News

Here you can read news and stories from administration, doctors, and featured stories from our doctor’s blogs.

Can’t get enough? For a variety of news and additional stories you can visit our links section and follow the blogs of our doctors and their families for patient stories, prayer requests, what God is doing in our lives, and stories of family life on the mission field.

Kindly Light

 “Lead kindly light, amidst the grey and gloom

The night is long and I’m far from home
Here in the dark I do not ask to see
the path ahead, one step enough for me”
 
 
A couple weeks ago I walked into our pediatrics ward to begin my morning rounds.  A new patient and her parents awaited me on bed 10.  Maria had recently been taken for surgery for a possible abscess in the back of her throat.  Her surgery revealed very little, if any, infection there – but her neck still tightened and she complained of difficulty swallowing.  After examining her, I adjusted her antibiotic coverage and IV fluids, moving quickly on to dozens of other patients that needed my help that day.
 
The next day I saw a note from the on-call doctor who had been called to see Maria because of a “fit” – which turned out to be a muscle spasm, commonly encountered in one of the diseases I’ve seen working here in Papua New Guinea and have grown to abhor – tetanus.
 
Over the next few days, Maria’s body contorted itself in frequent, uncontrolled spasms – through which she remained conscious and alert but paralyzed.  She could not eat or drink and pain etched itself more deeply in her young face.  I remembered Lesley whose drawn out battle with tetanus ended when the spasms and subsequent paralysis overwhelmed his breathing and he died.
 
In a hospital with ventilators, the treatment of tetanus is difficult but largely successful.  The patient is put on a respirator and strong medications given to halt the spasms while antibodies are given to help clear out the infection.  Here, we haven’t been able to get the antibody treatment supplied for a while and we have no ventilators.  So we focus on “supportive” care – an IV antibiotic against the Clostridium organism, IV fluids for hydration, medicines to decrease the spasms – balanced against the need to not completely tranquilize the patient and halt their breathing.  We also place the patient in the darkest room we can contrive, blacking out windows and minimizing stimuli which are known to trigger spasms.

 
Several days into this treatment, I entered Maria’s room where her mother typically slept on the floor next to her bed, to avoid touching her and triggering the illness.  As my eyes adjusted to the tiny ribbon of light allowed through the side of her window I noticed that Maria, who had each day been lying on the bed, was now sitting up slightly in her mother’s arms.  She forced a weak smile on her face and after I reviewed her IV drip and medicines, glanced at her mother who asked me a question that inspired this post:
 
“Em i askim inap i go autsait na lukim san”
 
“Can she can go outside today for a few minutes to see the sun”
 
In the darkness of that room, the tears that instantly rimmed my eyes were hidden, but my breaking voice choked out, “yes.”
 
Often my patients are looking for a glimmer of hope in their struggles.  A kindly light to lead them out of utter darkness.  Sometimes that little hope goes against all medical reasoning, but I believe it is no less crucial.  Maria’s question taught me this in an instant.
 
“Each stumbling step where other men have trod
Shortens the road leading home to my God.”
 
The next day, Maria’s mother told me she was so happy to be outside that, despite having another fit in her room, she relaxed enough to eat a small amount.  Over the next two weeks Maria waged war with tetanus – occasionally being thrown into muscle spasms, occasionally glancing at the ribbon of sunshine in her room, kindling hope and gaining strength.
 
After a month in the hospital, I finally put my pen to Maria’s chart for the last time – not to sign her death certificate as I so often do, but to write her discharge order to go home.  
 
Through a rough and stumbling road in that darkened cave, the Light had brought her home at last.
 
 
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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

Image may contain: 3 people, people standingImage may contain: 9 people, people smiling, people standing and outdoor

 
 
 
 
 
 
 
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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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Late Sr Regina Kintak’s Tribute

Late Sr Regina Kintak, Deputy Director of Nursing Services, passed away on the 22nd of September at Port Moresby General Hospital: Diagnosed with dilated cardiomyopathy (a heart condition).

Survived by husband Mr. White Kintak, Principle of Nazarene College of Nursing, sons- Alister, Harrison and Joas; and daughters- Amanda, Emelyn, Stephany, and Abigail.

She faithfully contributed immensely through Nazarene Health Ministries serving the people of Papua New Guinea for 33 solid years of service in ministry.

Late Sr. Regina had a servant’s heart and was a role model to many who have come to know her. A mother to all, sister, manager, mentor, councilor, and church planter with a smile always on her face, which cannot be seen today but will be remembered.

Late Sr. Regina had a strong determination that she always wanted to share the holiness message of hope to her people. She started a small preaching point with some College of Nursing big brother/ big sister group back in her village in the southern Highlands province. During the funeral service, her family made a commitment to continue to invest in the church building that their mother had started as a preaching point. “Church is our life” said, Amanda White, “We’ve always been in the church and that’s where we belong.”

Thank you for those of you who have prayed and fasted during the time of illness and hospitalization for healing and recovery but God called her home to eternal Glory according to His will.

  • 1 Thes. 4:13-14 Brothers and sisters, we do not want you to be ignorant about those who fall asleep, or to grieve like the rest of men, who have no hope. We believe that Jesus died and rose again and so we believe that God will bring with Jesus those who have fallen asleep in him.
  • Let us live with the hope and faith we have seen in our dear sister:Hebr 6:19a “We have this hope as an anchor for the soul, firm and secure..”
    -NIV

We invite you to continue in prayer at this time of mourning and sorrow.
May her soul rest in eternal peace.

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Passing it on!

 

 

 

 

 

Left to Right -Dr. Scott Dooley (missionary), Dr. Vuiaboto Moide (contracted doctor), Sr. Mirriam Aipe (Anaesthesia Technical Officer), Dr. Rebecca Williams (Rural Registrar), and Sr. Vero Samson (Scrub Nurse) on a Caesarean section delivery.

 

This picture made my day… maybe more made my year so far- it is a picture of me (Scott) standing and doing not much while one PNG doctor taught another.  Dr. Rebecca Williams is a doctor doing her specialty training through the Masters in Rural and Remote Medicine Program (like a US Residency).  This program is training doctors for rural areas of Papua New Guinea who can do surgery, medicine, obstetrics, etc.. and meet the great majority of typical health problems in places that currently have no doctors.  The Nazarene Hospital is the main place most of these registrars have come to learn surgery.  Dr. Rebecca is working in a rural Baptist facility and is here doing her second 3 -month rotation with us.  Dr. Vuiaboto is interested in the program and joined our hospital as a trial period for us to mutually look at him training at Kudjip the next 6 years.  Whatever happens, this picture certainly summarizes one of our goals – to train up young Christian doctors to provide excellent healthcare and be able to train and disciple others!  It was fun just to be a back-up supervisor as one excellent PNG doctor taught another as part of our great team!

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Where there are no doctors?

Ever wonder why we say so many people come from all over Papua New Guinea to the Nazarene Hospital at Kudjip?  See the picture below created by the Rural and Remote Medicine Society for Papua New Guinea, which shows the number of districts in Papua New Guinea with no doctors.  This is why we feel this program is so important.  We are both a sponsoring hospital (meaning we train a rural resident all the time) and the main place these rural doctors come for surgical training to be sent out to revive health services!

Additionally, it is a real representation of why each ministry of Nazarene Health Ministries is so important.  It shows what our remote Nazarene health centers are up against.  Rural Health Services as part of Nazarene Health Ministries runs 11 facilities in places where our nurses are the only medical care around – places where there are no doctors.  This is also why the Nazarene College of Nursing has nearly doubled its number of nursing graduates each year – many of whom become missionaries to these remote places.   Even more amazing Community Based Health Care works in some areas that don’t even have nurses!Please continue to pray for and support the work of all of the Nazarene Health Ministry divisions: Rural Health, CBHC, NCON, and the hospital, who are making a difference to show people someone cares and share the love of God in places of great need.  

View of the airstrip and Imane Nazarene Health Center -no doctors, no roads

 

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Rural Medical Registrar Wanted

For those doctors living in Papua New Guinea – would you like to be a specialist in Rural and Remote Medicine?  Would you like to train under other doctors who are passionate about ministering God’s love through excellent health care? 

Nazarene Hospital is accepting applications from Christian doctors for a position in the Masters in Rural and Remote Medicine program.  This is a 6 year registry that allows you to waive the 2 years of service registry.  We will interview and do a trial period (or for students do a rotation) in 2017 so both sides can feel it is a good fit.  Registry program starts Jan. 2018.

If you would like to apply for the position send us a CV, your own Christian testimony, and a pastor’s reference.  E-mail to NazareneHospital@gmail.com

 

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Pray for the Nation of Papua New Guinea

Please pray for the nation of Papua New Guinea during these current election period, there are many areas of civil unrest .This has resulted in periodic closing of some public services ,airport and limitation to road travel at times. Many schools particularly in the highlands have remained closed.One Nazarene man ,a police officer,died in the performance of his duties .The Nazarene Hospital and College of Nursing despite receiving  threat related to election but  remained open the entire time .The unrest as at times limited supplies of oxygen and normal business.It has also affected the travel of everyone.The missionaries at Kudjip are also indirectly affected as they try to keep running services and ministr to those affectd.More election related violence and casualty flooding into hospital emergency room.

Please we request global church of the Nazarene and Christians community to pray for this time of civil unrest and Pray for Good government formation needs in this country.

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I-TEC TEAM

During the months of March, April and May, the Nazarene General Hospital, Jiwaka, finished seven weeks of electrical power line upgrades.  This work was done by I-TEC, a mission organization that does electrical and power line work for other missions.  This was their second work team to come to Kudjip.  The first team came in 2014, at the end of the hydro project, to put in the electrical lines from the new hydro to the switch house.  Plans were made at that time for I-TEC to return and finish the project by upgrading the electrical distribution system to the rest of the station.  Tom Garber and Gene Flewelling oversaw a total of 27 volunteers who were mostly power-linemen, electricians, and ground crew.

The amount of work accomplished was phenomenal.  The three main goals were to move the switch house (transferring all the breakers and transfer switches) into the new back-up generator/switch house, re-conductor the line from the hydro to the new switch house, and to put in a high voltage line down to the new neighborhoods in Jordan Valley.  Other smaller tasks involved installing new feeder lines to four of the neighborhoods on stations.  They also had the time to put the Nazarene elementary and high school on their own power line and run a new line to the lift station.

Besides the work that was done on the electrical upgrade, the I-TEC volunteers were involved in other ways as well.  Many hours were spent working with our PNG electricians and giving them on-the-job training in power line work.  The I-TEC electricians also used their knowledge to get the new laundry dryers working for the hospital and improved the quality of electricity in the dental and surgical areas.  The I-TEC team made an impact on the overall quality of electricity on the station, and especially in the hospital.  We are grateful for their hard work.

There are many aspects to making a hospital run.  God has provided wonderful doctors, great staff and volunteers that are a part of the work and outreach that occurs at the hospital.  Each person has a valuable ministry to do, and each point of ministry works together with the others so that God’s name is glorified as we share the Good News with those who come to us for medical attention.

Heartfelt thanks to everyone who has had a part in the ministry here at Kudjip. Your prayers, donations and time make a difference in the lives of the patients we serve, as well as the people who live and work here.  You are all a critical link in the chain of this ministry.   To God be the glory!                     – Earl and Cathy Hartwig    

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