Author Archives: doktascott

Dear Valentines- yes we are open.

Happy Valentines Day dear friends.  Daily we continue to get inquiries from people via email, phone calls, Facebook, messenger, and text letting us know they are praying for us and asking whether we are closing the hospital.  These inquiries have come from PNG and abroad as news spreads via the internet and person to person. We are grateful for the outpouring of loving support and concern.

The  good news is that we are still open and have not limited services.  It is true our plan for eventual temporary closure until the government produces funding was in the newspapers.  The government has assured us that the NEC (Cabinet) approved emergency funding that will come.  This was also in the papers the two days following the first article. 

We are grateful for everyone’s concern and the many people who contacted others in positions of power to advocate for us.  We still have a lot of questions since we have not seen the budget in writing but are giving time for the wheels of bureaucracy to turn. 

Surprise Valentine Twins

I was on-call last night.  I got called in for a women having trouble in labour.  It turned out she unknowingly had twins!  The first one delivered – a baby girl.  I was checking the second baby’s position with ultrasound as the heart rate dropped to almost nothing in seconds before my eyes.  Here was a baby dying in front of me – only inches away but out of reach.  I prayed as the OB team and I did all we could do and began preparing her for surgery as the Operating Theater team was urgently called. The heart rate improved with our simple measures but would sometimes drop again as the team was assembling for the emergency C-section.  Both teams acted fast and when we did the surgery we delivered a healthy second baby girl.  A double blessing for Valentines!  

As I got home a friend from college sent a message that he heard the hospital was closing.  I gratefully answered that we were open for this day of love.  Much of the reason we are open is due to the outcry of public support to assure our funding…. but the biggest reason we are open is due to the love Christ in the hearts of our staff and the outcry of prayers of love and support that go out to our Heavenly Father by so many in PNG and around the world. I don’t know what will happen tomorrow with budgets or anything else but I do know this: At Kudjip every day is Valentines.  Every day is a day of love

Scott Dooley -Hospital Administrator.  Just a note- all stories on our website are done with the permission of the patient/family. 
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Farewell Dr. Bill and Marsha McCoy

There have been a lot of tears and hugs the last couple months as Dr. Bill and Marsha retire from a lifetime of faithful mission service.  After being missionaries in Swaziland for 8 years, they have been missionaries in Papua New Guinea for 22 years at Kudjip.  Bill is a family medicine doctor and Marsha worked with national pastors and missionaries through the Field Office.  Three decades of loving the poor, the mistreated, the broken.  Three decades of showing the love of God to patients, the community, the church, fellow missionaries, missionary kids, and everyone around them.  Their wisdom, mentorships, joy, laughter, care, and presence will be greatly missed in this place… but we know God will continue to use them for His glory in California too.

Today was Bill’s last doctor meeting.  A quote was read about an man building a bridge for those who might come behind.  Bill certainly was instrumental in all of the current doctors coming and staying and learning what it takes to do good medicine with limited resources.  He has built bridges of love and concern for staff and patients.  We are privileged to say that the McCoy’s didn’t just build a bridge – they continued the walk with us and they taught the rest of us to build bridges too.  

Please pray for the McCoy’s in the huge transition of return to the US and all the new relationships and ministries that lie ahead.  May we all learn how to build bridges that connect others to knowing, loving, and serving God.  

Ephesians 5:1-2 “Follow God’s example, therefore, as dearly loved children and walk in the way of love, just as Christ loved us and gave himself up for us as a fragrant offering and sacrifice to God.”

Bill McCoy center top row

 

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A tribute

Vera Mae Sell was born in 1922, she worked hard on the farm and walked two miles (3.2km) to school.  She was a bright student in school at a time when young girls weren’t considered equal to young boys.  She worked hard to raise money to go to Olivet Nazarene University to become a teacher.  She married Dennis Kiper who was studying to be a pastor.  After that Vera and Dennis worked together to shepherd people in Nazarene churches in Iowa, Ohio, and Indiana. Dennis was a pastor and Vera led Sunday School classes, Vacation Bible Schools, and anything else the churches needed.  They loved missions and together they raised a family based on faith and love.  Dennis died in 2011 at the age of 92. Vera went to be with the Lord this year.

Dennis and Vera never came here to Papua New Guinea.  They never saw Kudjip Hospital, but they prayed for it.  They knew Jim and Kathy Radcliffe, long-serving missionaries there.  They believed in its work.  Their granddaughter, a doctor, even came as a volunteer…. so why does the Hospital website have a tribute to Vera and Dennis Kiper? 

A tribute is “an act, statement, or gift that is intended to show gratitude, respect, or admiration”.  When Vera went to be with the Lord in 2018, she and Dennis had left funds in their final will to go to their favorite ministry- Nazarene Compassionate Ministries as a final gift.  The fact that a hard working couple of limited resources would save up to give one last big offering is certainly a tribute to their beliefs.  Their family wanted to help make this a tribute that would truly honor the blessing that this couple was to so many people.  They decided to use the money and add some of their own to sponsor a project through Nazarene Compassionate Ministries to Kudjip Hospital to build a staff house – a place special to Vera and Dennis.

The hospital put it in our building plans for next year. So while many of us here at Kudjip did not know Dennis and Vera, it speaks volumes of the lives they  lived, the faith that they had, and their love for ministry and missions. 

We talk about many things as important in our lives.  We love to espouse our priorities and passions… but the truth of what we have truly valued is judged by the lives of the people we impacted.  What will they say about our lives after we are gone?  This project, this tribute to the life of Vera and Dennis, tells us something deeply about their lives.  The family’s choice to honor them through helping missions at Kudjip continues the impact of their life and faith.  It encourages our staff and missionaries to know that they are not alone.  This ministry is built on the prayers and support of a host of people all around the world just like Vera and Dennis.  Their feet may never touch PNG soil.  Their physical hands may never touch a person here… and yet they are certainly a part of this family and this work.  Their prayers have helped us touch Papua New Guinea, their gifts have brought the good news to many.  They too have built the Kingdom of God right here in PNG.

A tribute is in some ways not only family and friends honoring a life, but emulating it.  In this sense, all of our lives as believers are to be a living tribute to Jesus Christ.  It is His life we honor.  It is His life we emulate.  It is His story we tell.  It is His name we lift up so that all may know Him!

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More prayers answered

In our last couple posts, we have updated you on how God is answering your prayers to care for some of our clinics which suddenly lost funding.  We know the many people affected in the rural settings have been praying, NHM has been praying, our staff have remained dedicated, and churches all over the world have been praying and giving.  We are excited to tell you that God continues to open doors for the work to continue.  First several donors (individuals, churches, and districts) have given to keep the doors of the key facilities open. 

Our biggest concern has been Bana Health Centre, in East Sepik because of the large population it serves without any other access to healthcare.  We just found out that Christian Health Services of PNG has given funds for this facility as we continue to work together to restore the proper listing and budget allocation from the government for Bana and our other facilities.  We appreciate all the people who have come along side Rural Health in prayer and giving during this difficult time.  God continues to provide so that these facilities can continue to serve and show God’s love to people across PNG.  Please pray for us as we continue to advocate with provinces and national government systems for proper government funding to be restored (or started for the newer facilities). 

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Partnership

New skid-steer, new lab venthood

This weekend was a good picture of our incredible external partnerships.

Saturday, we received a long-awaited container from our most frequent medical donor-

Nazarene Hospital Foundation.  Dr. Todd Winters gathers medicine and medical goods donations from a variety of church, NGO, and company donations. Many medicines on these containers come from Heart to Heart International.  On that container was also a new laboratory ventilation hood from another partner World Wide Lab.  We used our new skid-

steer to get it out of the container- bought

with funds from the Government of Papua New Guinea.  Even though it was a weekend staff and missionaries came in on their day off to form a brigade of people to empty the container.

new Incentive Fund project storeroom!

This was the first container put into the

storeroom funded by the Australian Government through an Incentive Fund grant in our new Hospital Expansion Project (expanding delivery, outpatient, surgery, admin, and more).   We are still building the internal storage racks but the building is already a huge benefit that we finally have a building more than big enough to offload an entire container of donations where our dedicated staff can

sort them this week!

We also currently have a visiting Work and Witness Team from Nebraska District Church of the Nazarene.  They are here to help with the critical need for more staff housing.  They help put a face to the international body of the church.  Sunday we went to a local Nazarene Church.  These personal connections are so powerful for the visiting team, those that sent them, the people of PNG, and for those serving here.  There was an instant bond of love. 

Staff box brigade!

Thanks to all our wonderful partners that invest in helping us meeting NHM’s vision “to express its faith through excellent health care, prevention, education and holistic community transformation.”

Nebraska District Nazarene WW team

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Put in your two cents: The economy of God.

by Dr. Scott Dooley, Hospital Administrator

The story of the poor widow is not a parable.  It actually happened (and is recorded in both Mark and Luke).  It says:

“But a poor widow came and put in two very small copper coins, worth only a fraction of a penny. Calling his disciples to him, Jesus said, “I tell you the truth, this poor widow has put more into the treasury than all the others. They all gave out of their wealth; but she, out of her poverty, put in everything–all she had to live on.” Mar 12:42-44  (NIV)

Now I always thought Jesus was being a bit sentimental. I thought obviously the others put in more, Jesus is just speaking metaphorically, in that it was more meaningful to God because she gave it all.  I thought the lesson was just that we were to give it all and not look for glory when we give sacrificially. 

15 years of work in a mission hospital and seeing countless bush churches… and 8 years in administration dealing with finance and budgets has convinced me how narrow my old view was.  I am now convinced that Jesus is being literal.  God will literally do more with the two cents of obedient sacrifice given in love, than all the wealth of the world. We know it, but we don’t always live it out- God doesn’t need our money.  Things the world considers precious like gold and diamonds – God made them.  If He wanted He could just turn each church parking lot into gold and fund every desire of the church.  In fact, many people think that this is the final irony of the heavenly streets made of gold.  What we chase here, is just pavement in heaven!

So what does God value?  What is the economy of the kingdom?   

1 Jn 3:16 (NIV)  “This is how we know what love is: Jesus Christ laid down his life for us. And we ought to lay down our lives for our brothers.”  

Jesus paid the price to reconcile us to God.  He gave us life.  He gives us all things.  Nothing we give is really a sacrifice at all – it was all His.  When we give sacrificially we live out our faith to ourselves and others.  We trust God.  We are only giving back what is His.  We express His love to others by giving from what we have received.  We can be generous because we believe He will take care of His church and He will take care of us. He is limitless.

I have once again been reminded of this as we prepare for future work and witness teams.  A friend said he worried sometimes that people will see that the hospital is building these giant buildings in our infrastructure project and teams will come to make our smallest ancillary house for a security worker or a guy who digs ditches and mows lawns.  Some teams have felt like they are just putting in two cents compared to the wealth being contributed by other partners.  I said what I always say, “the key is that one doesn’t happen without the other”.  It is true, we have done a lot of projects… but every one of them has started with the people of God stepping out with compassion, faith, and sacrificial love.

I always think of one particularly powerful example.  We had tried for a few years to get donors for a multi million-dollar project that was critical to keeping the hospital functional.  The church gave and over time we got enough donations to try to begin to piece together a solution.  It wasn’t pretty by the world’s standards, but we kept praying and everyone kept praying with us that God would use all these “two cents” put together.  During this time we got a chance to apply to a major donor.  It turned out every step I would find things that technically disqualified us.  Repeatedly as we spelled out each problem, the donor openly made exceptions.  We even showed them our original plan to piece together the failed system.  The truth is we didn’t really qualify but we got approved for the money.  I had a phone call with the fund manager and I was dumfounded.  After a long conversation I just blurted out that I didn’t really understand how they gave us the funds without any of the technical and legal requirements we were supposed to have.  He said that they had seen our work and had no way to explain it.  There was no one like us.  He said, “we have seen who your church is.  You are the people that get it done.  You bring in experts and volunteers and people you couldn’t possibly pay what they are worth.  You get more done with little than we have ever seen.  We don’t know how you would have done it, but somehow you would have pulled together a working system with the little you had.  We just want to come along side and help you do it well.”  I can’t count how many times since then something like this has been said to us by foreign aid representatives, ambassadors, NGO’s, and PNG and foreign government officials. 

               More importantly, this happens not just in projects but in the hospital for the last 50 years.  Through church channels we have received alabaster funds, work and witness teams, short and long-term missionaries, administrative help, governance, and literally tons of donated medicine and equipment, without which we could not run.  These range from individuals knitting baby hats, to churches doing roller bandage drives, to partnerships with Nazarene Hospital Foundation, Heart to Heart International, or Samaritan’s Purse – the latter may send millions of dollars’ worth of medicines… but each of these is just giving what they can out of obedience.  This is what makes our hospital function long after the government has run out of medicines and supplies.  People travel sometimes days to get to us because we have a reputation for excellent and compassionate care.  They want to find hope in a place that feels like it is losing hope… and we are glad to share with them the ultimate hope found in relationship to Jesus Christ!

Church giving builds things that foreign aid is not likely to fund because it isn’t much to put their name on… but to us it is critical because it allows our Christian brothers and sisters to sacrificially serve here.  We also use church donations for key matching funds (many projects you can’t ask for money until you show that you have infested in it too.  When the church does that, it exponentially compounds what is given).

I say it all the time, “It is true that we build better quality at a fraction of the cost of any contractor in the country, but ultimately major donor’s don’t invest in our projects just because we are great at building things, but because we are a great hospital… and we are a great hospital because of the church.”  It is really all those people giving their last two cents -from the elderly lady I have written with who has supported this hospital literally since its inception, to the long-term missionaries who have given their lives to this work, to the visiting work team who pay their own way here.  This is what makes the hospital run.  It is what makes us unique.  It is why others partner with us – to be a part of something that works in a place where frankly it seems like nothing does.  More importantly we believe because it is the faithfulness of God’s people that God opens the floodgates of heaven to provide what we need to see His Kingdom come – right here in PNG.  Every year we see hundreds of patients and project workers come to Christ and new churches are planted.  We see lives changed and others ready to add their two cents too!

God is work – two cents of obedience at a time!

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Doctor training

Doing administration, I don’t get to do a lot of medicine any more, so this is one of my favorite pictures as a missionary doctor.  It is a picture me doing nothing!  Dr. Rebecca is a Papua New Guinea doctor doing her specialty training in Rural Medicine and has learned surgical skills at the Nazarene Hospital.  Here she is teaching another visiting PNG doctor.  It was great to see her pass on the skills she has learned. 

We hope to continue to see this more as we continue to train Rural Doctors and hope to start training PNG Surgeons soon too!  The picture on the right I got my last day of work before home assignment.  I think it is a picture of where we are going as a mission hospital – missionary doctors, PNG doctors and dentist, PNG registrars (specialty training doctors), PNG medical students, visiting residents with an interest in missions.  It is a sign of the increased emphasis in medical training and we pray will result in both more PNG doctors at Kudjip showing the love of God to patients, and also more PNG doctors going out to places of great need in PNG to do the same!

 by Dr. Scott Dooley (Hospital Administrator)

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Hospital Expansion Project

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We are excited for the continued growth of our ministry to serve more patients and to grow as a training hospital to train Papua New Guinea doctors.  One of the next phases of this growth is the Hospital Expansion project. 

The following was posted by 

Australian High Commission Papua New Guinea  May 2

The Nazarene Hospital expansion project was launched today in Jiwaka Province.

The project is funded by the Governments of Papua New Guinea and Australia through the Incentive Fund at a cost of PGK8 million, with the hospital providing PGK2 million of its own funding.

The project includes a 70 per cent increase in bed space for the Emergency Department; a doubling of surgical space for outpatients and the surgical operating theater; a newly renovated ‘Krai building’; more storage for drugs; a new laundry; an additional obstetric ward and nursery, a new administration building and a dental clinic. The hospital’s contributions to the project include a new pharmacy and laboratory complex, maintenance yard and a biomedical incinerator.

Located in Kudjip, it is operated by the Nazarene Health Ministries and is the province’s only hospital which serves a population of about 400,000 people. Annually, it serves 60,000 outpatients and has a critical need for expansion.

The project will take three years to complete, and is expected to begin operations in June 2020.
#PNGAusPartnership

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Most important members of the Hospital

This story first appeared on Dr. Erin’s blog:

Some people would think that the most important person in a hospital is going to the nurses or doctors or surgeons, but the truth is the most important members of the Hospital are our Maintenance staff. Sure nurses, doctors and surgeons all have special skills that allow them to bring physical healing to patients when they need it, but without power, water, hospital buildings and autoclaves, the care that happens at the hospital can’t happen, as we recently discovered ourselves.

Autoclaves are big machines that sterilize instruments and drapes and keep surgery going. For our hospital it is more than surgery that depends on autoclaves so does the ER, our Labor and Delivery Room, and even our Medical, Surgical and Pediatric ward. We take for granted that each day when we need a clean and sterile suture set to sew up a chop in the ER, that we have one. Or when we need more OB delivery bundles to deliver a baby, that we have them.

We have 2 large autoclaves (one bigger than the other) and then 2 tabletop autoclaves. On most days we are using the 2 big ones a few times a day, and only the small ones for a few special instruments. About 1 week ago that changed. Our one autoclave had been broken for a while and we hadn’t been able to get the part we needed, and then the one we were using each day, also quit working. We thought we had it fixed, but then it broke again. So we went from usually using 2 big autoclaves, to 1 big one, to no big ones and only 2 very small ones.

Despite using the 2 very small ones pretty much around the clock, we couldn’t keep up with the demand our hospital puts on our Central Supply. The Delivery Room delivered 6 babies the one night I was on call this week and I did 2 Csections in that time and we pretty much wiped out all our supply of OB bundles. So when no solution to the problem was insight, we actually had to close the Hospital and just become a clinic – where we could see our outpatients and give medicine, but we couldn’t do surgery or deliver babies, we didn’t have the supplies we needed.

For a number of days, our Maintenance guys (especially Jordan, Nolly and Kulang) have been working around the clock trying to figure out how to fix the 2 autoclaves, even to the point of taking one of them apart and putting it back together. When I was doing the Csection at midnight, they were out there trying to get it going. These guys are really the most important people of the hospital because without them we can’t give the care we need – we can’t deliver babies or do surgery or take care of sick patients when they come to the ER. Too often we take them for granted, but this week sure highlighted just how valuable they are to our Mission Hospital.

After putting in many hours, they got us up and running, with still some kinks to be worked out yet, but we are able to run most of our hospital services now, just not quite fully up to doing all the surgery we would like, but hope to get there soon. After having the unusual site of empty delivery beds this past week, it was nice to have each delivery room full this morning, and is a good sign that we are able to be functioning again – thanks to our Maintenance guys.

-Dr. Erin Meier (Director of Medical Services)

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Welcome the Woodley family!

Mat, Tammy, Elana, and MJ are now the newest missionaries at Kudjip!  Mat is an ER doctor joining our ranks of missionary physicians. You can see more about their journey here on their blog.  They have come through the Samaritan’s Purse post-residency fellowship program, which has been a great way to bring new physicians to experience missions here (and many have stayed)!

The Woodley family has gone “to the bush” for cultural orientation and made it back.  They are going through language training and getting into the swing of things here at the station.  Please pray for their transition as a family and their new ministry.

Image result for matt and tammy woodley papua new guinea

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