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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!

When Everyone is Dying

A Jon Post

Grief is not a disease from which I recover, it is not something that I hope has a cure, it is nothing to which I will ever seek a vaccine.

This week Lurde died at home with her family. She lived in mine and with mine for a full year and we grew to know much of what was beautiful and much of what was not in her.

Just like a family should.

Lurde loved deeply at times, selfishly at times, lazily at times, and lavishly at times. She ate too much and laughed more than her fair share. She didn’t clean up after herself much and she always ensured that I knew that she cared about how my family and I were feeling. She went out of her way to ask how rested we felt each day.

Now she is gone. Now we grieve.

I’ve learned something in the eleven years I’ve been privileged to spend with the sick and dying in Mozambique: Grief itself can be a ritual.

No, I do not mean grief rituals; things like funerals, wakes, gathering in remembrance, nightly prayers, etc. I mean grieving on purpose as a ritual.

I wake up each morning and sit in the still of the darkness before the sunrise. I practice breathing, I practice praying, and I practice grieving, then I come inside and have a cup of coffee.

Breath, prayer, grief, coffee. These are my morning rituals. I do not pretend that they are the best morning rituals nor that I am any good at them but they seem to do their job of keeping in in touch with the my Father, with the living, and with the dead.

I stay connected to Lurde, to Luisa, to Mariana, to Loice, to Torres, to Manejo, to Teresa, to Justino, to Maeza, to Augusto… the ones I love and grieve from this last year. There are many more names on that list from the years prior. If I do not make my grief my own, I think my grief would own me.

So I practice a simple ritual. I breathe. I pray. I grieve. And I have a cup of coffee.  

P.S.

It feels remiss to post this without mentioning the state of the world and this virus. I can’t help but notice how I feel that much of the reaction I see en masse among those I know and those I don’t bears a striking resemblance to grief.

Questions like, “what if we had locked down sooner?” “What if we had closed this border or that?” “What if it’s not that bad?” “What if this is all for nothing?” “What if someone else was leading?”

All seem so similar to questions like, “What if he hadn’t gotten in the car that day?” “What if she hadn’t smoked for all those years?” “What if we had gotten a screening for the disease sooner?” “What if I had just called her and told her how I felt?” “What if things had been different . . . would he/she/they still be dead?”

These are not questions that lead to answers and, it seems to me, they are questions spurred by grieving without knowing it. Oh, how I wish we could learn to see and know our grief.  

One time, a man looking at his own coming death, called his closest loved ones and asked them to join him in a garden. “Stay here and keep watch with me” he said and fell on his face on the ground and grieved before a Holy Father. I like to think of that man as the one in whose steps I am trying to walk. Maybe at least I can stay here and keep watch over the dying and grieve with them when they ask it of me.

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.