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Author: Layne

Casa Ahavá Reopens

A Layne Post

I cannot remember the exact day we closed, but I think our house as a project was shut for about two months, due to corona virus. The hospital had thinned out the ward, trying to get patients from other provinces back home, and since they are the ones we focus on, there were no other good candidates. Jon kept working at the hospital, but our house felt quiet and strange. The girls kept asking when Tias and Tios would be back. I love that they enjoy our ministry as much as we do. Sometimes I wonder, but this was a good reminder. I actually was recently reflecting on our journey to where we are now and realized my girls have had patients around since my oldest was 2 years old and my youngest two never knew life without Tias and Tios around. This is our life!

We did get to the beach for a quick trip to catch our breath, while the house was empty. Here’s a couple pictures:

As soon as we heard there were a potential 5 ladies in Oncology who could come to our house we jumped. They came over for a preview visit to see the place and the next week they moved in. It feels good and right. We had a former patient from up north needing to do his follow-up, so he came as well, but has already returned home.

We are used to the phases we go through as a little community. We are all in the “get to know you” phase, figuring personalities out. Everyone is on their best behavior. I always have to identify my point person who is going to tell me when they run out of things, or when someone has been sick, and things like that. One of our ladies does not speak Portuguese, so that is always an interesting dynamic. Her roomie translates when needed. One lady is struggling with post-Chemo throat sores. It has been rough, but I think yesterday she made a bit of turn for the better.

Here are 4 of the 5. Joana, with the throat sores was not up for a picture yet, and you can imagine why. We always give people the option to opt out of photos. Know she is lovely. I am betting she’ll want a picture soon.

Augusta
Gisella
Changi
Luisa

We are also excitedly taking a few new steps.

First, I finished my Master’s degree in Palliative Care and there is an opportunity for me to sit two times a week on a cancer tumor board, where the oncologists, gynecologists, and head/neck/throat specialists, discuss complicated cases. I hope to be a voice for whole patient care and symptom/pain management.

Second, Jon, with all he is learning in his Master’s of Thanatology program, has offered to serve families of the dying as hospital treatment transitions from curative to non-curative and difficult conversations must be had about the mysteries and difficulties of dying. The oncologists work super hard and their time is full. Jon has more time to linger and discuss and answer questions. He has been able to do this a couple time now, and it has gone well.

Third, for the first time there are 2 oncologists in the northern city of Beira, able to treat patients with Chemotherapy from there! This is an exciting step for Mozambique. It does, however, affect our project as most of our patients are from those northern regions. We are shifting a bit to accommodate this new reality and include patients from the closer provinces of Gaza and Inhambane. What this means is that they may not stay with us for the duration of their treatment, but rather about a week at a time and then return home, and come back each month.

Finally, we are opening up the option for local cancer hospice patients. We want to offer two things. For those who would like their loved ones to stay home, we want to offer home visits for education and support. For those who feel overwhelmed or incapable, we will offer our home. The patient can come and if a family member would like to stay, they will also have a bed. Because it is just Jon and I right now, we will only offer home support to 1 or 2 families at a time, until we get a feel for the workload. The same will be true for inpatient hospice at our home. We want to offer quality service, so we do not want to run ourselves too thin.

Pray with us in the days ahead. We are constantly reminded that we are not alone. Thank you for your support, messages, and love.

P.S.

Current Covid-19 Stats in Mozambique are: 1060 active cases and 11 deaths to date. God is being merciful!

2019

In 2019 you did a great thing. These are the 2019 patients we loved and grieved with you and the help of our loving Savior, who has now redeemed all the tears and suffering endured and made their bodies new. We are grateful that all but one was able to make it home to spend some time with their loved ones before passing to the next life.

Mariana
Loice
Torres
Manejo
Teresa
Justino
Maeza

And here are the 2019 patients that stayed at Casa Ahavá, which we are still loving on, some at our home and some now back at their homes in the north. I wish you could know them personally and that they could bring as much joy to you as they do us. It is because of your partnership we get to offer a home and family to these precious souls at one of the hardest times of their lives. We are so very grateful, and so are they.

Luisa
Maria
Rosa
Augusto
Lurde (current patient at Casa Ahavá)
Joana
Armindo
Custodio
Eugenio
Moises
Neliza
Madelena (current patient at Casa Ahavá)
Olinda (current patient at Casa Ahavá)
Rebeka (current patient at Casa Ahavá)
Antonia (current patient at Casa Ahavá)

In 2019 Jesus carried us through some lows. He gave us strength when we were weary. He also lavished on us His generous blessings and gave us glimpses of His kingdom here on earth. We had a super busy start/mid year with up to 13 patients, 5 wounds at once and 7 patients on morphine. The patients then slowed down to about 4, and we caught our breath. We crept back up and now we are 5 ladies with a handful ready for us after the holiday. We are excited for the new year!

This year my girls blew me away with their growth, education, and maturity. They have put in the work and excelled in school and their extracurriculars. They started chores this year, and they have become such helpers in the house. They do it all with a smile… all except maybe the dog poops, but I’m not sure I even do that with a smile! They love playing outside, having friends over, and coming up with extravagant games.

Jon just wrapped up his first year into his master’s degree in thanatology and has been acing it. (Are we surprised?) The content has been relevant and applicable to our ministry and we are excited for future potential. He especially connected with some professors, which has been a personal encouragement.

I am about three quarters through my master’s degree in palliative care and will finish in July! It has been a rich time of learning and connecting with other professionals, but I will also be happy to end this phase of study and have the time to put into practice some of the gems learned.

Our family is taking off on a two week journey today. We have long wanted to take to our girls to Botswana, where Jon and I met and where our careers in missions really started. So! Here we go! We will be going to from South Africa with dear friends to Botswana, to Zimbabwe to visit Victoria Falls, back to Botswana to reconnect in two different cities with friends we haven’t seen in close to 10 years, and then back to South Africa to let the girls go to a waterpark, and then home! It will be a total of about 45 hours in the car. Pray for safety and patience and the Holy Spirit to go with us!

In the meantime, Pedro, our loved colleague will be staying at our home and holding down the fort. We are so thankful for him!

Here is to 2020! And more blogging! Happy New Year!

Update on Casa Ahavá

We came home from furlough into a whirlwind of challenges, pain, and grief. It wrapped us up and nearly blinded us to its effects. Only stumbling out the other side and reflecting, we realized that since coming home in February, we have lost five friends. Thankfully, each of these made it home to their families before their deaths, something we count as grace. We have also delivered the terminal diagnosis to another three and sent them to their homes to spend their last days with family. As we wait, we still carry them in our hearts. No wonder it has felt heavy.

We had a season with every bed full and not just full, full of patients with intense suffering. It is true that every patient with cancer suffers, however, sometimes the stages of our patients’ sickness are different, and those stages and the number of patients determine the atmosphere around here. It was a hard season. The morphine and wounds kept us tethered to the affliction of those we were trying to love, demanding our attention, our compassion. Really, we’d have it no other way. It is why we chose this… or better said, were chosen for this. When we stop breaking with those around us, it would be time to quit. It is Christ alone that carries us, enables us, humbly uses us. Your prayers have meant so much.

Even still, I feel like we are just beginning to catch our breath and beginning to feel the atmosphere changing. We have let the number of patients dwindle a bit, as we currently have 8 patients and a couple of those soon to be going to their homes. In reality, the hospital does not have patients to send to us right now and that feels like God’s blessing on our season of slowing… recovering.

Our girls are growing and thriving. It is such a wonder to behold such intense joyful moments of life alongside such pain. What a gift these four daughters of mine are, not just to me, but to the Casa Ahavá community.

We cherish your support and love for us and for our patients. Here are some current pictures

Maeza

Augusto

Moises

Lurde

Luisa

Madelena

Olinda

Heller girls

Back in the Swing of Things

How is it possible that we’ve been home over six weeks? I am sorry for the silence. Here is an update!

When we arrived home, it was only a few days later that Loice and her Mama came to our house. Many of you heard me talk about Loice and urge you to pray for her. The Holy Spirit was so tender and sweet and spoke to Loice and her mom while they were at our home. It was only about a week later, with peace in their hearts, they made the journey home so that Loice could have some time with her three girls. Please continue to pray for my dear friend, as the days are not easy. May God’s mercy keep pain at bay and may many memories be made.

Such a gift to get a picture of these two together.

This Mama right here is gold. She cares so well for her girl.

Once Loice and her Mama were gone, our house began to fill up with new and former patients. Meet our newest family:

Luisa, mother of 10 and grandmother to many!

Rosa, back with us from last year. Joyful and God fearing.

Maria, mom to one 5 year old girl. Young and full of ambition.

Lurdes, Mom of two teens. Full of spunk and always ready to chat!

Torres, back from last year. A grandpa figure here at our home. Well loved.

Maeza, full of energy. Dad of 3. Ready to work. Loves the Lord and prayer.

I am missing a photo of our last patient Manejo, but he hasn’t been feeling well. I told him we’d wait. We also have a new man coming Monday, which will put us at 8 patients. And towards the end of the month we also will welcome back two men during their short stay for what we call “control”… a check-up! That will be our first time with 6 men! It is so nice to have a lively community out back.

Big thank you to Dr. John Singer, who so generously organized and donated some wigs for our patients! What joy and fun it brought them in the midst of sickness and sorrow.

As for our family we are doing well. The girls spent hours outside the first day we got home. They are enjoying climbing trees, building things with their tools, dressing up the cat, and other things kids do. They have slipped back into schooling without much trouble. They are extra busy these days as we have added Portuguese class three times a week at a nearby school! Time to buckle down and learn the language. They are enjoying it, but it does have this Mama running around more than she is used to. They also have ballet and swimming, which makes for going to “school” everyday!

We are so very thankful for your love and support.

Prayer points:

Loice and her mom taking care of her. Her 3 daughters.

Rosa and Manejo’s pain.

Maria to gain some strength after her last cycle.

Our community to bond. And for people to not feel lonely.

My girls acquisition of Portuguese.

Leaving

A Layne Post

Last night I gave a glance out my kitchen window before it was time to lock up for the night. Gates closed. Silence. My heart sank a little, and I went about the nightly routine. As of yesterday afternoon, we officially have no patients. My home feels strange with just my immediate family here… empty. Even Pedro will stay home this week and rest with his family before moving into our home for the next while. We leave for America in one week.

We were able to arrange for all of our patients to go to their homes while we are gone, except one. My dear Loice had to be admitted to the hospital again. The plan was for her and I to go to church and then I’d drop her off the hospital. Beds are hard to secure there, especially on week days, so the head nurse advised that Sunday was the best day to guarantee she had a space. All morning I could tell she was dragging her feet. Honestly, I was too. Just the night before she had asked me, “Are you sure they won’t have a bed later in the week?” My heart broke a little as I explained that we just have to do what the nurses have told us. I assured her I hated this. I told her this is the hardest part of this trip. I reminded her of all the people here I have begged to visit and care for her while we are gone. Then I told her goodnight.

She put her two small bags in the car. I kept sizing them up. Not nearly enough for three months of living, but the hospital doesn’t allow you much. She had to leave the rest with us. My heart broke a little more. I tried to keep the conversation light on the way to church, chatting about our family and what we are going to do in the States. We chatted some about her kids. Finally, we pulled into church, late from dragging our feet, and both hoping the pastor would speak a little extra. He did.

The distance from church to the hospital is short. Too short. I used those minutes to tell her the things the Lord had ministered to my heart during church. I assured her that if I am so worried about her, that I know God is even more concerned. I reminded her how God’s ways are often opposite of what we expect. Because of the that, I am praying and believing that while we expect her to suffer more in the hospital, that God will do the exact opposite, that she will experience His presence and blessing more there than at our house. (Will you pray that too?) She agreed in word and confessed that with God nothing is impossible. I reminded my soul that it is truth.

We turned into the entrance and she gave a little laugh and said, “We already here!” My heart sunk, but I laughed instead. I turned off the car, and grabbed one of her bags and headed up the dreaded stairs, pretending to happily greet people as I went. Cama 18. As we walked the corridor, smelled the bathrooms, saw the rooms full of sickness and metal, I could feel the tears rising. I willed them to stop and made it to her room. What a dreary place. All gray and metal with white sheets. It is a hospital, Layne, what do you expect? My ministry now is from my home and it has been a long time since I’ve been in those hospital rooms. Jon is the one that goes to the hospital. I’d forgotten.

I didn’t want to say “Tchiau”. I hugged her. An American hug, not cheek kissing as is normal here. I squeezed her. I told her I wasn’t going to cry. I told her I’d come visit this week.

I got in the car, shut the door, and I sobbed. My heart broke the rest of the way. I have spent years working to take people out of that hospital and I just dropped someone off to stay. What a horrible feeling.

Dear God, do what only you can do. Do the of opposite what we expect. Be GOD. Draw near to my dear sister. Bless her. Overwhelm her. Take care of her.

 

Also, our sweet Mariana, home with her family while we are stateside, is struggling with pain management. We are attempting to give advice and adjustments from here, but would you pray that she would be able to experience some comfort and rest and be able to enjoy her family while home? This is weighing heavy on our hearts.

 

Prayer points for our upcoming trip:

  • That our children will fully recover from their recent illness, including their current congestion and coughs
  • That the actual travel will be uneventful and that we would be filled with the Holy Spirit and the fruit that results
  • That the Lord would be merciful as our family adjusts to jet lag
  • That our immune systems would stay strong and that the Lord would protect us from American illnesses that our bodies are not protected against
  • That the Lord would supernaturally care for my children’s emotions and souls as this is such a big long transition and that Jon and I will have wisdom in tending to their needs

 

We love you all and are so anxious to hug so many of your necks so very soon!