we once again bounced down the dirt runway and headed south to Karawa. As we were trying to beat the darkness we ran into a horrific rainstorm above the jungle. Sam, the MAF pilot, was flying our Cessna and for a while we completely lost all sight of the runway, the jungle, the sky, everything. He almost had to pull up and out of the approach path because we could not see anything out the front or side windows. Then suddenly there was a break in the fierceness of the burst, and Sam caught a glimpse of the runway and set the plane down in the layer of rain and mud. We were back on the ground in Karawa. 

It was dark as we walked from the landing strip area down the jungle pathway to Keith and Florence Gustafson’s house for candlelight dinner with the two MAF pilots. I felt great admiration for the missionary pilots. They risked their lives on a daily basis to keep open the only available lifelines into those remote areas. There were simply no roads available from Kinshasa to the health facilities in the north. Part of our challenge at Project C.U.R.E. was to figure a way to transport the donated medical goods into northern Congo. No one else had been willing to accept that challenge. But after having been there I was convinced that we could get the goods delivered even if we needed to ship them into Douala, Cameroon, and transport them inland across central Africa and into northern Congo. I believed God would help us figure out a way of delivery. 

At about 10:30 p.m. our candles were burning low and our energy was burning even lower, so we stopped our discussion with the pilots and the Gustafsons and I went to a nearby guest facility in the old compound. There was once again no electricity and no running water. The only water was in a rusty, 50-gallon barrel, and there was just a plastic bucket to dip the water out and pour it over myself in the darkness of the Karawa compound. 

Mosquitoes were on the lookout for soft, white, Scottish/Irish meat and blood, so I had to hurry right along and get in under the safety of my mosquito netting over my bed. 

Over the years of Project C.U.R.E.’s existence God had been gently preparing me to adjust to really bad and awkward situations in the most remote places of the world. I had slept in Kyrgyzstan in a log house in the middle of a severe winter storm with the snow blowing in through the spaces between the logs and onto my bed. 

I had experienced thugs in India who wanted to rob me. They tried to smoke me out of my hotel room in the middle of the night so they could attack me when I came out of the toxic smoke for air. 

Living without electricity or running water had been my lot in places in India, China, Vietnam, Cambodia, Africa, and Central America. Burma was a lot cleaner, but every bit as remote and primitive as anything I was putting up with in the Congo. But God had allowed me to gently adjust and be able to cope over the past nearly 20 years without the feelings of panic and fear. I had traveled around the world enough to know that it was already “tomorrow” somewhere in the world. Instead of getting overwhelmed by the tough circumstances, God had allowed the candle of hope to burn just a little brighter as each tough circumstance occurred. 

Next Week: An Adventure of Hope and Pride

© Dr. James W. Jackson

Permissions granted by Winston-Crown Publishing House


Jungle Pilots & Water From a Rusty Bucket

Note: Democratic Republic of Congo may well be one of the most difficult and dangerous venues in all of Africa. Torn by decades of war and want, it’s culture struggles to manage it’s deficiencies. It seems like my Congo assessment trips were always edgy and perilous, but the result of Project C.U.R.E.’s work in Congo has always been spectacular.

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Congo: Saturday, January 31, 2004

My flight from Brussels jostled over the rutty tarmac and came to a lurching halt at the terminal gate. I had arrived in Kinshasa, Democratic Republic of Congo, Africa. It was about 8:45 in the evening, Rev. Mossi Nzimba, the overseeing Evangelical Covenant Church pastor, met me along with one of his faithful churchmen, Mr. Sido Ndimbo. Mr. Ndimbo would interpret from French to English for me. We loaded into a dilapidated yellow Trooper and the official church driver worked his way across the city to the Kasa Vubu district of Kinshasa. Pastor Mossi’s wife, “Martin,” was waiting on us for dinner. She had prepared whole-fried fish, casaba, boiled eggs, and some chicken pieces for us, along with a generous helping of fried plantain. 

By 11:30 p.m. I was bumping back across Kinshasa in the beat-up van to an old, neglected missionary guesthouse. The place was dark when I arrived but the little African guard opened the gates and let us in. My hosts sort of handed me my bags. I asked if I was to take breakfast at the guesthouse in the morning, but they didn’t know. I asked if I would be returning to the guesthouse after I had traveled to the hospitals in Congo’s northern country and they didn’t know. 

Through the dark hallway I was shown to my cot. Fortunate for me it did have a mosquito net hanging from the ceiling over the cot. I can’t express how tired I was having traveled straight through from Denver to Washington, D.C., to Brussels and on to Congo without lying down. I didn’t even have enough energy to think about my nice bed at home in cool Colorado. 

Sunday, February 1

On Sunday I was met by two young Caucasian men who told me they were from Missionary Aviation Fellowship (MAF). They were there to check if there really was a Dr. Jackson who would be going with them Monday morning in their airplane to the hospitals in Loco, Wasolo, Karawa, and Gemena in the northern part of Congo. They also asked me to show them how much luggage I would be taking with me. However much space I didn’t take up in the plane they would fill with cargo to deliver to the north. 

The MAF personnel coming to my door certainly gave me the assurance that there was a plan for me for the next four days. I told them that I had flown with MAF over the years in other parts of the world: Brazil, Zimbabwe, and even in Congo the last time I was there. 

I was sort of waiting for the ugly yellow van to come and pick me up for a bite of food when dinnertime rolled around. But dinnertime came and went and about 9:25 p.m. Pastor Mossi and his family came by to talk about my trip to the north and then said they thought it was too late to take me to dinner. For such a time as that I was glad I had a granola bar in my bag. 

Monday, February 2

At 4:45 a.m., I moved the mosquito tent off me and went down the hallway to share the bathroom with a legion of cockroaches and spiders. 

At 6 a.m., a white van arrived with two MAF pilots. After a brief stop at their headquarters building we honked our way through the Kinshasa morning traffic zoo to the municipal airport. Even though I was flying with a private carrier, I nonetheless had to go into the terminal and proceed through passport control and all the security functions. 

Sam and Rod would be my pilots for the next four days. Sam was from Sweden and Rod originally was from America. They had both joined MAF as flight missionaries and had been assigned to Congo. MAF provided a most valuable service to the missionary communities throughout developing countries by enabling them to fly to points within a country otherwise unreachable due to inaccessibility or time restraints.

There was no place to get any breakfast Monday morning, and my stomach growled a reminder to me that we hadn’t had dinner the night before either. 

MAF kept three of their airplanes at the main airport at Kinshasa. The plane we would be using was a single-engine Cessna 206 with five seats and some luggage space, a capable little plane to be getting out of valleys in the heart of the Congolese jungle on mud and grass runways. 

Our flight path took us north and a bit east. We flew for about an hour and a half, and then landed to refuel in the small village, Suliaim, where MAF kept a spare airplane. Our next leg of flight took us on north for nearly four hours to the old insurgency city of Gemena where we took on an extra passenger, Rev. Luyada, the president of the Covenant Church of Congo. 

Another takeoff and another nearly one-hour flight took us to the landing strip of Karawa, a Congo town of about 350,000 people. Keith Gustafson, our main Covenant Church contact in the north and the medical director for the whole Wasolo medical zone, and Mbena Renze joined us on our little plane as we once again took off and flew to the town of Wasolo. There, scores of village people came to meet our airplane on the dirt and grass runway another hour and a half later.

It had been a full day with over seven hours of flight time to get us from Kinshasa to Wasolo in our small Cessna craft. It was getting dark as we walked from the landing strip to the compound where we would be staying. Since there was no regular electricity there we decided to eat first and then hold our introductory meeting with the medical and church leaders outside around the lanterns. 

Keith Gustafson and I shared a small room together. Candlelight was our only source of lighting, and water for washing was dipped from a rusty bucket. That bucket was also the only source of water for drinking. I dipped and poured the water through my nifty portable REI purifier for drinking. The people were kind enough to give us mosquito nets to go over our beds. We were in a “high malaria” area. High risk balanced by zero comfort . . . I must be in Congo. 

Next Week: A Burning Desire to Help

© Dr. James W. Jackson

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Happiness

Life is full of alternatives.

Ultimately, you have to make choices.

Choices set into motion consequences.

How you reconcile and manage the consequences

of your choices

Determines the measure of your Happiness.

- Dr. James W. Jackson

© Dr. James W. Jackson   

Permissions granted by Winston-Crown Publishing House


Beautiful Bulgaria

The Bulgarians already knew too well that the old Soviet system of keeping everyone separate for easy control was not efficient. They were the ones who experienced on a daily basis the fact that there was no way from an economic standpoint to replace all the broken and worn-out equipment in the laboratories set up for each and every department and clinic. But changing that old system would be very, very difficult and would demand a whole new culture of cooperation. 

Friday, March 26, 2004

At 10 a.m., we conducted the needs assessment on the respiratory and lung hospital. Dr. Ivina Kammanova was the director of the facility. She had access to almost no diagnostic or therapy equipment. Her tuberculosis patients were not confined but had access to roam and intermingle with the other patients, as well as those from dermatology and psychological hospitals. 

At 11 a.m., we assessed the psychological hospital where Dr. Mihalov was the director. The whole institution and its function reminded me of some scene out of a terrible Woody Allen movie. At one end of the fourth floor the really bad patients were secured behind metal restraints. Most of the rest of them were free to go visit their friends on the upper or lower floors or even the nearby neighbors. The psychological department was also responsible for conducting tests on the local citizens as a requirement for them to receive licenses such as for marriage, driving or carrying a gun. 

The lady doctor who was the child psychologist held the distinction of being the only child psychologist in the region. She was very sweet and appeared normal, but some of the other help at the institution caused me to study them quite closely to determine whether they were part of the help or the helped. 

We hurried back to Haskovo to meet with Dr. Damianka Kolchagova, who was the director of the large city’s outpatient clinic. She was a talented lady and was really trying to efficiently run the clinic of 4,500 patients a month. She literally begged for medical supplies, as well as simple pieces of diagnostic equipment. 

Following a very successful meeting with the Ministry of Health on Friday, I met with the head of the “regional municipalities association,” Rayna Yovchera. Much like the health ministry spokesman, Rayna wanted Project C.U.R.E. to not just play favorites with Haskovo, but to also spread our help through her organization to every municipality across Bulgaria. 

Saturday, March 27

I was going to be in Haskovo the two extra days because I had not been able to secure any return seats on flights back to the US until Tuesday morning. Saturday morning, I was picked up at the hotel and we traveled a couple of hours across the country to the north and west to an old Roman city called Plovdiv where the old Roman marble amphitheater and Roman walls could still be seen. 

Now a newer city with a population of 500,000 had been developed adjacent to the ancient city. Many of the old homes and stores and opera houses dated back to the 1700s and 1800s and many had been refurbished since the fall of communism. It was a wonderful place to visit and soak in the ancient atmosphere of the conquering Romans. 

I had been observing the excellent work that had been accomplished by Laura Marzahl in preparing for the assessment trip. Every detail had been well administered. I had covered a lot of territory in the brief hours of my visit to Bulgaria and the success was, quite frankly, due to the pre-planning and coordination of the trip. The Peace Corps could certainly be proud of Laura’s work. 

On the trip I was able to talk to Laura and suggest that when she finished her tour with the Peace Corps in July she should consider, since her home in the US was in Memphis, Tennessee, going to Nashville and helping our Project C.U.R.E. people there with our organization. Ed, Tommy and Carol could certainly use her energy and talents. Surprisingly, she said that would be very appealing to her since she had grown to really appreciate and admire Project C.U.R.E. and its worldwide work in just the short time she had been acquainted. “Project C.U.R.E. is going to change Haskovo and its medical approach in the future, and I can already see what a great influence it will have on the world.” 

Sunday, March 28

Pavlina, Dmitri and Deedow insisted that they wanted to take me to see more of the beauty of Bulgaria.We stopped along the roadside and grabbed some breakfast on our way. 

Our Sunday trip took us to the borders of Romania on the north then to the east about 50 miles from the Black Sea, close to Serbia on the west, then again south toward Turkey. 

On the way we visited Shipka, high in the pine-covered mountains of central Bulgaria. There a monument sat atop a hill commemorating an 1877 battle where Russian and Bulgarian troops had lost their lives fending off an attempted invasion of the Turks. 

In addition to the stone monument, an Orthodox church had been constructed in the antique style of the 17th century “Moscow Baroque” orthodox churches. There were five, onion-shaped domes clad with real gold. The center dome was the largest and in front of the golden domes was a magnificent bell tower containing 17 bells, the largest of which weighed over 12 tons.

2004_6Bulgaria.png


From miles away I could see the splendid golden domes shining from the mountainside, nestled in the bright green fir and evergreen trees. We stopped and lit candles in the chancel and marveled at the beauty of the paintings and hand-hewn woodwork inside. 

Further to the north we stopped at an ancient village that had been set aside as a preserve called Etur Ethyographical Museum. It was in the old Gabrovo region and prided itself with a whole village operated by waterpower. They had years ago harnessed the small river and run it through the village’s mini factories to power lathes, spinning wheels, metal working machines, and other pieces of equipment. My new friends were so proud of their history and culture, and I loved every minute of their sharing it with me. 

What a fortunate man I was to be able to travel around the world and share so many things with so many special people. Recently, I told someone that if they stood across the room in my office and threw a dart at the world map hanging on the wall next to my desk, and if the dart hit some place other than snow or water, somewhere within three inches of that dart I would have a friend who knew me and loved me there. Indeed, I was a fortunate man! 

Monday, March 29

So much for vacation on Saturday and Sunday. Monday was back to work! Following two meetings in Haskovo on Monday morning to make sure we had all the necessary details covered for the shipping of the future container loads of donated medical goods from Project C.U.R.E. into Haskovo, I checked out of my hotel room and started our trip back to the capital city of Sofia. I was accompanied by Pavlina Passeva and our driver and “bodyguard” Deedow. Before we left Haskovo I had given Deedow my “Project C.U.R.E.” jacket, which he wore with great pride. 

Our trip to Sofia had two objectives. First was to get me back to the capital city so I could catch my airplane flight back to Munich, Germany, early Tuesday morning. But the second assignment was to meet with the US embassy people in Sofia. I was eager to meet them and they were likewise eager to make the connection with Project C.U.R.E. since it was possible that we would be ultimately pouring into the country several millions of dollars worth of medical goods. 

Actually our donations to the hospitals would almost be as an extension of their gift of over $300,000 to the regional hospital’s renovation project. 

Once in Sofia our US embassy contact people were Mark Watkins, chief, and Olajide Ijadare, deputy chief. Olajide Ijadare was born in Nigeria, so, when I told him the story of my being made a royal chief, “Chief Uzoma of Nkume People,” on one of my trips to Nigeria, he just beamed with smiles. He then started referring to me as “chief.” It was a great time and a great meeting with the US embassy folks. They were so appreciative that Project C.U.R.E. had agreed to come alongside the healthcare institutions in Haskovo and asked if there would be any possibility to extend our help to other areas of Bulgaria. 

I was certainly not going to be leaving Bulgaria being able to say that we had run into closed doors in that country. The doors of opportunity were not just wide open, but they had been completely taken off their hinges to allow Project C.U.R.E. to freely enter the country and set up shop. That would be easy for me to be a part of because I had quickly fallen in love with the people of Bulgaria.

© Dr. James W. Jackson   

Permissions granted by Winston-Crown Publishing House


Broken Bulgaria

Sofia – Haskovo, Bulgaria: March, 2004: I had visited all of Bulgaria’s neighbors, including Romania, Turkey, Greece, old Yugoslavia, Albania, and the other sovereign states near the Black Sea, but never Bulgaria. 

Bulgaria, about the size of Tennessee, was a mountainous country of over eight million inhabitants. I had peered across the Danube River in the south of Romania over into Bulgaria in the past. That part of the world reminded me a lot of parts of Colorado. Both areas lay in about the same latitudinal position on the globe. 

Poor Bulgaria had twice fought with Germany – once in the first World War and again in World War II, so defeat had exacted a high price from the people. Then, following World War II, the communists had grabbed control of the country and it wasn’t much later that the Soviets swallowed them up. Now they were declaring independence and moving toward democracy and stability. But, the old corrupt and criminal ways of the communist philosophy and regime had made it extremely difficult to overcome poor work ethic and corruption that had continued to show itself through unemployment, inflation, and the breakdown of ethical business practices. 

In order to encourage Bulgaria, the United States had given the country more than $390 million specifically to support financial development and democratic institutions. One such grant generated from the US embassy in Sofia was a contribution to the municipality of Haskovo to enable them to renovate the most dilapidated departments of the hospital buildings. The grant was for something in excess of $300,000, earmarked specifically for the Haskovo Regional Hospital’s departments of surgery, endocrinology, and maternity. By early 2004 the renovation was completed, and while part of the facility had become better looking on the inside and outside, they were still woefully needing newer medical equipment and nearly begging for the most common medical supplies. 

A young Peace Corps volunteer from Tennessee serving her assignment in the municipality of Haskovo heard about Project C.U.R.E., logged onto our website, and fired off an application to Project C.U.R.E. on behalf of the Haskovo Regional Hospital. Her name was Laura Marzahl. 

By the first week of February, Anna Marie had reviewed all the application forms and supporting documents from Laura Marzahl in Bulgaria. In reviewing the complete list of countries waiting for us to visit and perform the needs assessment study, we both felt drawn toward Bulgaria. There were some 57 hospitals in the queue and the application from Bulgaria was at the bottom of our list since it had been received just days before. But feeling prompted to act on the Bulgarian request, I asked Anna Marie to reply as quickly as possible to the lady and see if they could move quickly enough to host us for a needs assessment study. Laura Marzahl replied with equal haste and said everything could be arranged for the visit even though it was very short notice. 


Perhaps in the 63 years that I had been alive I was beginning to learn that I could rely on the prompting of the Holy Spirit and trust the fact that God, indeed, was in control of every little detail and timing of my life. About 30 hours from the time I left Denver, I arrived in Munich. It was cold, and a mix of snow and freezing rain covered the German landscape. I could only hope that things would be a bit warmer in Bulgaria. 

Wednesday, March 24

It was late afternoon on Tuesday when my Lufthansa Airline flight landed in Sofia, Bulgaria. I was immediately met by Pavlina Passeva, director of the municipality of Haskovo, and Laura Marzahl, the Peace Corps volunteer who had become the head of the Bulgarian/American Development Committee in Haskovo. It took us about two and a half hours to drive from Sofia, the capital of Bulgaria to Haskovo, a city of about 300,000 people. “I could very well be riding through the beautiful countryside of Colorado,” I remarked to my new friends. “The snow-covered mountains, the rich, rolling farmland, the fruit orchards and rural farms … all closely resemble the state of Colorado where I live in the US.” 

Once we had arrived in Haskovo I was taken to a picturesque old hotel located adjacent to the sprawling city square. At the end of the square was situated the municipal building with the big storybook clock tower and bell tower. I had fallen in love with Haskovo within the first 15 minutes of being there. 

Thursday, March 25

They wasted no time at all in putting me to work on Thursday morning. Following a breakfast meeting I was whisked away to the large Haskovo Regional Hospital where I was not only met by all the medical personnel, but also by a bevy of television and newspaper reporters. 

All the hospital’s doctors, head nurses, and chief administrative folks had been summoned to a small, theater-type auditorium with a long speaker’s table positioned up on the stage adorned by flowers and coffee cups and water glasses. To me it had the appearance of being more of a medical convention than a needs assessment interview. 

With TV cameras running and flash attachments popping, the meeting began. The folks of Haskovo were going to make a big deal of Project C.U.R.E. being there. It took me until well after noon to walk the hospital hallways and meet the department heads and senior nurses. At the morning meeting I had given them each an assignment to be prepared to discuss with me the three things they needed most in their department. Each was eager to have me listen to their particular needs. No one had ever come to their hospital to just listen to them individually and laugh with them and be their friend. 

When finished with the main regional hospital, Dr. Yasen Yanev insisted that I go with him to a different building where the cancer center was located to also assess its needs. 

At 3 p.m. on Tuesday afternoon, there had been a meeting scheduled on the third floor of the historic municipal building. Most of the city fathers were present, as were eight medical doctors who comprised an august group known as the municipal council commission for healthcare. It had been the oversight committee for the large renovation project at the regional hospital which had been financed by the US embassy in Sofia. 

The group was primed and ready for me, But, many of the questions were completely out of my league. They were asking such questions as, “Does your being here on the heels of the US embassy financially helping us with the needed remodeling of our dilapidated facility indicate that NATO is going to choose Haskovo as a regional medical center?” Or, “How are you going to be able to help us with our disabled groups … both the old and the children?” Or, “Do you have a program to cure illicit drug addiction?” Or, “Can you help us put together a national health insurance program in Bulgaria?” Or, “Can you train us for emergency health procedures?” 

Soon I was in deep discussion explaining just how narrow and boring Project C.U.R.E.’s scope would be in Haskovo. “Our mission is to simply collect, warehouse, and distribute medical supplies and pieces of medical equipment based on imperative need around the world.” I went on, “I plan to be very narrow and very focused here in Bulgaria. I also plan to be very successful in my efforts to help meet some of the needs here if I can have your help and assistance.” 

My honest and open approach quickly won them over and they saw that I had not just come to patronize them or shove something down their throats. I had come to be of help and to be their friend and to work from a common denominator of seeking a more excellent healthcare delivery system for Bulgaria.


Before we finished they pressed me to tell them what I had seen as their major weaknesses. “You have many fine physicians and nurses in Bulgaria, but you have inherited a system from the old Soviet days that is almost impossible to render efficient. In the old days there was a strong desire to control everything and everybody and not let the left hand know what the right hand was doing. In Russia I witnessed doctors who were trained only to remove gall bladders. Indeed, they were specialized and they could remove the organ with haste, but they knew almost nothing about medicine. When there was not a gall bladder to remove they had nothing to do but go outside and smoke. Still, it was easy for the statists to control that technician.” 

I was watching the doctors’ eyes for response. “Your system here is based on separation and overt control. Today what I saw in your hospitals was to me very sad. There were six different departments within the regional hospital. No one department could communicate with another. Each specialty block had its own laboratory, each had his own x-ray or radiology department, each had its own diagnostic department, and each had its own surgical block that included at least three complete operating theaters for each of the six departments. That’s 18 complete operating theaters with only about 15% of them busy! But each specialty block has requested new anesthesia machines for each of the three theaters in each block. That’s 18 new anesthesia machines. I won’t help you with 18 anesthesia machines. Maybe three. I do not believe that your new healthcare delivery system will be able to financially sustain a fractured system. Besides, it’s not all that bad to get along with each other.” 

I could tell that I had hit a home run. They knew that the old Soviet system was not efficient. 

I summed up my medical philosophy on that point by stating, “Free medical care for all the people simply means no medical care eventually for any of the people.” 

Next Week: Beautiful Bulgaria

© Dr. James W. Jackson    

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